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Pedriatrics > History and PE of the Adolecent > Flashcards

History and PE of the Adolecent Flashcards

1
Q

The adequacy of pubic hair and genitalia can be best assessd by:

a. HEADSSS
b. Sexual Maturity Scale
c. Height
d. Growth Spurt

A

B

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2
Q

Growth spurt in males occurs coincidentally at this SMR with the majority of cases?

a. SMR 2
b. SMR 3-4
c. SMR 4-5
d. SMR 4

A

B

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3
Q

The following is true regarding blood pressure determination among adolescents

a. BP measurement should be initiated at 13 years old age or at onset of adolescence
b. Annual BP determination should be done for all adolescents
c. Smoker should have BP measurements taken monthly
d. BP Measurements is done only for symptomatic patients

A

A

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4
Q

Situation: 1 15-year old with weight of 148 lbs, height of 60 inches.

a. 30.3
b. 29.2
c. 18.2
d. 21.3

A

B

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5
Q

Situation: 1 15-year old with weight of 148 lbs, height of 60 inches. nterpret

a. Underweight
b. Normal Weight
c. Overweight
d. Obese

A

D

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6
Q

The adolescent should have a regular over-all checkup

a. Annually
b. Biannually
c. One for every stage of adolescence
d. Whenever sick

A

C

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7
Q

During PE, the following step is best:

a. Keep a running dialogue with patient while doing your PE
b. Have the patient fully undress
c. Observe silence and respect patient’s privacy
d. Do a pelvic exam on all female adolescents who are sexually active whenever you elicit this data

A

A/D

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8
Q

In a adolescent interview:

a. First talk to parent alone, then talk to adolescent alone
b. Talk to parent + adolescent, then adolescent alone
c. Ask parent if s/he wants to the present during the interview
d. Ask adolescent if s/he wants the parent to be present during the interview

A

B

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9
Q

According to the guidelines of Preventive Services, serum cholesterol analysis should be done for adolescents if the following history is obtained:

a. Multiple risk factor such as obesity, hypertension, DM
b. In any patient who is 19 years and older
c. Parent with serum cholesterol of >240gm/dl
d. AOTA

A

D

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10
Q

In the average girl, growth spurts at what age?

a. 10.5 years
b. 11 years
c. 11.5 years
d. 12.0 years

A

A

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11
Q

A genogram is part of the following:

a. HPI
b. Family medical history
c. Personal and social history
d. System Review

A

B

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12
Q

What is an appropriate question to ask when going a personal-social history:

a. Sino-sino ang nakatira sa bahay ninyo?
b. Mayroon bang iba sa pamilya na may ganito ding sakit?
c. Ano ang mga kadalasang kinakain niya?
d. Ilang taon siya nagismulang maglakad mag-isa?

A

A

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13
Q

When examining a 10-year old girl, the following is a useful guideline to follow?

a. You may ask about her favorite nursery rhyme to help establish rapport
b. Undress her including her underwear to ensure thorough exam
c. Stay in the room when she is undressing
d. Ask permission before performing an exam to lesser her anxiety

A

D

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14
Q

Regarding screening for depression and suicide among teens using HEADSSS:

a. Screening should be done only for teens who exhibit signs of depression
b. All adolescents should be screened regardless of reason for consultation
c. Questions should be subtle, indirect and roundabout so as not to trigger suicidal ideas
d. If adolescent admits that he has plans to commit suicide, this information should be kept
confidential to strengthen trust between doctor and adolescent patient

A

B

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15
Q

Which of the following are the most appropriate anthropometric measurements to take in a 8 y/o girl?

a. BMI, HC, height
b. BMI, Weight, Height
c. BP, Weight, Height
d. BP, BMI, Height

A

B

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16
Q

A 12-year old adolescents diagnose to have Systemic Lupus … which presents with alopecia and a “butterfly rash on her face. Considering her developmental stage, what would be the most likely concerns?

a. Impact of medications on fertility
b. Effects on her body image
c. Impact on future romantic relationships
d. Effect on career choice

A

B

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17
Q

A 17-year old adolescent girl has tonic clonic(?) seizures while she was out with her boyfriend and classmates. Considering her developmental stage, what would be the most likely concerns?

a. Effect on her romantic relationship and career choice
b. Impact of medication on weight
c. Effect on use of computers
d. Limitation on sports participation

A

A

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18
Q

Screening for scoliosis is best done:

a. Late childhood
b. Early adolescence
c. Middle adolescence
d. Late adolescence

A

B

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19
Q

Parents were deceased due to vehicular accident so the patient lives with his maternal grandmother.

A. past medical history
B. family medical history
C. developmental history
D. personal and social history

A

D

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20
Q

“Kailan nyo po unang napansin ung sakit nung
bata?”

A. History of present illness
B. Past medical history
C. Family medical history
D. Birth and maternal history
E. Personal and social history
A

A

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21
Q

“Naospital na po ba ang bata noon?”

A. History of present illness
B. Past medical history
C. Family medical history
D. Birth and maternal history
E. Personal and social history
A

B

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22
Q

“Ilan po nakatira sa bahay niyo?”

A. History of present illness
B. Past medical history
C. Family medical history
D. Birth and maternal history
E. Personal and social history
A

E

23
Q

“Pang-ilang pagbubuntis nyo na po ito?”

A. History of present illness
B. Past medical history
C. Family medical history
D. Birth and maternal history
E. Personal and social history
A

D

24
Q

“Kelan nagsimula ang lagnat?”

A. History of present illness
B. Past medical history
C. Family medical history
D. Birth and maternal history
E. Personal and social history
A

A

25
Q

State whether the following questions are appropriate/ inappropriate for a patient who finished grade 1:

“Nakaranas na po ba kayo ng (something) exanthema?”

A. Appropriate
B. Inappropriate

A

B

26
Q

State whether the following questions are appropriate/ inappropriate for a patient who finished grade 1:

“Meron po ba kayong ischemic heart disease?”

A. Appropriate
B. Inappropriate

A

B

27
Q

State whether the following questions are appropriate/ inappropriate for a patient who finished grade 1:

“May ibang tao ba sa bahay na nagkaroon ng
sakit?”

A. Appropriate
B. Inappropriate

A

A

28
Q

State whether the following questions are appropriate/ inappropriate for a patient who finished grade 1:

“Planado po ba ang inyong pagbubuntis?”

A. Appropriate
B. Inappropriate

A

A

29
Q

How to interview teenagers:

a. Mother first
b. Teenager first
c. Both parent and teenager first
d. Siblings first

A

C

30
Q

Which of the following should be considered in interviewing teenagers?

a. toys used during childhood
b. gender preference
c. be cautious by not asking about sexual history

A

B

31
Q

Which of the following should you not show when interviewing an adolescent?

a. show that you can help
b. show your frustration
c. show that you are a doctor

A

B

32
Q

According to Erik Erikson, during adolescence

a. identity vs. role confusion
b. generativity vs. stagnation
c. intimacy vs. isolation
d. initiative vs. doubt

A

A

33
Q

General adaptations can be measured by which of the following?

a. Asking about the classmates
b. Asking about the defense mechanism
c. Asking about the activity at home
d. Asking about the parents’ background

A

B

34
Q

In the interview of the adolescent:

a. The main historian is the adolescent
b. The parents should be interviewed ahead of the adolescent
c. The adolescent should be given a time alone
with the interviewer
d. AOTA
e. A and C

A

E

35
Q

Recommended screening test for adolescents:

a. Hemoglobin and hematocrit screening at least once during adolescence
b. Visual screening during 3 phases of adolescence
c. Cholesterol screening in all adolescents
d. Urinalysis during the 3 phases of
adolescence

A

A

36
Q

Pelvic examination in adolescent is indicated by:

a. Vaginal bleeding
b. STD
c. Sexual activity in the last 6 months
d. A,B and C
e. A and B

A

D

37
Q

Menarche but irregular menses; breast-areola-breast projection counter; pubic hair: downy at labia majora

a. Breast 2, pubic 1
b. Breast 3, pubic 2
c. Breast 4, pubic 2
d. Breast 4, pubic 3

A

C

38
Q

She is quite conscious of her height and weight
and wants to know if she will still grow taller. What statements reflect your correct assessment on her and address her concerns?

a. You will grow much taller in the next two
years.
b. You menses will remain irregular for the next
two years, but if it remains irregular, I would like to see your condition.
c. You should go on weight loss program
d. You already reached your maximum period of growth velocity, so you will not grow fast any longer.

A

D

39
Q

Purpose of psychosocial tasks of an adolescent

a. identification of strengths and coping skills
b. identification of areas of intervention
c. identification of risky behaviour
d. AOTA

A

D

40
Q

An example of the third person approach which is useful
in asking sensitive questions:

A. Some teenagers smoke even though they know it’s bad for their health. Do you smoke? Or drink? I hope you don’t

B. It’s quite common for teenagers to experiment with
alcohol and drugs. Have any of your friends tried alcohol?
How about you?

C. Your mom tells me that your friends smoke… You must also have tried smoking… Peer pressure, right?

D. I have known you and your family for a long time. Your
parents have such high expectations. You don’t smoke or
drink, do you? I would be so disappointed

A

B

41
Q

Regarding screening for depression and suicide using
HEADSSS?

A. Screening should only be done when an adolescent shows signs of depression

B. All adolescents should be screened regardless of reason
for consult

C. Questions should be subtle, indirect and runabout to avoid triggering suicidal ideation

D. When an adolescent admits plans of suicide, this
information should be kept confidential to keep the trust
between doctor and patients

A

B

42
Q

Confidentiality is necessary so that adolescents are able to disclose information that they otherwise would be reluctant to talk about. However, there are times when the doctor has to break confidentiality.

16 y/o girl engaging in heavy petting with her 17 y/o boyfriend

A. if you can keep confidentiality
B. if you need to break confidentiality

A

A

43
Q

Confidentiality is necessary so that adolescents are able to disclose information that they otherwise would be reluctant to talk about. However, there are times when the doctor has to break confidentiality.

Attempted rape by uncle living in same household

A. if you can keep confidentiality
B. if you need to break confidentiality

A

B

44
Q

Confidentiality is necessary so that adolescents are able to disclose information that they otherwise would be reluctant to talk about. However, there are times when the doctor has to break confidentiality.

Homosexual tendencies of a 16 y/o boy

A. if you can keep confidentiality
B. if you need to break confidentiality

A

A

45
Q

Confidentiality is necessary so that adolescents are able to disclose information that they otherwise would be reluctant to talk about. However, there are times when the doctor has to break confidentiality.

15 y/o having an affair with a 25 y/o P.E. teacher

A. if you can keep confidentiality
B. if you need to break confidentiality

A

B

46
Q

Confidentiality is necessary so that adolescents are able to disclose information that they otherwise would be reluctant to talk about. However, there are times when the doctor has to break confidentiality.

well-thought out plan for suicide

A. if you can keep confidentiality
B. if you need to break confidentiality

A

B

47
Q

The ff. are true in conducting the adolescent interview EXCEPT:

A. respect privacy
B. engage the adolescent to see you alone
C. maintain confidentiality
D. exclude the parent in the health situation

A

D

48
Q

The ff. should be done routinely:

A. BP, height, weight, BMI
B. Risk assessment for pyschosocial history
C. Sexual maturity rating
D. AOTA

A

D

49
Q

All sexually active females are screened using the ff. EXCEPT:

A. Gonorrhea, chlamydia
B. HIV
C. Rectal exam if symptomatic
D. Transvaginal ultrasound

A

d

50
Q

The ff. needs further assessment

A. BP reading between 90-95 percentile
B. BMI in the 75th percentile
C. Slower gain in height after menarche
D. Growth spurt at 10 y/o

A

a

51
Q

The ff. are recommended for the adolescent who has received DPT and MMR immunizations as a child.

A. Hepatitis B
B. DT
C. MMR
D. AOTA

A

d

52
Q

An 11 year old girl comes to you because of a lump on her breast. On examination, you note a small mound on her breast. No pubic hair. You say that she is in:

a. Tanner breast stage 0, pubic hair stage 0
b. Tanner breast stage 1, pubic hair stage 0
c. Tanner breast stage 2, pubic hair stage 0
d. Tanner breast stage 2, pubic hair stage 1

A

D

53
Q

15 year old female with dark curly slightly abundant pubic hair and breasts with areola and papilla forming secondary mound

a. SMR 2 breast, SMR 3 pubic hair
b. SMR 3 breast, SMR 4 pubic hair
c. SMR 4 breast, SMR 4 pubic hair
d. SMR 5 breast, SMR 4 pubic hair

A

C

54
Q

Pap Smear is recommended to screen for HPV among females. One of the following is true regarding timing of a PAP smear

a. After first sexual encounter and every six months thereafter
b. 3 years after first sexual encounter or at age 21
c. When signs of STD are noted whichever comes first
d. recommended monthly for those such as dysturia and vaginal discharge who have multiple partners

A

B

Pedriatrics (6 decks)

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