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Old Peds > Lecture 10/8 > Flashcards

Lecture 10/8 Flashcards

1
Q

bleed that goes through suture lines and can hold a ton of blood

A

Subgaleal hemorrhage

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2
Q

Menarche occurs approximately ______ years after thelarche?

A

2 years

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3
Q

What is NOT indicated as a treatment choice for dysmenorrhea?

A

steroids

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4
Q

What constitute a main underlying cause of morbidity of adolescence?

A

psychosocial, often correlated w/ poverty

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5
Q

What does HEADSS stand for?

A 
Home environment
Education
Activity
Diet/ Drugs/ Depression
Sexuality
Suicidal ideation
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6
Q

what is the main reason for HTN in adolescence?

A

Essential HTN, can still be due to underlying disorders

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7
Q

how much earlier do girls have a growth spurt than boys?

A

2 years

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8
Q

what initiates spermatogenesis in males?

A

FSH

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9
Q

WHat produces testosterone in the testicles?

A

LH

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10
Q

when do girls get breast buds?

A

8-11yrs

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11
Q

First ejaculation usually _____ years after initiation of testicular growth

A

1 year

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12
Q

Gynecomastia peak incidence between ________ years

A

14-15 yrs

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13
Q

when does a growth spurt occurs in girls?

A

9-14

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14
Q

when does growth spurt occur in boys?

A

11-18

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15
Q

what Tanner stage is there sparse hairg?

A

Stage 2

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16
Q

When does pubic hair become darker and coarser?

A

Stage 3

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17
Q

What stage does a secondary breast mound develop?

A

Stage 4

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18
Q

most common breast mass?

A

Fibroadenoma

19
Q

most common cause of galactorrhea?

A

Prolactinoma

20
Q

what is the second most common cause of galactorrhea in girls?

A

Hypothyroid

21
Q

no periods by age 14 with no other pubertal development, or age 16, with other pubertal development

A

Primary amenorrhea

22
Q

withdrawal bleeding indicates normal anatomy and adequate estrogen.

A

Medroxyprogesterone challenge

23
Q

absence of menses x 3 cycles after regular periods have been established = estrogen stimulation unopposed

A

Secondary amenorrhea

24
Q

most common cause of secondary amenorrhea?

A

pregnancy

25
Q

what is another common cause of secondary amenorrhea?

A

unopposed estrogen (PCOS)

26
Q

Endometriosis can often be managed with _____

A

OCP

27
Q

If they are below what age and sexually active do you have to report it to the authorities?

A

14

28
Q

when is early adolescence?

A

10-14

29
Q

when is middle adolescence? At risks behaviors are greatest

A

15-17

30
Q

A lot of times what will abdominal pain indicate?

A

an underlying emotional disorder

31
Q

What is emotional stress expressed as physical symptoms?

A

Conversion reactions

32
Q

when do thoughts about sexuality occur?

A

Early adolescents

33
Q

What eating disorder is likely in a high achieving person involved in sports that value body image?

A

Anorexia nervosa

34
Q

What eating disorder is seen in impulsive, risk taking individuals with average grades. Often have history of sexual abuse.

A

Bulimia Nervosa

35
Q

What makes males fore at risk for eating disorders?

A

Wrestling

Homosexual orientation

36
Q

what conditions can you have from anorexia?

A

Functional hypothyroid (not enough iodine)
cold
bradycardia
dizzy

37
Q

what are some symptoms of bulimia nervosa?

A

Electrolyte problems
Orthostatic hypotension
Related to purging

38
Q

what is used to prevent a relapse of anorexia nervosa?

A

SSRI

39
Q

What is used to treat bulimia nervosa?

A

SSRI

40
Q

If you are taking laxatives what state will you be in?

A

Acidodic

41
Q

If you are vomiting a lot what state will you be in?

A

Alkalotic

42
Q

Swelling of what gland can occur from vomiting?

A

parotid gland

43
Q

when is drug and alcohol experimentation common?

A

Early- middle adolescence

44
Q

what are the stages of substance abuse?

A

Initiation –> Continuation –>

Maintenance –> Progression

Old Peds (15 decks)

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