Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > Lecture 14: Adolescent Medicine > Flashcards

Lecture 14: Adolescent Medicine Flashcards

1
Q

When do girls begin puberty and what is the usual first sign?

A
  • Begins at around age 10
  • Breast development
  • Height (girls might be taller at 5th grade)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When are high risk behaviors common in adolescents?

A

14-16 (Middle adolescence)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the biggest concerns during late adolescence?

A
  • Individuality
  • Planning for the future
  • Health
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the leading cause of death for adolescents?

A

MVA

75% of all deaths for adolescents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When do we begin screening risk taking behaviors?

A

age 10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What issues cannot be kept confidential?

A
  • Suicidal intent
  • Positive HIV status
  • Disclosure of physical/sexual abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When can birth control be given at the earliest?

A

Must demonstrate maturity

no minimum age for giving condoms either!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When can HIV testing be done for an adolescent?

A

Any age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When do we usually screen for drug use in adolescents?

A

11 or older

But screening at any age is doable.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 3 ways a minor can become emancipated

A
  1. Get married
  2. Join the military
  3. Go to court and have a judge emancipate you
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the mature minor doctrine?

A

A minor can consent/refuse if they are mature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What age can you become emancipated?

A

16

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When is the earliest you can be considered a mature minor?

A

14

NOT for major decisions/decisions affecting others/STD or STD tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the 4 preventative services?

A
  • Screening
  • Counseling to reduce risk
  • Immunizations
  • General health guidance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two meningococcal vaccines?
What other vaccinations may be checked during adolescence

A
  • ACWY (Menactra, menveo, menomune serogroup)
  • Men B (Trumenba and bexsero - serogroup)
  • Tetanus can be given at age 10 or 11
  • HPV/gardasil vaccine 2 at 15 or younger. otherwise 3.
  • ALWAYS check Hep A vaccination status
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the second leading cause of death in adolescents aged 15-19?

A

Suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Who is more likely to complete suicide?

A

Boys

Girls try more, but boys are more successful at their attempts :/

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

NSHIATT

A

No suicidal or homicidal ideations at this time

19
Q

Missing how much school is considered avoidance?

A

1 week with a mild ilness

20
Q

How often is BP measured in an adolescent?

A

Annually at WCC, but every visit if RFs or obese.

Begin at age 3 per AAP

21
Q

What is considered HTN in an adolescent aged at least 13?

A

130/80 on at least 3 separate measurements 1-2 weeks apart.

See chart below for specifics

22
Q

What is the f/u and restriction for asymptomatic Stage 1 HTN in an adolescent?

A
  • Repeat in 1-2 weeks but initiate lifestyle changes.
  • If still elevated @ f/u, recheck in 3 months w counseling of nutrition/l;ifestyle changes again
  • if elevated still at next f/u; labs + radiographs + meds
  • May still participate in sports.
23
Q

What is the f/u and restriction for asymptomatic Stage 2 HTN in an adolescent?

A
  • Repeat in 1 week but start lifestyle modifications
  • If elevated: labs + radiographs + meds
  • May not participate in sports until cleared
24
Q

What are the radiographs for an adolescent with HTN?

A
  • Renal US
  • Echocardiogram
25
Q

What are the typical starting meds for adolescent HTN?

A
  • Lisinopril 5mg
  • Losartan
  • HCTZ
  • Amlodipine
26
Q

What are the goal SBP reductions for adolescents?

A
  1. Reduction of SBP & DBP to < 90th percentile.
  2. < 130/80 if over 13 yrs old.
27
Q

What characterizes thelarche?

A
  • Breast buds: onset of female breast development
  • Testicular growth

10 for girls, 12-13 for boys

28
Q

What characterizes pubarche?

A
  • Axillary and pubic hair
  • Growth spurt
29
Q

What characterizes adrenarche?

A
  • Body odor
  • Acne
  • Pubic hair increases
30
Q

What is considered precocious puberty?

A
  • Before 7 in AA and hispanic females
  • Before 8 in white females
  • Before 9 in boys

Primarily idiopathic for females

31
Q

What is considered delayed puberty?

A
  • No breast development until 12-13
  • No testicular growth until 13-14
32
Q

What is tanner stage 1 encompassing?

A

Childhood size

33
Q

Describe tanner stage 2?

A
  • Breast buds
  • Testicular growth
34
Q

Describe tanner stage 3?

A
  • Areolar diameter enlargement
  • Penis begins lengthening also
35
Q

Describe Tanner stage 4?

A
  • Secondary mound + Separation of contours
  • Darkening of scrotum
36
Q

Describe Tanner Stage 5?

A

Mature

37
Q

How does gynecomastia typically present?

A
  • Bilateral
  • Tender
  • Not greater than 4 cm
  • Spontaneous resolution between 1-2 yrs
38
Q

How do we check bone age?

A

LEFT hand and wrist XR

39
Q

Which sex steroid hormone comes solely from the adrenal gland?

A

DHEA-S

40
Q

For boys, what is generally the underlying cause of delayed puberty?

A

GnRH deficiency

41
Q

How do we treat delayed puberty?

A

Testosterone or estrogen

42
Q

What are the 3 MC STDs among high schoolers?

A
  • HPV
  • Chlamydia
  • Trichomoniasis
43
Q

What is the primary reason for amenorrhea?

A

Pregnancy

So screen them even if they’re teens or deny sexual activity

Pediatrics (41 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions