Lecture 7- Puberty Flashcards

1
Q

Puberty is a stage of human development when

A

when sexual maturation and growth are completed and results in ability to reproduce- morphological physiological and behaviour development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Primary sexual characteristic established
A

before birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • Sequence of events
A
  • Age variable
  • Order consistent (always happens in the same order)
  • Therefore not a function of age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

do girls or boy start puberty first

A
  • Girls begin and end puberty before boys
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

maturation is order consistent

A
  • Accelerated somatic growth
  • Maturation of primary sexual characteristic (gonads and genitals)
  • Appearance of secondary sexual characteristics (pubic and axillary hair, female breast development, male voice changes)
  • Menstruation and spermatogenesis begin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

therlarche

A

onset of breast development occurring near beginning of puberty in girls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • Adrenarche-
A

maturation and increased activity of the adrenal glands prior to puberty

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

activation of reproductive glands by pituitary hormone FSH and LH

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

onset of menstruation at puberty

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

which gland is thought to be an important influence on the timing of puberty

A

the pineal gland

as disorders of this gland can cause early onset (precocious) puberty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

key environmental factor that infleunces onset of puberty

A
  • Body weight is a key factor in the onset of puberty in girls, as well as nutrition and leptin (released from adipose tissue)
    • Age of menarche has declined (from 16.6 to 12.5) over the year
      • women have a higher BMI now
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • Low body weight can cause
A

cessation of menstruation, even after puberty has occurred

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

other factors that effect menarche

A
  • Onset age differs around globe
  • Economic factors/ disparity may effect onset of puberty
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Regardless of age of onset-

A

sequence of events is consistent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is used to define Sexual maturity rating (SMR)

A

Tanner scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tanner scale

A
  • Tanner developed a scale that divides the sexual maturity rating into 5 classed
  • Based on pubic hair and breast and females
  • Pubic hair and genitalia in males
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

tanner stage 1 in females

A

pre-pubertal

pubic hair- non

breasts- non

18
Q

tanner stage 2 in females

A

pubic hair- sparse, lightly pigmented, straight, medial border of labia

breasts- breast and pappila (nipple) elevated as small mounts, areolar diamter increased

19
Q

tanner stage 3 in females

A

pubic hair: darker, beginning to curl, increased amount

breast: breast and areola enlarged, no controu of separation

20
Q

tanner stage 4 in females

A

pubic hair: coarse, curly, abundant, but less than adult

breast: areolar and papilla form secodnary mount

21
Q

tanner stage 5 in females

A

pubic hair: adult feminine triangle spread to medial surface of thigh

breast: mature, nipple projects, areola part of general breast contour

22
Q

tanner stage 1 in males

A

prepubertal

23
Q

tanner stage 2 in males

A

pubic hair: scanty, long sligly pigmented

penis: slight enlargement
testes: emlarged scortum, texture altered

24
Q

tanner stage 3 in males

A

pubic hair: darker, starts to curl, small amount

penis: penis longer
testes: larger

25
Q

tanner stage 4 in males

A

pubic hair: resembles adult type, less in qauntitiy, coarse, curly

penis: larger, glans breadth increased
testes: larger

26
Q

tanner stage 5 in males

A

pubic hair: adult. distribution, spread to medial surface of thigh

penis: adult
testes: adult

27
Q

when does therlache (breast enlargment happen in girls)

A

8-11)

28
Q

when does adrenarch- pubic hair start in girls

A

11-12

29
Q

when does growth spurt occur in firls

A

10-14

30
Q

when does menarche occur

A

11-15

31
Q
A
32
Q

female sexual characteristics

A
  • 9-15
    • Starts with
      • Breast bud (thelarche) and pubic hear
    • Leads to (adrenarche)
      • Growth spurt and onset of menstrual
    • Menstruate cycles begins (menarche)
      • Punic hair adult
      • Breast adult
33
Q

Male secondary sexual characteristics

A
  • 10-14 years
    • Starts with
      • Genital development
    • Progresses to
      • Pubic hair growth
      • Spermatogenesis
    • Completed by
      • Growth spurt
      • Genitalia adult
      • Pubic hair adult
34
Q

accelerated soamtic growth ‘growth spurt’ depends on

A
  • Occurs in both sexes
    • Depends on growth hormone and IGF-1 and sex steroid in both sexes
35
Q

Accelerated somatic growth in girls

A
  • Earlier and shorter in girls
36
Q

men are larger because

A
  • Men larger because growth spurt longer and slightly faster
37
Q

genital development in boys depends on

A

testosterone

38
Q

Accelerated somatic growthends in both sexes by

A

epiphyseal fusion

  • Oestrogen closes epiphyses earlier in girls
39
Q

fusion of epiphyses inkeeping with

A

child chronological age - bone age

40
Q

sumamry opf puberty in male and female

A
  • Normal range in pubertal development is broad
  • Early maturation is a positive for boys but may be negative for girls
  • Late maturation usually more hard than for girls
  • Adolescents compare themselves to their peers and internalise the reaction of others to their changing bodies