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MSS - PCM 2 Exam 1 > Pediactric Exam 2 - Toddler to Adolescent > Flashcards

Pediactric Exam 2 - Toddler to Adolescent Flashcards

1
Q

by 4 years

A

100% of their speech understandable

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2
Q

head circumference

A

1-3 years old

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3
Q

BMI

A

started at age 2

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4
Q

concrete operational

A

5-10 years old

school-aged

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5
Q

school aged middle childhood

A

5-10 years old

school issues
self esteem
respect modesty
examine on table
describe exam
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6
Q

stills murmur

A

grade 2/6
musical
vibratory midsystolic

normal

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7
Q

venous hum

A

soft, continuous, louder in diastole

normal

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8
Q

carotid bruit

A

midsystolic
louder on left
eliminated by compression of carotid

normal

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9
Q

scoliosis check

A

into 8-10 year olds

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10
Q

visual acuity

A

starting at 3 years

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11
Q

cover/uncover test

A

9 months to 3 years old

to see if eyes remain midline if cover one

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12
Q

ear exam

A

otoscopic exam

pull straight back on children

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13
Q

puberty female

A

8-13 yo

**african american before - don’t know why

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14
Q

puberty male

A

9-13.5 yo

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15
Q

early adolescent

A

10-14 yo

focus on present

  • am i normal?
  • peers important
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16
Q

middle adolescent

A

15-16 yo

females more comfortable, males more akward

transitional phase cognitive - concrete to formal

social - who am i - introspection
-independence - limit testing, experimenting, dating

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17
Q

late adolescence

A

17-20 yo

formal operational
adult appearance

toward real independence

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18
Q

adolescent behavior

A

related to developmental stage not necessarily to chronological age or physical maturity

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19
Q

BMI underweight

A

< 5th percentile

20
Q

BMI at risk of overweight

A

> or = 85th percentile

21
Q

BMI overweight

A

> or = to 95th percentile

22
Q

HPV

A

recommended for boys and girls

23
Q

fundoscopic exam

A

eye exam

24
Q

pelvic/breast exams

A

not until patient reaches 21 years or 3 years after onset of sexual activity

25
Q

adrenarche

A

activation of adrenal medulla for production of adrenal androgens

26
Q

gonadarche

A

earliest gonadal changes of puberty- GnRH release

boys - LH - testosterone / FSH - sperm

girls - FSH - estrogen and follicle / LH - corpus luteum after ovulation

27
Q

thelarche

A

beginning of breast development

28
Q

pubarche

A

beginning of pubic hair

29
Q

menarche

A

beginning of period

30
Q

tanner stages

A

sexual maturity ratings

description of development of secondary sexual characteristics

5 stages

girls - breast and pubic hair
boy - genital and pubic hair

31
Q

tanner 1 breast

A

preadolescent - elevation of nipple only

32
Q

tanner 2 breast

A

elevation of breast and nipple as small mound

33
Q

tanner 3 breast

A

further enlargement of breast/areola, no separation of contour

34
Q

tanner 4 breast

A

projection areola/nipple to form secondary mound

35
Q

tanner 5 breast

A

mature stage, projection of nipple only

36
Q

female pubic hair tanner 1

A

no hair

37
Q

female pubic hair tanner 2

A

long, downy hair, straight along labia

38
Q

female pubic hair tanner 3

A

darker, coarser, curlier hair, over pubic symphysis

39
Q

female pubic hair tanner 4

A

coarse and curly

not including thighs

40
Q

female pubic hair tanner 5

A

hair adult in quantity and quality

-medial surfaces of thighs, not over abdomen

41
Q

order of female puberty changes

A

breast buds
pubic hair
growth spurt peaks age 12
menarche at tanner 4

complete puberty in 1.5-8 years (average 4 years)

42
Q

tanner stage male 1

A

no pubic hair

43
Q

tanner stage 2 male

A

pubic hair sparse, straight
penis slight enlargement
testes larger slightly reddened

44
Q

tanner stage 3 male

A

pubic hair dark, coarse, curlier
-over pubic symphysis
penis larger in length
testes further enlargement

45
Q

tanner stage 4 male

A

pubic hair coarse and curly
not no thighs
penis further enlargment length and breadth
testes firther enlarged scrotum darkens

46
Q

tanner stage 5 male

A

pubic hair on medial thigh
penis adult size and shape
testes adult size and shape

47
Q

order of changes male puberty

A

testicular growth
pubic hair
penile enlargement
growth spurt peaks age 14

complete in 2-5 years (average 3 years)

MSS - PCM 2 Exam 1 (7 decks)

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