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Adolescent Medicine > Preventive Medicine Adolescent > Flashcards

Preventive Medicine Adolescent Flashcards

1
Q

HEEADSSSS

A 
Home
Education
Eating 
Activities Drugs 
Sexuality - sexual orientation; 5 P’s partner, practice protection, previous STI, pregnancy and abortion
Safety
Suicide 
Spirituality 
Others: chronic illness
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2
Q

When is breast examination done?

A

1 week after menses

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3
Q

Characterized by a discreet disk of palpable gladular tissue under the nipple Areolar complex

A

True gynecomastia

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4
Q

Characterized by more diffuse, bilateral adiposity of the anterior chest wall

A

Pseudogynecomastia

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5
Q

What to do in gynecomastia?

A
  • observe

- if persistent after 6 months, rule out other causes

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6
Q

What test is used to check for scoliosis and kyphosis?

A

Adam’s test

Forward leaning test

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7
Q

What Screening tests are done for adolescents?

A 
CBC: Hgb
U/A
TB work up if at risk - ask if there are family members taking meds
STI - annually for sexually active
Pap smear at 21 yo
Visual screening
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8
Q

Depression screening done at?

A

12 years old and above

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9
Q

Pregnancy test is done if what vaccines are given?

A
  • live attenuated vaccines: Varicella and rubella
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10
Q

Vaccination: HEP B

- unvaccinated 7-18 years old

A
  • 3 doses (0,1,6 months)

- IM

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11
Q

Vaccination: HEP A

- unvaccinated 7-18 years old

A
  • 2 doses
  • 2nd dose given at least 6 months from 1st dose
  • IM
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12
Q

Vaccination: MMR

- unvaccinated 7-18 years old

A
  • 2 doses
  • 4 weeks interval between doses
  • SC
  • C/I: pregnancy, immunosuppresion, recent receipt of blood products
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13
Q

Vaccination: MMR

- INCOMPLETELY vaccinated 7-18 years old

A
  • 1 dose
  • 2nd dose given anytime but at least 4 weeks from 1st dose
  • SC
  • C/I: pregnancy, immunosuppresion, recent receipt of blood products
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14
Q

Vaccination: VARICELLA

- unvaccinated

A
  • 2 doses
  • 7-12 years old: minimum interval between doses is THREE MONTHS
  • > 13 years old: minimum interval between doses is ONE MONTH
  • SC
  • C/I: pregnancy, immunosuppresion, recent receipt of blood products
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15
Q

Vaccination: VARICELLA

- INCOMPLETELY vaccinated 7-18 years old

A
  • 1 dose
  • 7-12 yo: given anytime at least 3 months from 1st dose
  • 13 yo: at least 1 month from the 1st dose
  • SC
  • C/I: pregnancy, immunosuppresion, recent receipt of blood products
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16
Q

Vaccination: INFLUENZA

- 9-18 years old

A
  • 1 dose
  • annually beginning February
  • IM/SC
  • C/I: history of GBS following previous dose
17
Q

Vaccination: Td/Tdap

- unvaccinated 7-18 years old

A
  • 3 doses
  • 0,1,6 months ( Tdap as first dose then Td remaining doses)
  • IM
18
Q

Vaccination: Td/Tdap

- INCOMPLETELY unvaccinated 7-18 years old

A
  • 1 to 2 doses
  • one dose Tdap the Td remaining dose
  • IM
19
Q

Vaccination: Td/Tdap

  • FULLY vaccinated 7-18 years old
  • defined as 5 doses of DTap or 4 doses of DTap if the 4th dose was administered on or after the 4th birthday)
A
  • 1 dose
  • 1 dose Tdap the Td every 10 years
  • IM
20
Q

Vaccination: Bivalent HPV

- females: 15-18 years old

A
  • 3 doses
  • 0,1,6 months
  • IM
  • if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
21
Q

Vaccination: QUADRIVALENT / NONAVALENT

  • females: 15-18 yo
  • males: 15-18 yo
A
  • 3 doses
  • 0,2,6 months
  • IM
  • if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
22
Q

Vaccination: QUADRIVALENT

- females: 9-14 yo

A
  • 2 doses
  • 0.6-12 months
  • IM
  • if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
23
Q

Vaccination: NONAVALENT

- males: 9-14 yo

A
  • 2 doses
  • 0.6-12 months
  • IM
24
Q

In addition to routine physical examination, the following are done

A

Tanner staging / sexual maturity rating
Breast examination
Examination of spine and shoulders (check for scoliosis and kyphosis
Inspection of genitals and anus

25
Q

Screening procedures done in adolescents

A

CBC - every stage of adolescence
UA - 1st encounter
Vaginal wet mount, PAP smear for sexually active females
syphilis - sexually active males
Gonorrhea and chlamydia - male and female who are sexually active

Adolescent Medicine (3 decks)

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