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Unit 2 CMN 571 > Puberty questions from FITZ and LEIK > Flashcards

Puberty questions from FITZ and LEIK Flashcards

1
Q 
239. The most common reason for precocious puberty in
girls is:
A. ovarian tumor.
B. adrenal tumor.
C. exogenous estrogen.
D. early onset of normal puberty.
A

D. early onset of normal puberty.

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2
Q

240 to 242. Match each characteristic with the most

appropriate Tanner stage.

A 
A. Tanner
stage 2
B. Tanner
stage 3
C. Tanner
stage 4
D. Tanner
stage 5
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3
Q

_____240. onset of growth spurt

in boys or girls

A

B. Tanner

stage 3

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4
Q

_____241. breast buds and papilla

elevated in girls

A

A. Tanner

stage 2

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5
Q

______242. in boys, increase in penile
length and width with
development of glans

A

C. Tanner

stage 4

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6
Q
  1. The most common reason for precocious puberty
    in boys is:
    A. testicular tumor.
    B. a select number of relatively uncommon health
    problems.
    C. exogenous testosterone.
    D. early onset of normal puberty.
A

B. a select number of relatively uncommon health

problems.

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7
Q 
244. Which of the following is noted in a child with
premature thelarche?
A. breast enlargement
B. accelerated linear growth
C. pubic hair
D. body odor
A

A. breast enlargement

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8
Q 
245. Which of the following is noted in a child with
premature adrenarche?
A. breast development
B. accelerated linear growth
C. pubic hair
D. menstruation
A

C. pubic hair

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9
Q 
246. Girls typically grow to their adult height by:
A. menarche.
B. 1 year before menarche.
C. 1 year after onset of menstruation.
D. by their 16th birthday.
A

C. 1 year after onset of menstruation.

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10
Q 
247. The onset of puberty in girls is marked by:
A. breast budding.
B. menarche.
C. peak of growth spurt.
D. presence of axillary hair.
A

A. breast budding.

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11
Q
  1. Which is not a reason for the delayed onset of puberty in a 15-year-old boy?
    A. report of a high level of physical activity
    B. Kallmann syndrome
    C. familial trait
    D. history of radiation exposure
A

A. report of a high level of physical activity

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12
Q 
249. Which is a possible reason for delayed onset of
puberty in a 13-year-old girl?
A. history of abdominal irradiation
B. obesity
C. report of asthma since age 6 years
D. Turner syndrome
A

D. Turner syndrome

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13
Q

Tanner Stage 1 (male or female)

A

Pre-puberty

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14
Q

Tanner Stage 2 (male)

A

Testes enlarge; scrotal skin reddening with change in

texture; sparse growth of long, slightly pigmented pubic hair at base of penis

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15
Q

Tanner Stage 2 (female)

A

Breast buds and papilla elevated, downy pigmented pubic hair along labia majora

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16
Q

Tanner Stage 3 (male)

A

Increase in penile length but minimal change in width;
further scrotal enlargement; pubic hair darker, coarser,
covers greater area; onset of growth spurt

17
Q

Tanner Stage 3 (female)

A

Breast mound enlargement; darker, coarser, curling pubic hair on mons, labia majora; onset of growth spurt

18
Q

Tanner Stage 4 (male)

A

Increase in penile length and width with development of glans; further darkening of scrotal skin; adult-type pubic hair with no spread to medial surface of thighs

19
Q

Tanner Stage 4 (female)

A

Areola and papilla elevated to form a second mound above level of rest of breast; adult-type pubic hair
with no spread to medial surface of thighs; menarche

20
Q

Tanner Stage 5 (male)

A

Full adult genitalia; adult-type pubic hair with spread to

medial surface of thighs

21
Q

Tanner Stage 5 (female)

A

Recession of areola to mound of breast, extension of pubic hair to medial thigh

22
Q

Delayed Puberty

A

Delayed puberty is defined as no evidence of sexual maturation (Tanner stage 1) in girls older than age 13 and in boys older than age 14. Delayed onset of puberty is multifactorial in both boys and girls.

23
Q
  1. When an adolescent male’s penis grows more in length than width, in which of the
    following Tanner stages is he classified?
    A) Tanner stage II
    B) Tanner stage III
    C) Tanner stage IV
    D) Tanner stage V
A

B) Tanner stage III In Tanner stage III in males, the testicular volume increases, the scrotum enlarges, and the penis begins to lengthen.

Tanner stages are:
Tanner I: Prepubertal small penis.
Tanner II: The penis length remains unchanged.
Tanner III: Penis begins to lengthen.
Tanner IV: Penis increases in length and circumference.
Tanner V: Scrotum and penis are mature size.

24
Q
  1. A 14-year-old female adolescent is worried that she has not started to menstruate like most of her friends. During the gynecological examination, the
    nurse practitioner tells the mother, who is in the room with the patient, that her daughter is starting Tanner stage II. What are the physical exam findings during this stage?
    A) Breast buds and some straight pubic hair
    B) Fully developed breasts and curly pubic hair
    C) Breast tissue with the areola on a separate mound with curly pubic hair
    D) No breast tissue and no pubic hair
A

A) Breast buds and some straight pubic hair Tanner stage II in females is noted for breast and papilla elevated as a small mound and increased areola diameter (breast buds). Tanner II pubic hair for females is sparse, lightly pigmented straight hair
along the medial border of the labia.

25
Q
  1. An adolescent female’s areola, nipples, and breast tissue develop and become
    elevated as one mound. Which of the following is the correct Tanner stage for this
    phase of breast development?
    A) Tanner stage I
    B) Tanner stage II
    C) Tanner stage III
    D) Tanner stage IV
A

C) Tanner stage III During Tanner stage III, the breast and areola and nipples grow together in one mound. There is no separation yet.

At Tanner stage IV, the areola and the nipple separate to form a distinct mound. The most important clue is
“secondary mound.”

26
Q 
636. According to Erik Erikson, adolescents are at what psychosocial developmental
stage?
A) Autonomy versus shame
B) Industry versus inferiority
C) Identity versus role confusion
D) Intimacy versus isolation
1227
A

C) Identity versus role confusion Adolescents (aged 12–18 years) are in the stage known as identity versus role confusion. At this time, the teen is transitioning
into adulthood and reexamining his or her identity and beliefs. The teen wonders about himself or herself (e.g., “who am I?”). Peers are highly valued.

Unit 2 CMN 571 (9 decks)

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