Sexuality and Contraception

Question 1

List some contraindications to hormonal contraception.

Answer 1

Pregnancy
Hypertension
Diabetes with and organ involvement
History of DVT
History of stroke
Migraines with neurologic symptoms
Postpartum

Question 2

A 19-year-old female asks you about when she can resume her hormonal contraception after delivery of her infant. She is breast-feeding. What should you advise?

Answer 2

Do not resume until after six weeks if you are breast-feeding.

Question 3

A parent confidentially asks you to test his daughter for drug use. She is 16. True or false: you should perform this test whether or not you have informed the adolescent.

Answer 3

False. No drug testing can be done on an adolescent without that adolescent’s consent.

Question 4

What is the CAGE questionnaire? How many criteria are required to be present for a positive screen and adolescents?

Answer 4

Cut down?
Annoyed?
Guilty?
Eye-opener?

Only one criteria is present for a positive result in adolescents.

Question 5

A 14-year-old girl presents to your clinic for a check up before moving to a new school. She has bradycardia. Chemistry shows hypochloremia, low bicarbonate, and low potassium. What condition should you screen for?

Answer 5

Anorexia

Question 6

What is the peak incidence of anorexia?

Answer 6

Ages 14 and 18 years

Question 7

True or false: the bulimic patient will typically be very much underweight.

Answer 7

False. They tend to be normal weight or slightly overweight.

Question 8

How is obesity defined in pediatrics?

Answer 8

> 120% median weight for height

Question 9

When is an adolescent female most likely to initiate a discussion with the physician regarding contraception?

A: at the urging of her parents
B: with menarche
C: before the first sexual encounter
D: soon after the first sexual encounter
E: six months after the initiation of intercourse

Answer 9

E: six months after