Young Adult

Question 1

Erikson’s Developmental Stage for young adult?

Answer 1

Intimacy v. Isolation

Question 2

What are the potential developmental problems for young adults?

Answer 2

Isolation
Self-absorption
Depression, esp. if not engaged in the community

Question 3

What history should be taken from young adults?

Answer 3

PMH
HTN
DM
Asthma
Mitral valve prolapse
Hypothyroidism

Question 4

What PMH should be ask from young adults?

Answer 4

depression
PMS
UTI
hernia
STI/PID
HIV
accidents
Gravida, para, SAB, TAB
Psych hx
Substance Abuse

Question 5

What vitamins can be recommended for young adults?

Answer 5

Females: folic acid 400-800 mg/day

Question 6

What should be asked in medication history for young adults?

Answer 6

Vitamins
Herbal Supplements
OTC meds
Immunization History
Birth control/safe sex practice

Question 7

What social history should be taken for young adults?

Answer 7

Smoking
Drug Use
Alcohol Use
Sex Activity
Support system
Education
Work History
Housing- homelessness

Question 8

How often should young female adults be screened for:

• cervical cancer
• Gonorrhea
• PID
• Chlamydia

Answer 8

Cervical Cancer: every 3 years for 21+
Gonorrhea: annually
PID: annually
Chlamydia: annually

Question 9

How is syphillis tested?

How is it treated?

Answer 9

Test: blood sample
Tx: 3 doses of penicillin

Question 10

How is HIV tested?

Answer 10

Test: blood sample

Question 11

How is CKD tested?

Answer 11

Screen: GFR and urine test for albumin

Question 12

What is underweight BMI?

Answer 12

below 18.5

Question 13

What is overweight BMI?

Answer 13

25-30

Question 14

What is obese BMI?

Answer 14

above 30

Question 15

What are the 7 signs of cancer?

Answer 15

1. Change in bowel or bladder
2. A sore that doesn’t heal
3. Unusual bleeding or discharge
4. Thickening or lump in breast or elsewhere
5. Indigestion or difficulty in swallowing
6. Obvious change in wart or mole
7. Nagging cough or hoarseness

Question 16

What are cervical cancer risk factors?

Answer 16

• sex before 20 years old
• 2+ sex partners
• Intercourse with male with multi. sex partners
• smoker (hx smoking)
• HPV (or have sex with male with HPV)

Question 17

When should HPV vaccines be given?

Answer 17

3 doses from ages 9-26 years old

Question 18

What does the HPV vaccine protect against?

Answer 18

HPV type: 6, 11, 16 and 18

Question 19

What increases your risk of skin cancer?

Answer 19

• fair skin
• blue eyes
• long term outside exposure
• early aggressive sun burns
• family hx

Question 20

Signs and symptoms of drug abuse

Answer 20

• late to work, increased absenteeism
• increased productivity for short periods of time
• decreasing productivity, quality of work
• forgetful, can’t follow instructions
• change in personality, increased irritability
• sleeping on the job
• chronic runny nose
• accident proneness

Question 21

Who should be screened for interpersonal violence?

Answer 21

all women of childbearing age

Question 22

Who is at increased risk for IPV?

Answer 22

• social isolation
• women who: guilty, isolated, low-self esteem
• substance abuse in the home
• financial stressors
• violence against male or same sex partners