Adolescent Communications

Question 1

For the teenage pt. what are 2 aspects of brain dev. that are occurring and lend to the idea of “raging hormones and emotions”?

Answer 1

1. Gray matter thinning: pruning synapses and streamlining important pathways
2. Limbic seat of emotions

Question 2

orchidometer measures testicular volume in __

Answer 2

mL

Question 3

tanner 1 male genitalia

Answer 3

prepubertal, testes smaller than 2.5 cm

Question 4

tanner 1 male pubic hair

Answer 4

prepubertal, villus hair only

Question 5

tanner 1 male growth

Answer 5

basal growth, 5-6 cm/ yr

Question 6

other tanner 1 changes for male

Answer 6

adrenarche main component of this stage

Question 7

tanner 2 male genitalia

Answer 7

1. Scrotum thins and reddens

2. Testes: 2.5-3.2 cm

Question 8

tanner 2 male pubic hair

Answer 8

Sparse growth of slightly pigmented hair at base of penis

Question 9

tanner 2 male growth

Answer 9

basal 5-6 cm/yr

Question 10

tanner 2 male other

Answer 10

There is a decrease in their body fat

Question 11

tanner 3 male genitalia

Answer 11

Penis grows in length

Testes 3.3-4cm

Question 12

tanner 3 male pubic hair

Answer 12

thicker, curlier hair spreads to mons pubis

Question 13

tanner 3 male growth

Answer 13

accelerated growth begins about 7-8 cm/yr

Question 14

tanner 3 male other

Answer 14

Have voice change, gynecomastia, muscle mass increases

Question 15

tanner 4 male genitalia

Answer 15

Penis and glands grow, darkening of scrotum

Question 16

tanner 4 male pubic hair

Answer 16

adult type hair but no spread to medial thigh

Question 17

tanner 4 male growth

Answer 17

growth is at peak velocity 10 cm/yr

Question 18

tanner 4 male other

Answer 18

axillary hair, voice change, acne

Question 19

tanner 5 male genitalia

Answer 19

adult genitalia testes are 4.5+ cm

Question 20

tanner 5 male pubic hair

Answer 20

adult hair w/ spread to medial thigh

Question 21

tanner 5 male growth

Answer 21

deceleration and cessation

Question 22

tanner 5 male other

Answer 22

facial hair, muscle mass continues to increase

Question 23

Female tanner stage 1

Answer 23

No pubic hair
Breasts: no glandular tissue, areola follows skin contours of chest

age: roughly under 10, prepubertal

Question 24

female tanner stage 2

Answer 24

sparse, straight pubic hair
Breast bud, small area of surrounding glandular tissue and areola widens

Age: 10-11.5

Question 25

female tanner 3

Answer 25

Breast: elevate and extend beyond borders of areola, widen but remain in contour with surrounding breast Pubic hair is darker, coarser, and curlier Age: 11.5-13

Question 26

female tanner 4

Answer 26

Breast: increase in size and elevation, areola and papilla form secondary mound projecting from contour of surrounding breast Pubic hair adult like Age: 13-15

Question 27

female stage 5

Answer 27

breast final adult size, areola returns to contour of surrounding breast with a projecting central papilla (15+) pubic hair extends to thigh

Question 28

2 main adolescent concerns

Answer 28

growth acceleration and biologic maturation (menarche, sleepiness, body odor)

Question 29

concept of social survival

Answer 29

adolescents prefer their peers

Question 30

in NC a minor can get care for __ without a guardian

Answer 30

1. contraception (including emergency contraception) 2. STD and HIV test and tx 3. Pregnancy test and prenatal care 4. Tx for substance abuse or mental illness

Question 31

Minors have to have parental consent for what 3 things

Answer 31

1. Sterilization 2. ABORTION (but can do judicial bypass) 3. admission to 24 hr substance abuse facility or mental health facility (unless emergency)

Question 32

parental consent is required for all medical care outside of ____

Answer 32

reproductive and sexual health

Question 33

what 3 things are reportable that come up in adolescent yrs

Answer 33

1. Incidents of sexual/physical/emotional abuse 2. Potential for violence or violent outcome 3. Homicidal or suicidal tendencies

Question 34

what mnemonic used for psychosocial interview

Answer 34

HEEADSSS

Question 35

what does HEEADSSS stand for?

Answer 35

H: home life: what are relationships at home like? (runaway, moving etc) Education: tell me about friends? is school safe? Employment or Eating: how do you fell about your body? Activities: what do you do for fun? with whom? etc Drugs / Depression / Diet: what do you think about drugs, alcohol, how much coffee do you drink? Sexuality self image Suicide Safety

Question 36

what does biHEADS stand for?

Answer 36

``` Bi: body image Home environment / general health education activities drugs sexual hx ```