Pediactric Exam 2 - Toddler to Adolescent

Question 1

by 4 years

Answer 1

100% of their speech understandable

Question 2

head circumference

Answer 2

1-3 years old

Question 3

BMI

Answer 3

started at age 2

Question 4

concrete operational

Answer 4

5-10 years old

school-aged

Question 5

school aged middle childhood

Answer 5

5-10 years old

school issues
self esteem
respect modesty
examine on table
describe exam

Question 6

stills murmur

Answer 6

grade 2/6
musical
vibratory midsystolic

normal

Question 7

venous hum

Answer 7

soft, continuous, louder in diastole

normal

Question 8

carotid bruit

Answer 8

midsystolic
louder on left
eliminated by compression of carotid

normal

Question 9

scoliosis check

Answer 9

into 8-10 year olds

Question 10

visual acuity

Answer 10

starting at 3 years

Question 11

cover/uncover test

Answer 11

9 months to 3 years old

to see if eyes remain midline if cover one

Question 12

ear exam

Answer 12

otoscopic exam

pull straight back on children

Question 13

puberty female

Answer 13

8-13 yo

**african american before - don’t know why

Question 14

puberty male

Answer 14

9-13.5 yo

Question 15

early adolescent

Answer 15

10-14 yo

focus on present

• am i normal?
• peers important

Question 16

middle adolescent

Answer 16

15-16 yo

females more comfortable, males more akward

transitional phase cognitive - concrete to formal

social - who am i - introspection
-independence - limit testing, experimenting, dating

Question 17

late adolescence

Answer 17

17-20 yo

formal operational
adult appearance

toward real independence

Question 18

adolescent behavior

Answer 18

related to developmental stage not necessarily to chronological age or physical maturity

Question 19

BMI underweight

Answer 19

< 5th percentile

Question 20

BMI at risk of overweight

Answer 20

> or = 85th percentile

Question 21

BMI overweight

Answer 21

> or = to 95th percentile

Question 22

HPV

Answer 22

recommended for boys and girls

Question 23

fundoscopic exam

Answer 23

eye exam

Question 24

pelvic/breast exams

Answer 24

not until patient reaches 21 years or 3 years after onset of sexual activity

Question 25

adrenarche

Answer 25

activation of adrenal medulla for production of adrenal androgens

Question 26

gonadarche

Answer 26

earliest gonadal changes of puberty- GnRH release boys - LH - testosterone / FSH - sperm girls - FSH - estrogen and follicle / LH - corpus luteum after ovulation

Question 27

thelarche

Answer 27

beginning of breast development

Question 28

pubarche

Answer 28

beginning of pubic hair

Question 29

menarche

Answer 29

beginning of period

Question 30

tanner stages

Answer 30

sexual maturity ratings description of development of secondary sexual characteristics 5 stages girls - breast and pubic hair boy - genital and pubic hair

Question 31

tanner 1 breast

Answer 31

preadolescent - elevation of nipple only

Question 32

tanner 2 breast

Answer 32

elevation of breast and nipple as small mound

Question 33

tanner 3 breast

Answer 33

further enlargement of breast/areola, no separation of contour

Question 34

tanner 4 breast

Answer 34

projection areola/nipple to form secondary mound

Question 35

tanner 5 breast

Answer 35

mature stage, projection of nipple only

Question 36

female pubic hair tanner 1

Answer 36

no hair

Question 37

female pubic hair tanner 2

Answer 37

long, downy hair, straight along labia

Question 38

female pubic hair tanner 3

Answer 38

darker, coarser, curlier hair, over pubic symphysis

Question 39

female pubic hair tanner 4

Answer 39

coarse and curly | not including thighs

Question 40

female pubic hair tanner 5

Answer 40

hair adult in quantity and quality | -medial surfaces of thighs, not over abdomen

Question 41

order of female puberty changes

Answer 41

breast buds pubic hair growth spurt peaks age 12 menarche at tanner 4 complete puberty in 1.5-8 years (average 4 years)

Question 42

tanner stage male 1

Answer 42

no pubic hair

Question 43

tanner stage 2 male

Answer 43

pubic hair sparse, straight penis slight enlargement testes larger slightly reddened

Question 44

tanner stage 3 male

Answer 44

pubic hair dark, coarse, curlier -over pubic symphysis penis larger in length testes further enlargement

Question 45

tanner stage 4 male

Answer 45

pubic hair coarse and curly not no thighs penis further enlargment length and breadth testes firther enlarged scrotum darkens

Question 46

tanner stage 5 male

Answer 46

pubic hair on medial thigh penis adult size and shape testes adult size and shape

Question 47

order of changes male puberty

Answer 47

testicular growth pubic hair penile enlargement growth spurt peaks age 14 complete in 2-5 years (average 3 years)