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Flashcards in Rita's Adolescent Questions Deck (27):
1

What should you advise an adolescent not to take a week before surgery?
a) ibuprofen
b) pseudophedrine
c) dextro morphine
d) cold meds

a) ibuprofen

2

Which of the following should not be kept confidential?
a) "I am having sex with my bf"
b) "I want to get pregnant"
c) "I occasionally use marijuana"
d) "Occasionally I want to end my life"

d) "Occasionally I want to end my life"

3

What is the most common cause of secondary amenorrhea?a) pregnancy
b) polycystic ovarian disease
c) birth control pills
d) brain tumor

a) pregnancy

4

A 14yo has stained teeth; callus knuckles, and is hoarse frequently. Which of the following is on your differential dx?
a) Personality d/o
b) Bulimia nervosa
c) Anorexia nervosa
d) substance abuse

b) Bulimia nervosa

5

You suspect alcohol abuse in a 16yo. Which of the following best supports your clinical suspicion?
a) Liver enzymes
b) the CAGE questionnaire
c) CBC looking at MCV
d) Obtain a serum ferritin

b) the CAGE questionnaire

--on CBC, see macrolytic anemia d/t nutritional deficiencies...macrocytosis is also assoc. w/liver disease

6

The areola is a small mound above the elevation of the breast. What tanner stage is the child?
a) Tanner 2
b) Tanner 3
c) Tanner 4
d) Tanner 5

c) Tanner 4

7

A 17yo is here for assessment of an eating d/o. Which of the following is not a characteristic of eating d/o's?
a) sense of helplessness and ineffectiveness
b) wt loss giving the child a sense of mastery and control
c) low body temp, pulse rate, and BP
d) excessive eating followed by purging

a) sense of helplessness and ineffectiveness

8

You find a small breast mass in a 16yo. What is the most likely cause?
a) abscess
b) cytosarcoma
c) fibroadenoma
d) carcinoma

c) fibroadenoma

9

What is the 1st line therapy for an adolescent with dysmenorrhea?
a) birth control pills
b) Lupron
c) NSAIDs
d) Tylenol

c) NSAIDs

10

A 12yo male with gynecomastia presents with a freely moveable nodule below the L nipple. What is the best approach to this problem?
a) Consider it a normal variant bc gynecomastia
b) Get a DHEA-S level
c) Get an estrogen level
d) Refer for a biopsy

a) Consider it a normal variant bc gynecomastia

11

What would you want to tell a 15yo pregnant girl?
a) give options non-judgmentally
b) make decision independently
c) have an abortion
d) refer to right to life unit

a) give options non-judgmentally

12

How do you treat labial adhesions that are uncomplicated in early childhood?
a) estrogen cream
b) leave it alone
c) refer to surgery

a) estrogen cream

vs leave it alone...controversial...

13

What should every adolescent female be taking?
a) Folic acid 1 mg
b) Folic acid 400 mcg
c) Folic acid 600 mcg
d) Folic acid 800 mcg

b) Folic acid 400 mpg

--neural tube closes 25 days after gestation...

14

Which theorist explains why an adolescent might dress like their peers?
a) Kohlberg
b) Piaget
c) Erikson
d) Brazelton

c) Erikson

15

An adolescent complains of vaginal d/c. On exam, a thin, malodorous secretion is noted with a pH greater than 4.5. What is the most likely dx?
a) Gonorrhea
b) chlamydia
c) Bacterial vaginosis
d) Trichomonas

c) Bacterial vaginosis

16

A 15yo girl on OCPs wth 2 episodes of bleeding. What is the best tx plan?
a) Give low estrogen pill, high progesterone
b) don't change pill for 3 cycles
c) stop oral contraception

b) don't change pill for 3 cycles

17

Male, the testes have enlarged, the penis has started to grow in length but not in width. What tanner stage is the child?
a) Tanner 2
b) Tanner 3
c) Tanner 4
d) Tanner 5

b) Tanner 3

18

During a 16yo well visit, what screening test would NOT be indicated?
a) BP
b) substance abuse screening
c) sexual maturation screening
d) cholesterol

d) cholesterol

19

How often is Depo-Provera given?
a) every 90 days
b) every 4 months
c) every 6 months
d) every 9 months

a) every 90 days

20

When would you teach girl how to do breast exams?
a) menarche
b) when breast buds appear
c) at Tanner V
d) not needed

d) not needed

21

An 11y says that her uncle touches her in places that she doesn't like. Why should you proceed with care?
a) children do no want to tattle
b) children make things up for attention
c) children feel they may be responsible in part for the abuse
d) they are not yet concrete thinkers in regard to sexual abuse

c) children feel they may be responsible in part for the abuse

..they ARE concrete thinkers at this point!

22

What is the best way to screen for drug and alcohol use?
a) Drug urine screen
b) CRAFFT screening questionnaire
c) asking parents
d) asking the child in a non-standardized way

b) CRAFFT screening questionnaire

23

You are placing a 15yo on Depo-Provera. What side effects do you need to educate the child on?
a) risk of osteoporosis
b) need to return every 30 days
c) risk of blood clots is much higher

a) risk of osteoporosis


--Depo is choice for blood clots! risk is lower

24

At what age does the AAP suggest that you begin to talk with pts about not using tobacco?
a) 4yo
b) 5yo
c) 6yo
d) 7yo

c) 6yo

25

What is the first age to refer a Tanner I female without any signs of puberty?
a) 12
b) 13
c) 14
d) 15

c) 14

26

What is the best approach to manage breakthrough bleeding in the first month in an adolescent on birth control pills?
a) reassurance
b) stop the pills
c) change the pills to a lower formulation of estrogen

a) reassurance

27

A female adolescent is very concerned about her weight. What dx would you consider?
a) anorexia
b) Normal adolescent female development
c) obsessive compulsive d/o

a) anorexia