Term
| How many stages is adolescence divided into? |
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Definition
| 3 stages - Early, Middle, Late |
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Term
| What is the leading COD in teens? |
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Definition
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Term
| What are the warning signs in teenagers? |
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Definition
decline in school, cutting class
Eating, sleeping and personality changes
Withdraws from family, hobbies and sports
New group of friends
Violence, profanity, running away from home |
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Term
| What is the normal HR in adolescents >15y/o? |
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Definition
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Term
| What is the normal HR in adolescents 10-14y/o? |
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Definition
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Term
| What is the normal respiration for teenagers? |
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Definition
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Term
| In which tanner stages does menarche occur? |
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Definition
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Term
| When does puberty in girls generally begin? in boys? How long does puberty generally last? |
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Definition
| Begins age 10 in girls and 11 in boys; generally lasts 2 - 4 yrs |
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Term
| What is the initial sign of puberty in males? in females? |
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Definition
males is testicular growth
girls is breast development or pubic hair |
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Term
| When does acne vulgaris begin? Where is it generally located? |
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Definition
| Age 10; Located on the Face, upper chest, back |
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Term
| When should the breast exam in a female begin? |
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Definition
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Term
| In the breast exam which nodes should be palpated? |
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Definition
| Axillary and epitrochlear nodes |
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Term
| What is gynecomastia MC associated with in teens? |
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Definition
| Associated with marijuana usage |
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Term
| What is the MC type of unilateral mass in adolescents? |
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Definition
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Term
| What breast mass is described as a painless, slow growth, and rubbery? |
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Definition
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Term
| What breast mass is described as tender, intermittent with cycles, has a spongy consistency, and usually found in multiple? |
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Definition
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Term
| When is an U/S indicated for a breast mass? |
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Definition
| if mass persists and is >2.5 cm. |
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Term
| What are the indications for a pelvic exam in adolescents? |
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Definition
Sexual activity
Abnormal discharge
Menstrual or anatomic irregularities
Pelvic pain |
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Term
| Does scoliosis occur MC in boys or girls? |
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Definition
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Term
| What special PE test is used to detect scoliosis? |
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Definition
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Term
| If the Adams bend test reveals scoliosis, what do you do next? |
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Definition
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Term
| Where are the bartholin glands located? |
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Definition
| inner edge of labia @ 5 & 7 o’clock |
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Term
| If a pelvic exam is indicated in an adolescent, what speculum should be used? |
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Definition
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Term
| What condition is described as pubertal development prior to the normal age? |
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Definition
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Term
| What are the two MC causes of delayed puberty? |
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Definition
Anorexia nervosa
Chronic disease |
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Term
| If there is delayed puberty, what sign is indicative of Turner Syndrome as a cause? What else may this sign signify? |
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Definition
| Below 3rd %ile in height; chronic dz |
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Term
| If discharge is present on a male GU exam, what must you do next? |
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Definition
| all discharge should be cultured |
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Term
| What might unilateral non-tender femoral nodes indicate? |
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Definition
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Term
| What might unilateral tender femoral nodes indicate? |
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Definition
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Term
| Which psychosocial stage is described as preoccupied with physical changes, allegiance shifts to peers, and still thinks concretely? |
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Definition
| Early Adolescent (10-13 yrs) |
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Term
| Which psychosocial stage is described as becomes more comfortable with new body, intense emotion and mood swings, gains ability to think abstractly? |
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Definition
| MIDDLE ADOLESCENCE (14-16 yrs.) |
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Term
| Which psychosocial stage is described as less self entered, socially shift from peer group to individuals? |
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Definition
| LATE ADOLESCENCE (17 yrs. +) |
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Term
| What is the MC used illicit drug in the US? |
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Definition
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Term
| Which types of hallucinations are MC with Marijuana use? |
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Definition
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Term
| What drug temporarily inhibits the release of dopamine in the brain? |
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Definition
| GHB
= gamma-hydroxybutyrate acid |
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Term
| When can GHB be detected in the urine? |
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Definition
| can not be detected in urine after four to five hours post injection |
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Term
| How does GHB affect respiration? |
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Definition
| Respiration becomes slower and deeper. |
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Term
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Definition
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