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55 Cards in this Set
- Front
- Back
Average duration of the growth spurt is _ and occurs _ earlier in females. |
2-3 years, 18-24 months |
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What is "true puberty"? |
when gonadotropins and sex steroids increase |
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Puberty begins _ later in males than in females. |
6-12 months |
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Male's first sign of puberty? |
testicular enlargement (11-12) |
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Females first sign of puberty? |
thelarche: breast buds (9.5 yoa) |
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When should annual pelvic exams start in females? |
1) sexually active |
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Labs for Adolescent Health Screening. (5) |
1. h/h |
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5 Screens for adolescent females who are sexually active |
1) Gono cervical cx |
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3 Screens for adolescent males who are sexually active |
1) Sero Syphillis |
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Diagnostic Criteria for Major Depression |
5/9 present almost every day for at least 2 weeks and must impair functional ability |
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Diagnostic Criteria for Dysthymic Disorder |
chronic mood disturbance that lasts at least 1 year (2/5) |
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Problem drinking? |
Drunk 6 or more within 1 year or having problems attributable to |
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Binge Drinking? |
5 or more drinks at one sitting |
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T/F - teens who smoke tobacco are more likely to try other drugs |
True |
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5 Health Complications of smoking |
1) CAD/stroke |
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Define obesity? |
BW > 20% of ideal BW |
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6 Health Effects of Obesity |
1) earlier puberty |
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Diagnostic Criteria for Anorexia Nervosa (4). |
caloric intake insufficient |
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Diagnostic Criteria for Bulimia Nervosa (5). |
1) recurrent binge eating 2x weekly for 3 months |
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HEENT PE finding for bullimia nervosa. |
Parotid swelling |
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T/F - only condoms made of latex protect against transmission of HIV virus. |
True |
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Vaginal diaphragm is placed _. |
Against the cervix (increased risk of UTI) |
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Use of the Cervical cap requires? |
follow up pap smear to screen for cervical dysplasia (associated) |
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IUD's increase the risk of _. |
PID |
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Absolute C/I's to OCP (5). |
1) pregnancy |
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3 most common STDs |
HSV, HPV, C. trachomatis |
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9 Risk factors for STD. |
1) lack of barrier contrac. |
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Malodorous, yellow green discharge, with friable strawberry cervix? Lab? pH? Rx? Partners? |
Trichomonas vaginitis, |
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Most common cause of vaginitis. |
Bacterial vaginosis |
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Gray-white discharge and fishy smelling? Lab? pH? Rx? Partners? |
bacterial vaginosis, whiff test or wet mount "clue cells", pH >4.5, Oral Metronidazole, Just Patient Rx'd |
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White Curdlike discharge with severe itching? Lab? pH? Rx? Partners? |
candidal vulvovaginitis, wet mount fungal hyphae, normal pH < 4.5, Oral Fluconazole, just patient Rx'd |
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gold Standard Lab for Chlamydia Cervicitis. |
Culture of Endocervix |
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Complications of Chlamydia Cervicitis |
1) PID |
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Treatment of uncomplicated C. Trachomatis |
1) oral doxycycline (or) erythromycin (treat partners too) |
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Disseminated Infection with Gonorrhea. (3) |
occurs in 3% of patients and is characterized by |
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Treatment of uncomplicated N. Gonorrhea |
1) IM ceftriaxone (or) single dose oral Rx with ofloxacin/cipro/cefixime (treat partners too) |
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T/F - PID is more common in the second half of the menstrual cycle. |
False, 1st half |
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Inpatient Rx for PID. |
IV cefoxitin + oral doxycycline (or) IV clindamycin + IV gentamycin |
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Outpatient Rx for PID. |
14d with offloxacin + clindamycin or IM ceftriaxon (1) + 14d of doxycycline |
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Cervical cancer causing HPV is detected by _ during colposcopy, which colors lesions white. |
3% acetic acid wash |
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_ released by functioning corpus luteum creates a secretory endometrium. |
progesterone |
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Most common menstrual disorder |
dysmenorrhea (primary no abnormality, secondary with abnormality) |
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Primary dysmenorrhea is caused by _. Rx? |
increased production of prostaglandings, Rx use NSAIDs or OCPs |
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Primary vs Secondary Amenorrhea? |
Primary: abscence in 16 yo with normal 2nd sex traits or 14 yo without traits, |
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Lab evaluation of Amenorrhea. |
1) pregnancy test |
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Amenorrhea with high FSH/LH, Think? |
Karyotype for Turners |
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Amenorrhea with low FSH/LH, Think? |
Imaging for tumor exclusion |
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T/F - DUB may result from anovulatory cycles. |
True |
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T/F - in DUB, hormonal therapy should be used if patient is anemic. |
True |
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T/F - Laboratory stuides are necessary for gynecomasti even if growth is normal and puberty has begun in healthy male. |
False, no labs necessary (usually resolves in 12-15 months) |
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T/F - Torsion is a urologic emergency that must be performed within 6 hours to save the ball. |
True |
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Blue dot sign is for _. Lab and Rx for ? |
Torsion of the testicular appendage. (note dopplers are normal and Rx is rest and analgesia) |
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In Indirect inguinal hernia, an emergent referral is necessary if _ |
any evidence of bowel incarceration (erythema, pain, tenderness) |
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T/F - Hydroceles may be smaller in the morning and larger in the evening. |
True - Diagnosis with transillumination |
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Varicocele referral to Urologist (3) |
1) painful |