Substance Abuse and Physical Examination Quiz

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37 Questions

What is the main health issue and disorder to address in adolescents?

Eating disorders

What is the characteristic symptom of anorexia nervosa?

Refusal to maintain body weight at 85% of expected weight for height

What is the peak incidence age range for eating disorders?

14-18

What is a common differential diagnosis for true eating disorders?

Pregnancy

Which of the following is NOT mentioned as a factor contributing to eating disorders?

High self-esteem

What is a characteristic symptom of bulimia nervosa?

Episodic binge and purge episodes

'Lanugo' is a characteristic sign of:

Anorexia nervosa

'Russell's sign' is associated with:

'Self-induced vomiting'

'Developmental warning signs in this age group' include changes in:

'School performance'

What type of management is required for true eating disorders?

Interdisciplinary management

What age range does adolescence typically span?

12 to 20 years

During which age range is the peak height velocity or growth spurt occurring?

15 to 17 years

What type of thinking is developing in adolescents during the cognitive and psychosocial changes?

Logical and abstract thinking

What is one of the subjective data areas to address during a Well Child Check for adolescents?

School performance and attendance

What is the primary focus of the subjective data area related to 'elimination' during a Well Child Check for adolescents?

Toileting difficulties

During which transitional period does late adolescence occur?

Ages 18 to 20

What is a notable change in the reproductive system during adolescence?

Rapid changes in the reproductive system

What is a characteristic of cognitive development in adolescence?

'Black-and-white' thinking diminishing

What is the appropriate age to begin pap smears according to the new guidelines in 2020?

25 years

Which immunization is usually given prior to adolescents going to college?

Meningococcal vaccine

What is the maximum age at which the Gardasil 9 HPV vaccine can be given in the United States?

45 years

What is the acronym used for a specific strategy when interviewing adolescents, which includes areas such as sexuality, accident abuse, and emotional issues?

SAFETEENS

What is the acronym used for a specific strategy when interviewing adolescents, which includes areas such as parent, peers, and school?

PACES

When observing and asking about STIs in adolescents, what specific tests are recommended?

Gonorrhea and chlamydia testing

What specific type of assessment is recommended for adolescents if there's a history of drug usage and cholesterol indication?

Liver function testing

What should be assessed until two years after the Peak Height Velocity (PHV) in adolescents?

Tanner staging

What should be encouraged for health promotion in adolescents, along with anticipatory guidance?

Physical activity and exercise

What should occur every six months for adolescents according to the provided information?

Dental assessment and cleanings

What is the term used to describe the age at which females reach their peak height velocity (PHV)?

Menarche

Which developmental stage is associated with cognitive ability progressing to adulthood and younger adolescents daydreaming a lot?

Abstract thinking stage in Piaget's theory

What is the primary focus of anticipatory guidance for parents of adolescents in relation to internet activity?

Reinforce honesty and respect for child's privacy

What should be encouraged in the nutritional habits of adolescents?

Encouraging regular meals and minimizing junk food

Which characteristic sign should healthcare providers prepare adolescents for in terms of reproductive system changes?

Menstruation or nocturnal emissions

What is the age range for late adolescence, which is characterized by developing independence and reestablishing rapport with parents?

17-19 years old

What is a notable change in physical development from Tanner staging 2 to Tanner staging 3 in females?

"Long" and "gangly" appearance progresses to adult appearance

What is the main emphasis in dental health recommendations for adolescents?

Flossing after each meal and before bedtime

What should be discussed with adolescents in relation to sexually transmitted infections and HIV?

Establish communication about sexually transmitted infections and HIV

Test your knowledge of substance abuse and physical examination with this quiz. Learn about the signs of substance abuse and the important aspects of a physical exam, including vital signs, vision, and hearing screening.

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