1
A 16-year-old patient is being seen in the clinic for a health issue. What care can the
nurse practitioner provide without first obtaining parental consent?
A. Rapid throat culture to rule out strep B. Varicella vaccine
C. Intramuscular antibiotics for UTI D. Urine testing for STIs
Minors do not need parental consent for any testing or treatment for STIs,
contraception, or diagnosis and management of pregnancy. Performing other testing
and giving in-office treatments or vaccines does require a parent (or guardian) to
consent to the actions.
Which of the following Tanner stages is associated with penile lengthening?
A. II B. III C. IV D. V
In Tanner stage III in males, the penis begins to lengthen. Tanner stages are as follows:
I, prepubertal small penis; II, penis length remains unchanged; III, penis begins to
lengthen; IV, penis increases in circumference; and V, scrotum and penis are mature
size.
A 14-year-old male patient, who is active in basketball, complains of pain and swelling
on both knees. On physical exam, there is tenderness over the tibial tuberosity of both
knees. Which of the following is most likely?
A. Chondromalacia patella B. Left knee sprain
C. Osgood-Schlatter disease D. Tear of the medial ligament
Osgood-Schlatter disease is characterized by bilateral pain over the tibial tuberosity
upon palpation, along with knee pain and edema with exercise.
A 14-year-old female patient is worried that she has not started to menstruate. During
physical examination, the nurse practitioner tells the patient’s parent, who is in the room
with the patient, that the patient is starting Tanner stage II. What are the physical exam
findings during this stage?
A. Breast buds and some straight pubic hair
B. Fully developed breasts and curly pubic hair
C. Breast tissue with the areola on a separate mound and curly pubic hair
D. No breast tissue and no pubic hair
Tanner stage II in females is noted for breast and papilla elevated as a small mound
and increased areola diameter (breast buds). Tanner II pubic hair for females is sparse,
straight hair along the medial border of the labia.
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 09:41:34 GMT -05:00
https://www.coursehero.com/file/250618430/Leik-Adolescents-docx/
A 16-year-old patient is being seen in the clinic for a health issue. What care can the
nurse practitioner provide without first obtaining parental consent?
A. Rapid throat culture to rule out strep B. Varicella vaccine
C. Intramuscular antibiotics for UTI D. Urine testing for STIs
Minors do not need parental consent for any testing or treatment for STIs,
contraception, or diagnosis and management of pregnancy. Performing other testing
and giving in-office treatments or vaccines does require a parent (or guardian) to
consent to the actions.
Which of the following Tanner stages is associated with penile lengthening?
A. II B. III C. IV D. V
In Tanner stage III in males, the penis begins to lengthen. Tanner stages are as follows:
I, prepubertal small penis; II, penis length remains unchanged; III, penis begins to
lengthen; IV, penis increases in circumference; and V, scrotum and penis are mature
size.
A 14-year-old male patient, who is active in basketball, complains of pain and swelling
on both knees. On physical exam, there is tenderness over the tibial tuberosity of both
knees. Which of the following is most likely?
A. Chondromalacia patella B. Left knee sprain
C. Osgood-Schlatter disease D. Tear of the medial ligament
Osgood-Schlatter disease is characterized by bilateral pain over the tibial tuberosity
upon palpation, along with knee pain and edema with exercise.
A 14-year-old female patient is worried that she has not started to menstruate. During
physical examination, the nurse practitioner tells the patient’s parent, who is in the room
with the patient, that the patient is starting Tanner stage II. What are the physical exam
findings during this stage?
A. Breast buds and some straight pubic hair
B. Fully developed breasts and curly pubic hair
C. Breast tissue with the areola on a separate mound and curly pubic hair
D. No breast tissue and no pubic hair
Tanner stage II in females is noted for breast and papilla elevated as a small mound
and increased areola diameter (breast buds). Tanner II pubic hair for females is sparse,
straight hair along the medial border of the labia.
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 09:41:34 GMT -05:00
https://www.coursehero.com/file/250618430/Leik-Adolescents-docx/
