ANSWERS GRADED A+
✔✔What is the recommended age to give the MCV4 (meningococcal) vaccine?
A) age 9
B) age 10
C) ages 11-12
D) age 21 - ✔✔C) ages 11-12
✔✔IUD insertion can work up to ___days after sex, by preventing pregnancy by 99%
A. 8
B. 7
C. 9
D. 2 weeks - ✔✔B. 7
✔✔Reactive screening tests for HIV that are positive must be confirmed by the following
antibody tests except:
A. Western Blot (WB)
B. Nucleic Acid Assay Test (NAAT)
C. Indirect Immunofluorescence Assay (IFA)
D. Virologic Test (HIV-1 RNA Assay) - ✔✔D. Virologic Test (HIV-1 RNA Assay)
✔✔Which of the following persons should CAN receive the live flu mist (LAIV)?
A) 11 year old boy with persistent asthma
B) 15 year old girl with type II diabetes
C) 14 year old boy with kidney failure
D) 17 year old girl on long term oral prednisone therapy for severe persistent asthma.
E) 12 year old girl with a cold - ✔✔E) 12 year old girl with a cold
✔✔HPV
a. is the present cause for all cervical cancer
b. resolves on its own in 2-4 years
c. is detected in annual Pap smears
d. both b and c
e. none of the above - ✔✔b. resolves on its own in 2-4 years
✔✔T/F: Children and adolescents on long term aspirin therapy are at risk for influenza
related Reye syndrome. - ✔✔T
✔✔The leading cause of death among teens in the U.S. is:
a. Suicide
b. Gun related deaths
c. Homicide
,d. Motor vehicle crashes - ✔✔d. Motor vehicle crashes
✔✔Screening failures with Pap testing are due to
a. women who have never been screened
b. failure of the test itself
c. women who have not been screened within 5 years
d. all of the above
e. a and c - ✔✔e. a and c
✔✔Major causes of morbidity in adolescence are ______, and often correlate with
poverty. (113)
a. economic
b. social
c. psychosocial
d. psychological - ✔✔c. psychosocial
✔✔Describe "generational forgetting" Hay pg 156 - ✔✔old drugs become new again,
younger people dont know what bad stuff happened to people who took them long
ago...
✔✔Perform a pelvic exam by age ____ or within ____ yrs of onset of sexual activity.
a. 18 and 2
b. 19 and 3
c. 20 and 1
d. 21 and 3 - ✔✔d. 21 and 3
✔✔T/F: Females who might have been exposed to HPV or who have an equivocal or
abnormal, Pap test or a positive hybrid culture II high risk test, should be vaccinated
with the HPV vaccine and are still likely to benefit from the vaccine. - ✔✔T
✔✔A single dose of _______ can be administered to those age 6-18 yrs. with
underlying medical conditions.
a. HPV
b. Tdap
c. PCV
d. all of the above - ✔✔c. PCV
✔✔T or F: skeletal maturation does not correlate well with growth and pubertal
development. - ✔✔F
✔✔Minimum age for Boostrix (Tdap) is _____ and for Adacel (alsoTdap) is ______.
a. 9 and 10
b. 10 and 11
c. 11 and 12
,d. none of the above - ✔✔b. 10 and 11
✔✔What HepB formulation is licensed for use in children age 11-15? - ✔✔Recombivax
HB
✔✔Resources for older adolescents for healthcare include
a. college/university health care centers
b. local health dpertments
c. their workplace
d. all of the above - ✔✔d. all of the above
✔✔T/F: Initiation of substance abuse is rare after age 20. - ✔✔True
✔✔Risk of SIDS is increased with the uses of ________ during pregnancy.
a. ecstasy
b. marijuana
c. tobacco
d. both b and c
e. all of the above - ✔✔D
✔✔T/F: Vision screening is a universal screening that should be done at least once in
early adolescence. A selective vision screening is done at other ages if positive risk
factors are present. - ✔✔True.
Also, universal screening is done at least once in middle and again in late adolescence.
✔✔Which of the following persons should CAN receive the live flu mist (LAIV)?
A) 11 year old boy with persistent asthma
B) 15 year old girl with type II diabetes
C) 14 year old boy with kidney failure
D) 17 year old girl on long term oral prednisone therapy for severe persistent asthma.
E) 12 year old girl with a cold - ✔✔E. it can be given during minor illnesses. Should not
be given to persons with egg allergies or those with a History of Guillain Barre
syndrome.
-Those who only have hives from eggs can receive the TAIV (inactivated flu vaccine)
but should not receive it if they had an anaphylactic severe reaction to previous vaccine.
And any hypersensitivity to eggs, gentamicin should not receive the live flu mist LAIV (or
asthma patients or pregnant persons, or those who are immunocompromised)
✔✔Which of the following is NOT an enabling factor that influence the progression from
substance use to abuse:
a. peer rejection in elementary
b. sexual or physical abuse
c. genetic predisposition
d. peer rejection in middle school - ✔✔D. peer rejection in middle school
, Hay 159
✔✔Which is a useful tactic to use in communicating with the adolescent regarding
substance use/abuse:
a. overidentify with the adolescent
b. overidentify with the parent
c. elicit info through multiple choice ?s
d. provide reassurance about legal repercussions - ✔✔C. elicit info through multiple
choice questions.
✔✔The use of alcohol, tobacco, and illicit drugs _______ from 8th to 12th grade.
a. doubles
b. triples - ✔✔b. triples
✔✔a teenagers weight almost ________ in adolescence.
a. doubles
b. always decreases
c. triples
d. none of the above - ✔✔A. doubles
✔✔Which factors contribute to the increased STD/HIV risk in adolescent? (from CDC
STD article)
A) having multiple sexual partners at one time
B) failure to use condoms
C) increased biological suceptibility to infections
D) minimal access to health care
E) all the above - ✔✔e. all of the above
✔✔True/false: Chronological age is a poor indicator of physiologic and psychosocial
development. However, skeletal maturation correlates well with growth and pubertal
development. - ✔✔True
✔✔A sense of omnipotence and the belief that the world can be changed by merely
thinking about it occurs during ___________ adolescence.
a. early
b. middle
c. late - ✔✔b. middle
✔✔Menarche often occurs between SMR stages:
A) 1-2
B) 2-3
C) 3-4
D) 4-5 - ✔✔c. 3-4