N4331 - EXAM 3 (PEDS - ROYE UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
The adolescent age group begins at what age?
Answer:
age 12 and up
provide kid privacy!
Question:
During a physical assessment of an adolescent, what is important to remember regarding parents?
Answer:
do assessment alone with kid if parent (and patient!) gives permission
Question:
When do growth plates close? When does prefrontal cortex fully develop?
Answer:
plates: mid-late adolescence cortex: late adol.
Question:
What is the expected growth for the adolescent; M vs F? height weight
Answer:
F: 3 - 3.5 inches/year, body fat increases M: 3.5 - 4 inches/year, muscle mass increases
Question:
What is considered a healthy BMI? overweight? obese?
Answer:
healthy: 5-85% overwt: 85-95% obese: >95%
Question:
What are the developmental stages for an adolescent? Erikson Piaget
Answer:
E: identity vs role confusion (identity & body image stabilizes in late adol) P: formal operational
(egocentric, abstract thinking)
Question:
When would you expect body image and identity to stabilize during adolescent stage? What developmental
stage is this?
Answer:
late adol. stage: Erikson's identity vs role confusion
Question:
How many hours a night do adolescents need?
Answer:
7-8 hours/night *sleep deficits common in this age group*
, Question:
How can a parent tell between hormones and depression? Most common tx for depression?
Answer:
depression lasts 2 weeks or longer tx: SSRIs (fluoxetine, paroxetine, escitalopram, sertriline)
Question:
Statistics of alcohol use in 10th grade? 12th grade?
Answer:
10th: 1 in 5 12th: 1 in 3
Question:
What disease is caused by the Epstein-Barr virus?
Answer:
mononucleosis (s/s last 2-4wks, full recovery by 6months)
Question:
Patient presents with presumed strep and is sent home with antibiotics. Mother called back stating patient
now has a rash, what is happening?
Answer:
its mono! will develop rash if treated with abx
Epstein-Barr virus
Question:
What causes mono? How long do symptoms last? How long until a full recovery from mono? What should
be avoided?
Answer:
s/s last 2-4 weeks full recovery in 6 months so no contact sports avoid spleen rupture!!
IVC brings blood to the RA
Question:
Discuss the blood flow of a fetus SVC vs IVC include fetal structures (3)
Answer:
oxygenated from placenta via ductus venosus and is directed to (bypasses RV) via LA foramen ovale
travels from LA to LV to aorta to body (with oxy blood) SVC bring blood from body to RA and trickles
into RV, DEoxygenated then to pulmonary artery BUT ↑SVC most (80%) deoxy because such in PA,
blood flows into aorta via (remaining 20% goes to lungs ductus arteriosus
Question:
When does the ductus arteriosus close?
Answer:
usually 24-48 hr after birth (professor says 2-5 days after birth)
Question:
What are the 3 fetal heart structures that exist prior to birth?
Answer:
foramen ovale (RA to LA) ductus arteriosus (connects PA to aorta) ductus venosus (connects placenta to
IVC)
QUESTIONS AND CORRECT ANSWERS
Question:
The adolescent age group begins at what age?
Answer:
age 12 and up
provide kid privacy!
Question:
During a physical assessment of an adolescent, what is important to remember regarding parents?
Answer:
do assessment alone with kid if parent (and patient!) gives permission
Question:
When do growth plates close? When does prefrontal cortex fully develop?
Answer:
plates: mid-late adolescence cortex: late adol.
Question:
What is the expected growth for the adolescent; M vs F? height weight
Answer:
F: 3 - 3.5 inches/year, body fat increases M: 3.5 - 4 inches/year, muscle mass increases
Question:
What is considered a healthy BMI? overweight? obese?
Answer:
healthy: 5-85% overwt: 85-95% obese: >95%
Question:
What are the developmental stages for an adolescent? Erikson Piaget
Answer:
E: identity vs role confusion (identity & body image stabilizes in late adol) P: formal operational
(egocentric, abstract thinking)
Question:
When would you expect body image and identity to stabilize during adolescent stage? What developmental
stage is this?
Answer:
late adol. stage: Erikson's identity vs role confusion
Question:
How many hours a night do adolescents need?
Answer:
7-8 hours/night *sleep deficits common in this age group*
, Question:
How can a parent tell between hormones and depression? Most common tx for depression?
Answer:
depression lasts 2 weeks or longer tx: SSRIs (fluoxetine, paroxetine, escitalopram, sertriline)
Question:
Statistics of alcohol use in 10th grade? 12th grade?
Answer:
10th: 1 in 5 12th: 1 in 3
Question:
What disease is caused by the Epstein-Barr virus?
Answer:
mononucleosis (s/s last 2-4wks, full recovery by 6months)
Question:
Patient presents with presumed strep and is sent home with antibiotics. Mother called back stating patient
now has a rash, what is happening?
Answer:
its mono! will develop rash if treated with abx
Epstein-Barr virus
Question:
What causes mono? How long do symptoms last? How long until a full recovery from mono? What should
be avoided?
Answer:
s/s last 2-4 weeks full recovery in 6 months so no contact sports avoid spleen rupture!!
IVC brings blood to the RA
Question:
Discuss the blood flow of a fetus SVC vs IVC include fetal structures (3)
Answer:
oxygenated from placenta via ductus venosus and is directed to (bypasses RV) via LA foramen ovale
travels from LA to LV to aorta to body (with oxy blood) SVC bring blood from body to RA and trickles
into RV, DEoxygenated then to pulmonary artery BUT ↑SVC most (80%) deoxy because such in PA,
blood flows into aorta via (remaining 20% goes to lungs ductus arteriosus
Question:
When does the ductus arteriosus close?
Answer:
usually 24-48 hr after birth (professor says 2-5 days after birth)
Question:
What are the 3 fetal heart structures that exist prior to birth?
Answer:
foramen ovale (RA to LA) ductus arteriosus (connects PA to aorta) ductus venosus (connects placenta to
IVC)
