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28 Cards in this Set
- Front
- Back
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What happens with LHRH pulses in beginning of puberty?
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Increasing amplitude and frequency of LHRH pulses
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When does testicular development start in puberty?
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Beginning of puberty
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When does pubic hair in boys begin developing in puberty?
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Within 6 months of testicular development (beginning of puberty)
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When does phallic enlargement occur in puberty?
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12-18 months after testicular enlargement (beginning of puberty)
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When does peak height velocity occur in boys?
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2-2.5 years after testicular enlargement (beginning of puberty)
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What is the mean age of menarche in girls?
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12.7 years
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Is menarche an early or late pubertal event?
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Late pubertal event, occuring 2 years after breast buds
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Why is it common for periods to be irregular in puberty?
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Endocrine immaturity
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What are diagnostic criteria for anorexia nervosa regarding menstruation?
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Secondary amenorrhea for 3 consecutive cycles
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What are the two types of anorexia nervosa?
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1.) restricting and 2.) binge eating/purging
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How often must behavior occur on average to diagnose bulimia nervosa?
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Twice a week x 3 months
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What does the non-purging type of bulimia nervosa involve?
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Rather than vomiting, fasting and exercise used as compensatory behavior
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What is the prevalence of anorexia nervosa in adolescent females?
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1 in 120
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What is the prevalence of bulimia nervosa?
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1-5%
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What is the age range of anorexia nervosa?
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Bimodal age range, with peaks at 14 and 18
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What is the mortality associated with anorexia nervosa?
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4 percent
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Between what ages does the AAP suggest evaluation for ADHD be initiated if appropriate?
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Between 6 and 12 years of age
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What are the three subtypes of ADHD?
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ADHD primarily of the inattentive type
ADHD primarily of the hyperactive-impulsive type ADHD combined type |
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What is necessary for diagnosis of ADHD, even if other criteria are met?
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Functional impairment
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Symptoms of ADHD need to be present in __ or more settings
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Two (home, school)
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Oppositional defiant or conduct disorders coexist with ADHD in __ % of children.
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35% of children have oppositional defiant or conduct disorders co-existent with ADHD
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ADHD and mood disorders co-exist in __ % of children.
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18% of children have co-existent ADHD and mood disorder (MDD or dysthymia)
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ADHD and anxiety disorders co-exist in __ % of children.
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25% of children have co-existent ADHD and anxiety disorders.
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What is the difference between true gynecomastia and pseudogynecomastia?
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Presence of granular breast tissue (as opposed to adipose tissue)
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What is the relationship of androgen and estrogen to gynecomastia?
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Gynecomastia may be a sign of estrogen-androgen imbalance
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What proportion of boys develop subareolar hyperplasia of the breast?
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2/3 of boys in early- to mid-puberty develop hyperplasia of the breasts
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How long does physiologic gynecomastia persist?
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Rarely persists longer than 2 years; sometimes, regress in a few months
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What is the aim of medical treatment for gynecomastia?
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Decreasing the estrogen/androgen ratio
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