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25 Cards in this Set
- Front
- Back
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Q: 15 year-old girl comes in with secondary ammenorrhea and is found to be pregnant. What are complications of such a young girl being pregnant?
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-Less weight gain during pregnancy
-Prematurity -Low-Birth Weight -Pregnancy Induced Hypertension |
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Pubic Hair, Breasts, Penis, Testes in Tanner Stage I
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Pubic Hair: None
Breast: Prepubertal Penis: Prepubertal Testes: Prepubertal |
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Pubic Hair, Breasts, Penis, Testes in Tanner Stage II
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Pubic Hair: Sparse, long, slightly pigmented (F: medial labial; M: base of penis)
Breast: Breast+Papilla elevated as a small mound; areola diameter enlarged Penis: Slight Enlargement Testes: Enlarged scrotum, pink skin |
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Pubic Hair, Breasts, Penis, Testes in Tanner Stage III
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Pubic Hair: Darker, more curly
Breast: Breast+Areola enlarged Penis: Lengthening Testes: Further growing |
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Pubic Hair, Breasts, Penis, Testes in Tanner Stage IV
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Pubic Hair: Resembles adult, not on thighs yet
Breast: Areola + Papilla form secondary mound Penis: Longer, thicker, glans develops Testes: Darker testes and scrotum |
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Pubic Hair, Breasts, Penis, Testes
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Pubic Hair: Adult pattern, spreads to thighs
Breasts: Nipples projects areola |
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Q: 16-year old boy who is back-up QB at high school notices more oily hair, acne, gynecomastia, and decreased testicle volume. Which type of drugs is he abusing?
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Steroids `
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Q: 15 year-old girl admits to taking 5 pills, crying, and hates her life b/c her boyfriend dumped her. What is the best step to take in her management?
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Admit her to hospital.
-Medical Eval -Pscyhological Eval -Social Eval |
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A 15-year old girl presents to clnical with a sprained ankle and the following findings on phyical exam:
-Dental Decay -Reddened Uvula -Hirsute arms and legs -Thinning hair on head -Ammenorrhea (secondary) Next important exam finding to examine? |
Her current weight and compare it to past weight
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Physical findings of anorexia
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-Profound weight loss
-Dehydration -Hirsustism -Loss of hair on head -Bradycardia -Cardiac conduction problems -Renal impairment -Osteoporosis -Ammennorhea |
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Indication for using Isoretinoin
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-Nodulocystic Acne
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Contraindications of Isoretinoin
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-Pregnancy
-1 month of becoming pregnant |
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Side effects of isoretinoin
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-Dry Skin
-Dry Eyes -Dry Mucus Membranes -MSK pain -Hyperosotosis -IBD -Pseudotumor Cerebri -Elevated LFTs -Hypertriglyceridemia |
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Mainstay treatment of acne
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Benzoyl Peroxide
-Excellent Anti-Bacterial effect -Exfoliant and comedolytic Combine with: -Retinoic Acid -Oral Tetracyclines |
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Q: A 15-year old athlete is in the office of a physical; On heart exam:
-Rate = 100 -Diffuse PMI -Prominent Ventricular Lift -Normal S1, S2 with S4 gallop -No murmur but when he stands you hear a SEM Diagnosis? |
Hypertrophic Cardiomyopathy
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Conscussion Grades as defined by American Academy of Neurology
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Grade 1 (mild): no loss of consciousness and return to normal in less than 15 minutes
Grade 2 (moderate): no loss of consciousness but more than 15 minutes before return to baseline Grade 3: loss of consciousness |
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Contraindications for contact sports
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-Single Eye
-Single Kidney -Hemophilia -Unexplained Syncope |
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Q: 18-year old male college sudent is seen in student health clinic for polyuria, dysuria, and urethral discharge.
Diagnosis? |
NGU - Chlamydia Trichamotas
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Causes of Non-gonnococcal Urethritis
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-Chlamydia Trachomatis (MCC)
-Ureaplasma -Trichomonas Vaginalis -Yeast |
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Methods to test for Chlamydia
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-Culture (most sensitive, specific)
-Monoclonal Antibody Testing |
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Phren's Sign
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Lifting testes towards symphsis
-Increased Pain = Torsion -Decreased Pain = epididimytis |
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Diseases that are classified as pelvic inflammatory disease
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-Tubo-Ovo Abscess
-Endometritis -Salpingitis -Pelvic Peritonitis |
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Indications for serologic testing for Syphilis
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Person found to be positive for any other STD
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Organism which causes Lymphogranulomas Venerum
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-C. Trachimotas
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Most common injuries seen in swimmers
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Rotator Tendinitis
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