Exam (elaborations)
CMN 571 - UNIT 3 QUESTIONS AND ANSWERS
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CMN 571 - UNIT 3 QUESTIONS AND ANSWERS
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CMN 571 - UNIT 3 QUESTIONS AND ANSWERS__________ are becoming the second most populous racial and ethnic group of
adolescents.
a. African American
b. Hispanics
c. Asians
d. Muslims - Answers-b. Hispanics
(hay 113)
The leading cause of death among adolescents is
a. homicide
b. MVA
c. suicide - Answers-b. MVA
(hay 113)
At onset of puberty, the inhibition of gonadotropin-releasing hormone in the
hypothalamus is removed, allowing pulsatile production and release of the ...
a. gonadotropins
b. luteinizing hormone
c. follicle-stimulating hormone
d. all of the above - Answers-d. all of the above
hay 121
During puberty, circulating testorone levels increase more than ______.
a. 10-fold
b. 20-fold
c. 50-fold - Answers-b. 20-fold
hay 121
T or F: Levels of testosterone correlate with the physical stages of puberty and the
degree of skeletal maturation. - Answers-True
hay 121
Which stage of sexual maturations occurs first?
a. appearance of axillary hair
b. appearance of pubic hair - Answers-b. appearance of pubic hair
- Precedes axillary hair by 1 year.
hay 123
T or F: Chronological age may be a poor indicator of physiologic and psychosocial
development. - Answers-True
hay 123
,T or F: Skeletal maturation may correlate poorly with pubertal development. - Answers-
False
Skeletal maturation correlates well with growth and pubertal development.
hay 122
In males the testes become larger and the scrotal skin reddens and coarsens in what
stage of SMR?
a. 2
b. 3
c. 4
d. 5 - Answers-b. 3
hay 122
At age 12 who has most likely reached peak height velocity?
a. girls
b. boys - Answers-a. girls
- 11.5-12yrs in girls and 13.5-14yrs in boys
hay 121
The first measurable sign of puberty in girls is the...
a. beginning of the height spurt
b. development of breast buds
c. start of menarche - Answers-a. beginning of the height spurt
- The first conspicuous sign is usually the development of breast buds between 8-11
years.
hay 123
The emotional reaction elicited in the physician by the adolescent is termed... -
Answers-Counter-transference
(hay 115)
True or False: To address confidentiality, the FNP should tell the parents that there will
be two meetings, one with the adolescent pt and one with the parents. - Answers-True
(hay 115)
By what age is it appropriate for the FNP to see a child alone without the parents in the
room?
a. 10-11
b. 11-12
c. 12-13
d. 13-14 - Answers-b. 11-12
(hay 116)
True or False: When a teenager is brought in against their will to your clinic, it is best to
keep the parent in the room as a witness to the visit. - Answers-False
, It is useful to meet with the parents and patient for 3-5 minutes to allow the parents to
describe the conflict and voice concerns, then the adolescent should be seen alone.
(hay 116)
T or F: It is more appropriate to wait for the adolescent patient to initiate discussion on
sexual development rather than you, otherwise the patient may not be honest or show
interest in the subject. - Answers-False
Although teenagers may not admit that they are interested in this subject, they are
usually attentive when it is raised.
(hay 116)
When examining the chest of an teenage boy during puberty, you notice a small lump
under his right breast, you...
a. Show no concern and do not mention it to the patient.
b. Let his parents know this may be need to biopsied to rule out breast CA.
c. Refer to a men's health specialist for further evaluation.
d. Reassure the boy that it is normal during puberty and should disappear in 6 months
to a year. - Answers-d. Reassure the boy that it is normal during puberty and should
disappear in 6 months to a year.
- Gynecomastia is common in boys 14-15 during puberty, usually disappears within 6
mo to 2 years.
Hay 116
T or F: In girls, the height spurt correlates more closely with breast developmental
stages than with pubic hair stages. - Answers-True
hay 123
During ________ adolescence, body image, self-concept, and self-esteem fluctuate
dramatically.
a. early
b. middle
c. late - Answers-a. early
- Roughly from 10-13 y/o.
T or F: The 12 year old girl still thinks concretely and cannot easily conceptualize about
the future. - Answers-True
- this is true of all young teens.
hay 123
The boy in _________ adolescence may believe that the world can be changed by
merely thinking about it.
a. early
b. middle
c. late - Answers-b. middle
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