Of the following, the BEST next step in this adolescent's management is to

refer her to a cognitive behavioral therapist and a dietitian

Of the following, the BEST next step in this patient‘s evaluation and management would be to

refer her to a psychologist for counseling

Of the following, the MOST appropriate next step in the evaluation and management of this patient would be to

perform a thorough psychosocial assessment

Of the following, the BEST next step in management is to:

encourage pt to discuss incident w/ mother & rec herapy to address trauma

Of the following, the BEST next step in preparation for more independent care is to

discuss readiness to establish care with an adult provider

Of the following, the BEST next step in management is to

screen for nonsuicidal self-injury

Of the following, the BEST next management step for this girl is to

use motivational interviewing to counsel the girl regarding smoking

Of the following, the BEST next step in this adolescent’s care is to

administer a screening tool for depression and suicide riskk

Of the following, the BEST next step in this girl’s management is:

A.assess adherence by asking open-ended questions

Of the following, the MOST appropriate statement to include in your presentation is

need for conformity w peers is typically strongest during early adolescence

Of the following, the BEST additional advice for this mother is for her to

discuss rules in the context of safety and responsibility HIV, and suicide

The MOST appropriate statement about this adolescent’s attraction is that these are feelings that occur during puberty &

he may find himself more attracted to one sex over time

Of the following, the BEST next step in the management of this adolescent’s nicotine use is to

prescribe a nicotine transdermal patch and nicotine gum

The MOST appropriate statement to include in a discussion with the parents about their daughter is that

peer group participation fosters development of autonomy and self-identity

Of the following, the BEST next step in management is to

refer her for individual and family therapy

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Adolescent AHD 2025

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Questions 18

Answers

1
Of the following, the BEST next step in this adolescent's management is to
provide reassurance that the adolescent 's thoughts are normal for her age
prescribe a nutritional supplement drink and have her follow up in 2 months
refer her to an endocrinologist for evaluation of her delayed puberty
refer her to a cognitive behavioral therapist and a dietitian
2
Of the following, the BEST next step in this patient‘s evaluation and management would be to
order hemoglobin A1C and fasting plasma glucose tests
refer her to a psychologist for counseling
provide information on adolescent weight loss programs
refer her to a dietitian for nutrition counseling
3
Of the following, the MOST appropriate next step in the evaluation and management of this patient would be to
perform a thorough psychosocial assessment
order computed tomography of the sinuses
obtain Epstein-Barr virus serologies
administer a trial of modafinil
order magnetic resonance imaging of the brain
4
Of the following, the BEST next step in management is to:
provide pt w/ resources if she decides to go to therapy before college
encourage pt report to college officials & rec she not attend that college
encourage pt to discuss incident w/ mother & rec herapy to address trauma
rec the pt undergo sexual assault medical exam for future reporting
5
Of the following, the BEST next step in preparation for more independent care is to
inquire about medication adverse effects
update his immunizations
discuss readiness to establish care with an adult provider
discuss his medications with his mother
6
Of the following, the BEST next step in management is to
order a complete blood cell count and comprehensive metabolic panel
order magnetic resonance imaging of the brain
prescribe a trial of a nonsteroidal anti-inflammatory drug
screen for nonsuicidal self-injury
7
Of the following, the BEST next management step for this girl is to
use motivational interviewing to counsel the girl regarding smoking
discuss the long-term health consequences associated with smoking tobacco
order a urine toxicology screen
recommend the use of electronic cigarettes
8
Of the following, the BEST next step in this adolescent’s care is to
administer a screening tool for depression and suicide riskk
encourage her to re-engage in a school sport
refer her to a mental health professional for counseling
reassure mother that these behaviors reflect normal teen social development
9
Of the following, the BEST next step in this girl’s management is:
A.decrease the dose of metformin for 2 weeks
A.refer her to a hematologist for possible iron infusion therapy
A.increase her dose of ferrous sulfate to 325 mg daily
A.assess adherence by asking open-ended questions
10
Of the following, the BEST next step in this adolescent’s evaluation is to confidentially ask about
school or home stressors
sexual activity
drug and alcohol use
sleep routine
11
Of the four children, the physician should have a discussion about transitioning to adult health care with
the 5, 10 and 17 year old
the 17 year old
the 12 and 17 year old
all the children
12
Of the following, the BEST next management step for this girl is to:
prescribe a detailed 3,000-calorie meal plan
arrange for hospitalization in an adolescent unit
refer for family-based therapy
initiate treatment with fluoxetine
13
Of the following, the MOST appropriate statement to include in your presentation is
relationships w nonfamilial adults have 0 role in developing independence
transition to permissive parenting style is critical for early teen develop
peers have increasingly more influence throughout adolescence
need for conformity w peers is typically strongest during early adolescence
teems w authoritarian parents are better able to resist peer pressure
14
Of the following, the BEST additional advice for this mother is for her to
keep her son's schedule full with adult-directed activities
find a community-based mentor for her son
enroll her son in a faith-based school system
discuss rules in the context of safety and responsibility HIV, and suicide
15
The MOST appropriate statement about this adolescent’s attraction is that these are feelings that occur during puberty &
he may find himself more attracted to one sex over time
may be related to a traumatic incident that occurred during childhood
should be discussed with a psychologist
will define his future sexual preference
16
Of the following, the BEST next step in the management of this adolescent’s nicotine use is to
recommend a smartphone app for nicotine use cessation support
prescribe a nicotine transdermal patch and nicotine gum
administer the Hooked on Nicotine Checklist
set a quit date and schedule a follow-up visit in 2 months
17
The MOST appropriate statement to include in a discussion with the parents about their daughter is that
peer group participation fosters development of autonomy and self-identity
she should be prohibited from associating with this new group of friends
her need for conformity with a chosen peer group will continue to intensify
she needs clear, consistent, and non-negotiable rules for social activities
18
Of the following, the BEST next step in management is to
refer her for individual and family therapy
order abdominal ultrasonography
provide reassurance that she will do well on her college admissions testing
order a complete blood cell count and erythrocyte sedimentation rate

Adolescent AHD 2025 Flashcards | StudBud