Author Question: Which of the following should be included in the physical examination of a young boy who has ... (Read 67 times)

Kthamas · **on:** Jun 27, 2018

Which of the following should be included in the physical examination of a young boy who has symptoms and signs of precocious puberty?

a. examination of the testes and penis
b. electrocardiogram (EKG) and cardiac enzymes
c. a computed axial tomography (CAT) scan, magnetic resonance imaging (MRI) scan, or skull film
d. an examination for gynecomastia

Question 2

You are the nurse taking a health history on a young girl with symptoms of precocious puberty. You would most want to ask the girl and her family to do which of the following things?

a. to make a log of all the foods the girl eats during a week and to answer if alcohol is available in the household
b. to show you the beauty products used by the young girl and to determine if birth control pills are available in the household
c. to share with you what they know about birth control and the prevention of pregnancy
d. to share with you what they know about precocious puberty

Jsherida · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an examination of the testes and penis.
B Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an electrocardiogram (EKG) and test the cardiac enzymes.
C Correct. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is especially critical to perform a computed axial tomography (CAT) scan, magnetic resonance imaging (MRI) scan, or skull film to look for lesions.
D Incorrect. As young males exhibiting symptoms and signs of precocious puberty very often have abnormalities in the central nervous system, it is not especially critical to perform an examination for gynecomastia (abnormal enlargement of breasts in males).

Answer to Question 2

B

Feedback
A Incorrect. Taking a health history on a young girl with symptoms of precocious puberty, you would not most want to ask the girl and her family to make a log of all the foods the girl eats during a week and to answer if alcohol is available in the household.
B Correct. Many over-the-counter beauty products contain estrogen. If birth control pills are available in the house, verify that the child has not had access to them, possibly ingesting the pills to be just like mommy. This exposure to exogenous hormones could promote the development of symptoms of precocious puberty.
C Incorrect. Taking a health history on a young girl with symptoms of precocious puberty, you would not most want to ask the girl and her family to share with you what they know about birth control and the prevention of pregnancy.
D Incorrect. Taking a health history on a young girl with symptoms of precocious puberty, you would not most want to ask the girl and her family to share with you what they know about precocious puberty.