Adolescent Safety

Chapter 124 Adolescent Safety




Clinical Case Problem 1: Routine Examinations as Safety Updates


RJ is a 15-year-old boy brought to the office for a well-adolescent physical by his father. He has no current health issues and takes no medications. After his father leaves the room, RJ denies sexual activity and alcohol, tobacco, or drug use. Both RJ and his father are concerned because a student at the high school was arrested for threatening another student with a gun. RJ’s father admits to having several rifles in the home for hunting. He is concerned about gun safety because of the events at school. In addition, RJ is quite happy that he will soon obtain his driver’s license. His father asks whether driver education at school will decrease his son’s chances of having an accident.



Select the best answer to the following questions




1. What is the leading cause of injury and all-cause mortality in adolescents?


a. drowning

b. firearm violence

c. motor vehicle accidents

d. suicide

e. fires

2. Which of the following age groups has the highest crash rate per miles driven?


a. 16-year-olds

b. 17- to 19-year-olds

c. 20- to 24-year-olds

d. 25- to 29-year-olds

e. 30- to 69-year-olds

3. Which of the following is least strongly associated with adolescent driver accidents and injuries?


a. risk-taking behaviors

b. nighttime driving

c. marijuana use

d. attention-deficit/hyperactivity disorder (ADHD)

e. truancy

4. Which of the following interventions does not reduce crash and injury rates among new teenaged drivers?


a. limit on nighttime driving (curfews)

b. mandatory school drivers education courses

c. requirements that drivers remain crash free before receiving a regular driver’s license

d. staging licensure into a three-step learner’s permit, intermediate stage, and regular driver’s license

e. restrictions on the number of passengers during the intermediate stage

5. What is the second leading cause of death in adolescents aged 15 to 19   years?


a. drowning

b. suicide

c. firearms

d. all-terrain vehicle accidents

e. alcohol

6. Exposure to direct or indirect gun violence is associated with all except which of the following?


a. withdrawal from family and friends

b. substance use

c. aggressive or delinquent behavior

d. ADHD

e. future involvement in violence

7. Which of the following statements regarding adolescent firearm violence is correct?


a. gun ownership is not an independent risk for homicide in the home

b. suicide risk in homes with firearms is no higher than in homes without firearms

c. safe storage practices include storing ammunition with the firearm in a locked location

d. parents are more receptive to gun safety counseling when it is provided by their child’s physician

e. physician counseling about firearm issues, such as purchasing guns, disposing of guns, or buying safety locks, is effective in changing patients’ attitudes about firearm safety


Clinical Case Problem 2: “Could my daughter be on drugs?”


SL is a 14-year-old girl who is brought to the office for “problems.” Her mother accompanies her and has concerns that her daughter is performing poorly in school and “hanging out with the wrong crowd.” She recently quit the tennis team and is more solitary at home. Her mother found a pack of cigarettes when she was cleaning her daughter’s room. She wants her daughter tested for drug use.



8. Which of the following is not a cause of false-positive urine drug screening in adolescents?


a. cooking alcohol

b. dextromethorphan

c. poppy seeds

d. pseudoephedrine

e. none of the above

9. Which of the following substances is detectable on routine urine drug screening?


a. 3,4-methylenedioxymethamphetamine (Ecstasy)

b. oxycodone

c. nitrous oxide

d. tetrahydrocannabinol

e. none of the above

10. How long is one-time use of marijuana detectable on a routine drug screen?


a. less than 1 day

b. 1 to 3 days

c. 1 week

d. 1 month

e. 4 to 6 weeks

11. Which of the following policies is the greatest deterrent to teenage smoking?


a. taxation of cigarettes

b. antismoking campaigns

c. access controls to obtaining tobacco (i.e., age restrictions)

d. public smoking bans

e. bans on tobacco advertising

You discuss with SL’s mother the availability at home of medications, both prescription and over-the-counter (OTC), to ascertain whether there is a risk that instead of illicit drug use, SL could be accessing legal but dangerous medications available in her own medicine cabinet.



12. This type of drug abuse is popular because of which of the following factors?


a. inexpensive

b. ubiquitous

c. legal

d. parental modeling of use or overuse of medications

e. all of the above

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Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Adolescent Safety

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