1. How does puberty interact with chronic conditions?
A. Always a predictable response
B. Relates to developmental stage
C. Considering psychosocial factors is important
D. Age of diagnosis is not significant
E. All of the above

2. Why is it important to consider and address sexual and reproductive health (SRH) issues?
A. All paediatric clinicians are well trained and comfortable to address these issues
B. Young people and families are well informed around SRH issues
C. Young people are reluctant to ask their clinical team
D. Young people with chronic conditions do not engage in risk taking
E. SRH concerns will emerge during the consultation

3. What are the most important factors in supporting effective transition to adult care?
A. Providing adult services information when the young person reaches 18 years of age
B. Supporting the development of self management skills from 12 years onwards
C. Visiting the adult service or providing written information
D. Addressing parental concerns around transition
E. Ensuring comprehensive referral information for adult services are provided well before the first appointment

TRUE/FALSE
4A. Self-management skills ought to be encouraged in adolescents from the age of 16 years.

TRUE/FALSE
4B. Adherence to a treatment regimen may wane over time.

TRUE/FALSE
4C. Age, gender and severity of disease as well as knowledge about the illness are all predictors of adherence to management plans.

TRUE/FALSE
4D. Complexity of the treatment regimen affects adherence to treatment.

TRUE/FALSE
4E. Denial, regression and intellectualisation can all be adaptive responses to illness.