Chapter 3 ( Developmental Life Cycle )

Question 1

Extinction and CNS origin of startle and grasp reflex ?

Answer 1

5 months after birth

Brain stem / vestibular nuclei

Question 2

Extinction and CNS origin of rooting ?

Answer 2

5 months after birth

Brain stem / trigeminal

Question 3

When is Infant smiling innate reflex ? Exogenous ? Preferential social ?

Answer 3

At birth

At 8 weeks

At 12-16 weeks

Question 4

Stranger anxiety duration ?

Answer 4

6-12 months of age , peaks at 8 months of age

Question 5

Separation anxiety duration ?

Answer 5

Appears at 8-12 months of age

Gone at 20-24 months of age

Question 6

Important vaccinations for the elderly ?

Answer 6

Tetanus
Diphtheria
Pneumococcus
Influenza

Question 7

Physiological changes of sleep in elderly ?

Answer 7

Early morning wakefulness
Less deep sleep
REM sleep does not decrease significantly until age > 85y

Question 8

Kübler-Ross stages of adjustment ?

Answer 8

Denial 
Anger 
Bargaining 
Depression 
Acceptance

Question 9

Normal grief duration ? Symptoms ? Ttt ?

Answer 9

Self limited usually < 6 months
But its normal up to 1 year

Crying , decreased libido , insomnia , weight loss , wish to see loved one and may hear or see them in a crowed ( illusion )
Loss of other
Suicidal ideation is rare

No ttt , antidepressants not helpful

Question 10

Depression duration ? Symptoms ? Ttt ?

Answer 10

> 1 year , symptoms don’t stop

Same as grief but more severe , abnormal overidentification , personality changes
Loss of self
Suicidal ideation is common

Antidepressant is helpful