Chp 10 Stress & Misc Class Flashcards

1
Q

Men and women have the same neural response to stress

T or F

A

False

Women are more vulnerable

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2
Q

3 stages of stress

A

Alarm

Response

Exhaustion

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3
Q

Epinephrine has this negative health affect

Cortisol this negative health effect

A

HTN

Endothelium to not function proper. Atherosclerosis

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4
Q

Chronic stress can reduce life by reducing this part of your genes

A

Telomeres

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5
Q

Disorders linked to Diathesis-Stress model (4)

A

Eating disorders, anxiety, depression, Schizophrenia

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6
Q

Serotonin synthesis is most active in which phase

A

Alarm

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7
Q

Interaction between nervous system and immune system during alarm phase of GAS.

What happens after initial stess & cytokines …..

Indigenous corticosteroids overtime…

A

Increased immune response

Decreased immune response

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8
Q

Is mild anxiety normal?

Is fear anxiety?

A

Yes mild anxiety is normal

No fear is reaction to a specific danger

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9
Q

ID Anxiety level

Restlessness, Irritability, Fidget, Shake/ Tap leg

A

Mild anxiety

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10
Q

ID Anxiety level

Perceptual field narrows, Grasp less information,

Sympathetic Responses: Muscle Tension, Heart pounds, increase pulse / RR, Butterfly in stomach,

A

Moderate anxiety

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11
Q

ID Anxiety level

Narrow perceptual field

Cannot see what is happening even when you point it out.

Look dazed

Trembling, Nausea, Dizzy, Hyperventilation

A

Severe Anxiety

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12
Q

ID Anxiety level

Poor reality testing
Hallucinations, Delusions
Erratic, impulsive, uncoordinated
Chest pain SOB
Depersonalization

A

Panic level anxiety

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13
Q

Panic attacks last ____ (How Long)

___ % of people have no trigger for panic attack

What is Brain Derived Neurotrophic Factor?

A

15 - 30 min

75%

BDNF is a Anxiolytic produced from the brain and increases with exercise

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14
Q

Sweating
Trembling
Unsteadyness
Depersonalization
Nausea
Tingling
SOB

Fear of dying, losing control, going crazy

Chest pain
Chills
Choking

A

Students fear the 3C’s

Maybe signs of anxiety

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15
Q

Worry
Anxiety
Tension
Concentration
Hyperarousal
Energy loss
Restlessness
Sleep Disturbances

A

Mnemonic for GAD

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16
Q

How long of Worry to be classified as GAD

A

Months

17
Q

Difference between Obsession & Compulsion

A

Obsession = Thoughts

Compulsion = Rituals to lessen anxiety from thoughtz

18
Q

Hair pullin
Kleptomania
Hoarding
Body Dysmorphic Disorder

Are all examples of

A

OCD

19
Q

Most common form of psychiatric disorder in US

A

Anxiety disorder

19% of population

Women more than men

20
Q

PANS (Pediatric Acute Onset Neuropsychiatric Syndrome)

OCD, Eating disorders, compulsive behavior

Can be treated how?

A

Anti inflammatory

Anti biotics

IV immunoglobulin

21
Q

Use this to determine level of anxiety

A

Hamilton Rating Scale

22
Q

SSRI first line treatment for anxiety in kids / teens. Zoloft & Paxil

This SNRI is also used ….

A

Cymbalta /duloxetine

23
Q

Benzodiazepine with cause with drawl symptoms after daily use for how long?

A

3 - 4 months

24
Q

CBT Cognitive behavioral Therapy

Reframing

Decastrophizing

Assertiveness training

A

Reframing: Turn negative message into a positive one

Decastrophizing: Whats the worst that could happen? Can I survive it?

Assertiveness training: Using “I” statements to communicate needs

25
Q

Behavior therapy

Immediate prolonged exposure =

A

Flooding

26
Q

What does ACE stand for?

A

Adverse
Childhood
Experience

27
Q

Scoring of the Hamilton Rating Scale for Anxiety

<17
18 - 24
25 - 30
>30

A

<17 mild
18 - 24 mild to moderate
25 - 30 moderate to severe
>30 severe

28
Q

Duloxetine (Cymbalta) SNRI
Most effective for…

A

GAD

29
Q

Benzo use should be kept to ….

A

<7 days

30
Q

Fluvoxamine & Sertraline SSRI
Clomipramine Tricyclic antidepressants

Are indicted best for

A

OCD

31
Q

Best type of therapy for Anxiety

A

CBT

32
Q

What number on the PHQ9 scale should a referral be given…

A

> 9

33
Q

Depressed, Anxiety, Chronic pain

What is risk…

A

Suicide

34
Q

Percentage of people with depression that also have anxiety….

A

60 - 90 %

35
Q

Where is Serotonin Syndrome & NMS mostly seen

A

ER