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809 - Exam Block 2 > Dental Anxiety - Guillot > Flashcards

Dental Anxiety - Guillot Flashcards

1
Q

Defensive behavior and physiological responses (defensive survival circuit) that you can’t control is what system

A

subcortical

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2
Q

Emotional fear/anxiety response (conscious feelings) that involves learning/working memory and motivates future behavior/survival is what system

A

cortical

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3
Q

Present-oriented state that’s
responding to an immediate threat

A

Fear

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4
Q

Future-oriented state that’s
responding to an anticipated threat

A

Anxiety

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5
Q

Fear and anxiety are both largely mediated by what nervous system

A

sympathetic

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6
Q

Frontal lobe located anterior to the cortical motor areas (“everything in the frontal lobe, except motor areas”)

A

PFC

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7
Q

what are the 4 regions of the PFC

A

dorsolateral PFC
ventromedial PFC
lateral OFC
medial OFC (part of limbic cortex)

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8
Q

What part of the PFC are these associated with:

Higher-order intellectual traits and behaviors (executive functions)

Analytical ability, problem solving, and mathematical ability, abstractions

Goal-directed behaviors, delaying gratification, planning

Rejection of inappropriate alternatives based on past experience (judgment,
foresight, decision making)

Regulatory role for pts to decide to engage in dental care, despite negative emotions

Conscious awareness of emotions

A

Dorsolateral PFC

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9
Q

What part of the PFC are these associated with:

Site of safety learning/fear extinction: turns OFF the amygdala with cognitive training (can inhibit fear response)

Closely linked to emotional behavior and basic drive states (personality, appropriate social conduct and emotional responses, motivation and drive)

A

Ventromedial PFC

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10
Q

what 2 regions of the PFC can down regulate the amygdala

A

dorsolateral and ventromedial PFC

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11
Q

Training or therapy to reduce the fear response:

Increases activity in the ______PFC and _______ PFC

Reduces activity in the _______

A

dorsolateral ; ventromedial

amygdala

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12
Q

Which region of the OFC preferentially activates with POSITIVE affect (deficient in anxiety disorders = fewer cells or less activity)

A

Medial

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13
Q

Which region of the OFC preferentially activates with NEGATIVE affect (excess in anxiety disorders)

A

lateral

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14
Q

Group of cortical and subcortical structures is what system

A

Limbic system

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15
Q

Limbic system regulates HOME, what is this?

A

Homeostasis: autonomics/ neuro-endocrine control (hypothalamus)

Olfaction (olfactory cortex)

Memory (hippocampus)

Emotion and drives (amygdala)

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16
Q

What gyrus modulates sensory perceptions related to emotional, motivational, and attentional changes

A

Anterior Cingulate Gyrus (ACC)

17
Q

What anterior portion is part of the limbic system and is associated with the following:

Conscious experience of somatic sensations (interoceptive stimuli) aka being aware of your heart pounding as you sit down to take a big exam

Decision making integrates sensory inputs, emotions, interoceptive stimuli

A

Insula

18
Q

The insula integrates sensory inputs, emotions, interoceptive stimuli with connections to the ________ and _________ PFC

A

ACC ; dorsolateral

19
Q

The insula is often co-activated with _______ during emotional processing

A

amygdala

20
Q

The hippocampal formation (HF) is located in the

A

medial temporal lobe

21
Q

What is associated with memory and is crucial of making new memories

A

Hippocampal Formation (HF)

22
Q

Memory is not stored in the _____ , it is process in the ______ , and then sent back to its specific area for _______

A

HF ; HF ; storage

23
Q

Group of cells also located in the anteromedial temporal lobe, anterior to the HF is the

A

amgydala

24
Q

What helps associate stimuli with emotional states

A

amygdala

25
Q

Emotion + associated physiologic (autonomic, endocrine, and skeletomotor) responses

A

Emotional State

26
Q

The amygdala/emotional states are mediated by what 3 things

A

limbic cortices
diverse cortical & subcortical connections

27
Q

Associated with amygdala output to nucleus accumbens is related to _______ emotional responses

A

positive

28
Q

The _________ is important in how we expecience fear

A

amygdala

29
Q

Associated with amygdala
output to multiple areas and epileptiform discharges from
amygdala produce feelings
of fear or dread is related to _________ emotional responses

A

Negative/stressful (like fear)

30
Q

Plays a key role in processing threats

A

Amygdala

31
Q

_____ and ________ process potential threats and produce anxiety

A

ACC ; insular cortex

32
Q

Plays a key role in “learned
helplessness”

A

Amygdala

33
Q

Emotional states influence memory and learning; memories stir emotions of their original event

A

Amygdala

34
Q

Collection of subcortical “ganglia” (misnomer because it’s in the CNS and should be called nuclei)

5 fundamental components that
modulate movement + nucleus
accumbens

Some of the 5 movement
nuclei are also associated
with emotional regulation

A

Basal ganglia

35
Q

Hypnosis limits ______ processing

A

sensory

809 - Exam Block 2 (14 decks)

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