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Behavioral Medicine > Trauma Disorders > Flashcards

Trauma Disorders Flashcards

1
Q

What percent of people worldwide are exposed to trauma?

In the united states?

A

Worldwide: 60-70%

United States: 75-85%

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2
Q

How prevalent is PTSD in the United States?

A

8-10%

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3
Q

Which is least likely to result in PTSD……

A) Severe Trauma
B) Being close (in proximity) to a traumatic event
C) Multiple Military Deployments
D) Weight Gain

A

D) Weight Gain

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4
Q

Which of the following is not pre-trauma ‘vulnerability’……

A) Good Mental State
B) Depression
C) Low Cognitive Status
D) Childhood Trauma

A

A) Good Mental Status

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5
Q

Which of the following would NOT be “symptoms or behaviors’ post-trauma…..

A) Substance Abuse
B) Numbness
C) Hyperarousal
D) Increased Appetite

A

D) Increased Appetite

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6
Q

Reactive Attachment Disorder is a ______ (pediatric/adult) diagnosis

A

Pediatric Diagnosis

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7
Q

Which of the following children is most likely to have reactive attachment disorder?

A) Foster Children
B) Only Child
C) Children with multiple siblings

A

A) Foster Children

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8
Q

Reactive attachment disorder typically results from early childhood _______ (love/neglect)

A

Neglect

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9
Q

________ disorders result in developing emotional or behavioral symptoms in response to an identifiable stressor that has occurred within the last 3 months

A

Adjustment Disorders

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10
Q

Symptoms of adjustment disorder are typically _________ (proportional/out of proportion) to the stressor

A

Out of Proportion

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11
Q

T/F: Symptoms of adjustment disorder do NOT impair social or occupational function

A

False

They do

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12
Q

T/F: Symptoms of adjustment disorder persist beyond 6 months of the stressor

A

False

They typically do not persist beyond 6 months

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13
Q

Adjustment disorders can be associated with what types of specifiers?

A

Adjustment Disorder with…….

Depression
Anxiety
Disturbance in Conduct

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14
Q

How does acute stress disorder occur?

A

Exposure to actual or threatened death, serious injury, or sexual violation, in one of more of the following ways…..

Direct Experience
Witnessing
Learning about the event

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15
Q

Which of the following occupations is LEAST likely to experience acute stress disorder?

A) Military
B) Accountant
C) EMT
D) Crime Scene Investigator

A

B) Accountant

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16
Q

There are MANY symptoms acute stress disorder…..

To be diagnosed with this disorder you must have at least __ symptoms for __ to __ days.

A

9 Symptoms

3 to 30 days

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17
Q

__________ (Other specified/Unspecified) Trauma and Stressor related disorder is defined as characteristic symptoms predominate but do not meet criteria for any Trauma or Stressor Related Disorder

A

Other Specified Trauma and Stressor Related Disorder

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18
Q

__________ (Other specified/Unspecified) Trauma and Stressor related disorder is defined as characteristic symptoms predominate, do not meet criteria for another disorder, and information or context is missing

A

Unspecified Trauma and Stressor Related Disorder

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19
Q

Which nervous system is responsible for “flight or Flight?”

A

Sympathetic

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20
Q

Which nervous system is responsible for “rest or digest?”

A

Parasympathetic

21
Q

T/F: In PTSD, there is dysfunction and dysregulation of systemic feedback loops

A

True

22
Q

To be diagnosed with PTSD patients must have disturbances for more than __ month.

A

More than 1 month

23
Q

T/F: Symptoms of PTSD do NOT cause a disturbance in functioning

A

False

They do

24
Q

What must be present to be diagnosed with PTSD with dissociative symptoms?

A

Depersonalization

Derealization

25
Q

What must be present to be diagnosed with PTSD with delayed expression?

A

Criteria are met 6 months after traumatic event

26
Q

PTSD in children stem from traumatic events via what route?

A

Caregiver Experiences

27
Q

T/F: Hygiene and general appearance are often affected in trauma disorders

A

True

28
Q

What are examples of somatic complaints and medical conditions associated with traumatic disorders?

A 
HTN
CVD
Headaches
Peptic Ulcers
IBS
29
Q

T/F: There are validated lab tests neuroimaging for PTSD work up

A

False

There are not

30
Q

Should you preform a minimental status exam when working up PTSD?

What things may you see?

A

Yes!

Orientation/Short-Term Memory Impairment
Poor Concentration
Alterations in speech, volume
Flashbacks

+/- SI and HI

31
Q

Individuals with PTSD are at a higher risk for what?

A 
Impulsive Behavior 
Anxiety
Depression
Somatization
Suicide
Homicide
32
Q

T/F: Patients with PTSD are at an increased risk for HTN, CHF, PVD, MI

A

True

33
Q

What ‘substances’ are patients with PTSD at risk for abusing?

A

Alcohol

Opioids

34
Q

In the united states, suicide is the __th leading cause of death

A

10th

35
Q

Is depression more common in males or females?

What is the most common route of suicide for females?

A

Females (3x as common)

Most Common: Overdose

36
Q

Is suicide completion more common in males or females?

What is the most common method of suicide in males?

A

Males

Most Common: Firearms

37
Q

Firearms are involved in what percent of suicides?

A

50%

38
Q

Intoxication is involved in what percentage of suicides?

A

25-50%

39
Q

Which of the following is NOT a risk factor for suicide?

A) Firearms
B) Living Alone
C) Trauma
D) Loss of a parent early in life
E) These are all risk factors
A

E) These are all risk factors

40
Q

__% of completed suicides preceded prior attempts

A

80%

41
Q

What is the most common symptom MOST CLOSELY associated with suicide?

A

Hopelessness

42
Q

What are examples of factors that are consider ‘protective’ against suicide?

A 
Coping Skills
Religion
Family Support
Social Support
Mental Health Support
43
Q

Which of the following scenarios would warrant patient admission?

Verbalization of a plan that is capable or carrying out

-OR-

Lack of serious plan and unlikely ability to carry out the plan

A

Verbalization of a plan that is capable or carrying out

The other would warrant outpatient treatment with a crisis plan

44
Q

T/F: PTSD is typically treated with a combination of therapy and medications

A

True

45
Q

What are the first THREE components that need to be addressed in PTSD treatment?

A

Safety
Sleep
Substance Abuse

46
Q

Patients with PTSD are _____ (less likely/more likely) to use health care systems, but are _______ (less likely/more likely) to seek mental health care

A

More likely to use the healthcare system but less likely to seek mental health care

47
Q

What medication classes are typically used in PTSD management?

A

SSRIs
SNRIs

Alpha-1/2 Receptor Antagonists - (Tx of hyperarousal, sleep disorders in PTSD)

Beta-Blockers - (Tx adrenaline/hyperarousal)

BZDs - (Short-term relief)

48
Q

Which of the following factors is NOT associated with a GOOD prognosis?

A) Rapid Treatment
B) Previous Depression
C) Social Support
D) Avoiding Re-traumatization

A

B) Previous Depression

Behavioral Medicine (16 decks)

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