PMH-C III Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What is institutional racism? - CORRECT ANSWER a form of racism expressed in the
practice of social and political institutions
what is biological weathering? - CORRECT ANSWER -the idea that chronic exposure
to racism can dysregulate:
-HPA Axis and damage bodily systems and lead to physical outcomes like cardiovas dis and
obesity
-cognitive affective regions
what is the death ratio to live births for black women? - CORRECT ANSWER 43.5
deaths per 100,000 live births
what is the death ratio to live births for white women? - CORRECT ANSWER 12.7
deaths per 100,000 live births
what is the death ratio to live births for women of "other" ethnic/racial groups? - CORRECT
ANSWER 14.4 deaths per 100,000 live births
what is pharmacogenetic testing? - CORRECT ANSWER -study of how genes affect
the body's response to certain meds
-can be expensive and not always covered by insurance
-do not use as a substitute for clinical judgment or for primary decision making purposes
what is transcranial magnetic stimulation (TMS)? - CORRECT ANSWER -
noninvasive procedure uses magnetic fields to stimulate nerve cells in the brain to improve
symptoms of dep
what is electroconvulsive therapy? - CORRECT ANSWER -treatment most commonly
used in patients with severe major dep or bipolar that hasn't responded to other treatments
,-brief electrical stimulation of the brain while patient is under anesthesia
-may be helpful in dep, mania, and psychosis
-no known adverse effects on offspring
what percentage of women with bipolar have a risk of postpartum psychosis? - CORRECT
ANSWER 80+%
what are some non-benzo anti-anxiety meds that are used? - CORRECT ANSWER -
buspar
-vistaril- used for high anx and sleep
-seroquel- works really well for insomnia and anx (the lower the dose the more sedating it is)
what are some pros and cons of tricyclic antidepressants? - CORRECT ANSWER -
pros: can be very effective for sleep; no association between TCAs and major organ
malformation
-cons: can be difficult to manage bc you have to get blood levels and you can overdose
what are symptoms of serotonin syndrome? - CORRECT ANSWER -muscle
discordination/twitching
-high fever
-sweating
-confusion
what dosages of zoloft are used? - CORRECT ANSWER -start with 25 mgs for 4-6
days; 50 mgs for 1-2 wks and increase as needed to achieve effective treatment
-ocd and panic disorder often require higher dosage
-100-200mg is typical for maintenance
what are the FDA categories in assessing the impact of meds in pregnancy? - CORRECT
ANSWER -pregnancy and labor
-lactation
, -impacts on reproduction
what is interconception care and what does it consist of? - CORRECT ANSWER -care
provided to mothers between pregnancies to improve health outcomes for women, newborns,
and kids
-this period is an opportunity to assess risk associated with adverse outcomes for women and
their future infant
-it consists of assessment and screening, reproductive planning, and psychoeducation
what are characteristics of post adoption depression syndrome? - CORRECT
ANSWER -often shows within the first month
-both parents are at risk
-shame about feelings
-lack of control (of pregnancy/adoption process)
-financial control
what are the rates of infertility in USA? - CORRECT ANSWER 1/8 couples
what are the rates of abortion and types? - CORRECT ANSWER 3/10 women
-medical abortion: early pregnancies; use of D&C
-surgical abortion (14 wks or greater); use of D&E
-late term abortion (26 wks or later); typically for maternal health risks and fetal anomaly
diagnoses
what is a selective reduction? - CORRECT ANSWER it reduces the number of fetuses
in a multiple pregnancy
-loss of twin in utero is known as a vanishing twin; the developing fetal tissue is reabsorbed
into the placenta
what is a maternal near miss? - CORRECT ANSWER an event where a woman nearly
dies due to a pregnancy or childbirth related complication
QUESTIONS AND CORRECT ANSWERS
What is institutional racism? - CORRECT ANSWER a form of racism expressed in the
practice of social and political institutions
what is biological weathering? - CORRECT ANSWER -the idea that chronic exposure
to racism can dysregulate:
-HPA Axis and damage bodily systems and lead to physical outcomes like cardiovas dis and
obesity
-cognitive affective regions
what is the death ratio to live births for black women? - CORRECT ANSWER 43.5
deaths per 100,000 live births
what is the death ratio to live births for white women? - CORRECT ANSWER 12.7
deaths per 100,000 live births
what is the death ratio to live births for women of "other" ethnic/racial groups? - CORRECT
ANSWER 14.4 deaths per 100,000 live births
what is pharmacogenetic testing? - CORRECT ANSWER -study of how genes affect
the body's response to certain meds
-can be expensive and not always covered by insurance
-do not use as a substitute for clinical judgment or for primary decision making purposes
what is transcranial magnetic stimulation (TMS)? - CORRECT ANSWER -
noninvasive procedure uses magnetic fields to stimulate nerve cells in the brain to improve
symptoms of dep
what is electroconvulsive therapy? - CORRECT ANSWER -treatment most commonly
used in patients with severe major dep or bipolar that hasn't responded to other treatments
,-brief electrical stimulation of the brain while patient is under anesthesia
-may be helpful in dep, mania, and psychosis
-no known adverse effects on offspring
what percentage of women with bipolar have a risk of postpartum psychosis? - CORRECT
ANSWER 80+%
what are some non-benzo anti-anxiety meds that are used? - CORRECT ANSWER -
buspar
-vistaril- used for high anx and sleep
-seroquel- works really well for insomnia and anx (the lower the dose the more sedating it is)
what are some pros and cons of tricyclic antidepressants? - CORRECT ANSWER -
pros: can be very effective for sleep; no association between TCAs and major organ
malformation
-cons: can be difficult to manage bc you have to get blood levels and you can overdose
what are symptoms of serotonin syndrome? - CORRECT ANSWER -muscle
discordination/twitching
-high fever
-sweating
-confusion
what dosages of zoloft are used? - CORRECT ANSWER -start with 25 mgs for 4-6
days; 50 mgs for 1-2 wks and increase as needed to achieve effective treatment
-ocd and panic disorder often require higher dosage
-100-200mg is typical for maintenance
what are the FDA categories in assessing the impact of meds in pregnancy? - CORRECT
ANSWER -pregnancy and labor
-lactation
, -impacts on reproduction
what is interconception care and what does it consist of? - CORRECT ANSWER -care
provided to mothers between pregnancies to improve health outcomes for women, newborns,
and kids
-this period is an opportunity to assess risk associated with adverse outcomes for women and
their future infant
-it consists of assessment and screening, reproductive planning, and psychoeducation
what are characteristics of post adoption depression syndrome? - CORRECT
ANSWER -often shows within the first month
-both parents are at risk
-shame about feelings
-lack of control (of pregnancy/adoption process)
-financial control
what are the rates of infertility in USA? - CORRECT ANSWER 1/8 couples
what are the rates of abortion and types? - CORRECT ANSWER 3/10 women
-medical abortion: early pregnancies; use of D&C
-surgical abortion (14 wks or greater); use of D&E
-late term abortion (26 wks or later); typically for maternal health risks and fetal anomaly
diagnoses
what is a selective reduction? - CORRECT ANSWER it reduces the number of fetuses
in a multiple pregnancy
-loss of twin in utero is known as a vanishing twin; the developing fetal tissue is reabsorbed
into the placenta
what is a maternal near miss? - CORRECT ANSWER an event where a woman nearly
dies due to a pregnancy or childbirth related complication
