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KAPLAN AND SADOCK CHAPTER 5 EXAMINATION AND LAB TESTING IN PSYCHIATRY QUESTIONS WITH VERIFIED ANSWERS

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KAPLAN AND SADOCK CHAPTER 5 EXAMINATION AND LAB TESTING IN PSYCHIATRY QUESTIONS WITH VERIFIED ANSWERS Important components of medical hx - ANS prior head injuries esp with loss of consciousness , pain, medical problems, toxic exposures CT scan can detect - ANS structural abnormalities in the cortical and sub-cortical regions of the brain (stroke, subdural hematoma, tumor, or abscess CT can be performed with or without contract - ANS contrast enhances diseases that alter blood/brain barrier such as tumors, strokes, abscesses PET scan (positron emission tomography) - ANS A brain-imaging technique that reveals activity in various parts of the brain, based on patterns of blood flow, oxygen use, and glucose consumption. amphetamine can be detected in the urine for - ANS 48-72 hours Benzodiazepines can be detected in the urine for - ANS 3 days Cocaine can be detected in the urine for - ANS 6-8 hours metabolites 2-4 days Heroin can be detected in the urine for - ANS 36-72 hours Marijuana can be detected in the urine for - ANS 2-7 days Methodone can be detected in the urine for - ANS 3 dqays morphine can be detected in the urine for - ANS 48-72 hours Blood Alcohol Concentration (BAC) - ANS intoxication at levels 100-300 mg/dL. in most states legal limit is 80mg/dL 50-500 mg/dL associated with impaired judgement 100mg.dL ataxia Chronic alcohol use can cause - ANS elevated liver enzymes AST>ALT by 2:1 or greater bilirubin elevated GGT elevated CDT elevated agent most frequently used for intentional overdoes - ANS acetaminophen-produces hepatic necrosis toxicity at 5mg/dL Asprin Overdose - ANS mild overdose-tinnitus Larger overdoes it produces gastrointestinal pain & cramping hyperventilation to blow of the acidosis 10-30 gram may be fatal Neuroleptic Malignant Syndrome workup - ANS CBC, LYTES, BUN, Cr and CK urinalysis for myoglobin,blood and urine cultures for as part of DD fever WBC severely elevated in NMS

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NURS 6635 PSYCHOPATHERAPY
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NURS 6635 PSYCHOPATHERAPY









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NURS 6635 PSYCHOPATHERAPY
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NURS 6635 PSYCHOPATHERAPY

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The Neurophysiology of Trauma and
Psychotherapy EXAM 1
QUESTIONS AND ANSWERS



ADAPTIVE INFORMATION PROCESSING MODEL - ANS model that
hypothesizes that humans have an inherent information processing system
that usually processes experiences to a physiological adaptive state in
which information can be taken in and learning can occur.

Shapiro - ANS Who developed a model through her development and
observations of the effects of eye movement desensitization and
reprocessing (EMDR) therapy

Adaptive processing - ANS means that neural connections are associated
that allow the experiences to be integrated into positive emotional and
cognitive schemas (Shapiro, 2001). Healthy functioning is reflected in the
optimal integration and coordination of these neural networks with the brain
existing in a balance of interconnectivity. "When the brain is operating
efficiently, multiple assemblies of neurons are firing in unison, and
information is flowing freely from one area to another"

Trauma - ANS an adverse life experience or event that is perceived as
disturbing and overwhelming by the individual

resilience - ANS to positive adaptation, or the ability to maintain and
regain mental health despite adversity

PTSD/ symptom of depression - ANS extreme helplessness/trauma

psychosocial Theory - ANS seeks to explain why some individuals
exposed to massive trauma develop PTSD while others do not --Variables
include traumatic experience, the individual or The recovery environment

, psychotherapy - ANS mediates the reintegration and connection of neural
networks that have become maladaptively linked due to adverse lfie events
facilitating healing of the brain"

implicit memory - ANS unconscious memory

explicit memory - ANS conscious memory, intentional recollection of
factual information

Secure Attachment (answorth) - ANS Exhibit distress when separated
from caregivers. Feel secure and able to depend on their adult caregivers.
When frightened, securely attached children will seek comfort from care
giver.

Ambivalent Attachment - ANS Usually become very distressed when a
parent leaves. Relatively uncommon style. Cannot depend on their mother
to be there when in need.

Avoidant Attachment - ANS tend to avoid parents or caregivers. When
offered a choice, will show no preference between a caregiver and a
complete stranger.

mirror neurons - ANS Located in lateral frontal cortex, posterior parietal
areas and other regions of the brain that deal with emotion; Fire when we
watch others complete a task
Key role in perceiving intentions
Empathy
Questionably hinders attachment if dysfunctional

thalamus - ANS Acts as a relay station for the top-down, bottom-up neural
networks that connect the cortex to the limbic system.

negative reinforcement behavior - ANS a behavior that leads to reduction
in an aversive experience, thereby reinforcing and resulting in repetition of
the behavior.

Learning theory - ANS Negative reinforcement behaviors that decrease
the emotional pain and trauma A view that negative reinforcement as
behavior that leads to reduction in an aversive experience, thereby
reinforcing and resulting in repetition of the behavior.
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