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Psyc 301 - Exam 2 Questions With Complete Solutions

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Psyc 301 - Exam 2 Questions With Complete Solutions

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Psyc 301 - Exam 2 Questions With
Complete Solutions

Traumatic Brain Injury and Epilepsy Paper - CORRECT ANSWER✔✔-Leading cause
| | | | | | | | | |


of epilepsy
|




This population-based study suggests that the risk of epileptic seizures is
| | | | | | | | | | |


increased twofold after mild and ninefold after severe traumatic brain injury
| | | | | | | | | |




Although the risk after an isolated intracranial hemorrhage or brain contusion is
| | | | | | | | | | | |


increased 5- to 6fold, a combination of these diagnoses leads to a 43 times
| | | | | | | | | | | | | |


increased risk | |




During the first 6 months after a severe TBI, the risk for epileptic seizures is
| | | | | | | | | | | | | | |


increased almost 50 times | | | |




The risk for developing epileptic seizures is still increased >10 years after the
| | | | | | | | | | | | |


trauma 8 |




Discuss the degree to which Cartesian dualism still haunts modern medicine and
| | | | | | | | | | | |


neuroscience. - CORRECT ANSWER✔✔-There is no consensual theoretical model
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for the brain-mind
| |




The terms neural correlates, underpinnings, and representations do not close the
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psyche/soma gap, they expose it | | | | |




The course of research rests on paradigms
| | | | | | |




| - primary assumptions that lie beneath all scientific investigation, and sometimes
| | | | | | | | | |


| those paradigms shift
| | |




Paradigms such as "functional or organic", "mental or physical" are not only
| | | | | | | | | | | |


wrong, but lead to bad habits of thinking because they lead to static and obsolete
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,ideas and do not allow for modern pluralistic and dynamic ideas of matter and
| | | | | | | | | | | | | | |


structure xf |




Understand the difference between epileptic and psychogenic nonepileptic
| | | | | | | |


seizures, and describe an example of a psychogenic nonepileptic seizure. -
| | | | | | | | | | |


CORRECT ANSWER✔✔-Epilepsy is classified as an organic disease
| | | | | | |




Psychogenic nonepileptic seizure as a functional disorder because no physical site
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of injury can be dound
| | | | | |




The neurologist who suspects PNES must become a medical detective, relying on
| | | | | | | | | | | |


a clue from her patient, such as a seizure triggered by some powerful emotional
| | | | | | | | | | | | | |


event |




|- then again, there are epileptic patients who can seize after a shock or a strong
| | | | | | | | | | | | | | | |


emotional experience too | |




Some epileptic also have PNES
| | | |




Critique the psychogenic vs. organic dichotomy. - CORRECT ANSWER✔✔-
| | | | | | | |


Psychogenic is said to be without any organic basis, non-organic?
| | | | | | | | | |




|- does that mean that psychogenic seizures are unreal, ungrounded, and
| | | | | | | | | | |


immaterial?


Why does philosophy matter in 'brain matters'? - CORRECT ANSWER✔✔-The
| | | | | | | | | |


argument over mind-body still exists today and can be harmful for certain
| | | | | | | | | | | |


diagnoses


What shortcomings in the literature motivated the study done by Mahler et al.? -
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CORRECT ANSWER✔✔-Most previous reports are cohort studies of selected TBI
| | | | | | | | | |


patients from trauma centers, making it difficult to generalize from these results
| | | | | | | | | | | |

,| - included only patients younger than 26 years
| | | | | | |




Briefly describe the key points of the study, as listed on page 1439. - CORRECT
| | | | | | | | | | | | | | |


ANSWER✔✔-This population-based study suggests that the risk of epileptic | | | | | | | | |


seizures is increased twofold after mild and ninefold after severe traumatic brain
| | | | | | | | | | | |


injury
Although the risk after an isolated intracranial hemorrhage or brain contusion is
| | | | | | | | | | | |


increased 5- to 6fold, a combination of these diagnoses leads to a 43 times
| | | | | | | | | | | | | |


increased risk | |




During the first 6 months after a severe TBI, the risk for epileptic seizures is
| | | | | | | | | | | | | | |


increased almost 50 times | | | |




The risk for developing epileptic seizures is still increased >10 years after the
| | | | | | | | | | | | |


trauma 8 |




Summarize the methods and results of the Mahler et al. study in 2-3sentences. -
| | | | | | | | | | | | | |


CORRECT ANSWER✔✔-Methods: used the Stockholm Incidence Registry on
| | | | | | | |


Epilepsy to carry out a population-based case-control study
| | | | | | |




| - 15000 matched controls
| | | |




|- relative risks (RRs) for unprovoked seizures were estimated after various TBI
| | | | | | | | | | | |


diagnoses, and influences of TBI diagnoses, and influences of TBI severity and
| | | | | | | | | | | |


time since trauma were studied in detail
| | | | | |




Results: After hospitalization for mild TBI, the RR was 2.0
| | | | | | | | | |




- the RR was higher after brain contusion, whereas a combination of both
| | | | | | | | | | | | | |


diagnoses led to a further sevenfold increase in RR
| | | | | | | | |




| - the risk was greatest during the first 6 months after severe TBI
| | | | | | | | | | | |

, Summarize the relationship between TBI severity and the occurrence of
| | | | | | | | | |


posttraumatic epilepsy. What did Mahler et al. contribute to this field of study? -
| | | | | | | | | | | | | |


CORRECT ANSWER✔✔-Previous research showed that brain contusion and
| | | | | | | |


subdural hematoma were identified as the strongest risk factors for PTE, whereas
| | | | | | | | | | | |


other factors like skull fractures, older age, and prolonged loss of consciousness
| | | | | | | | | | | |


were weaker, but significant factors
| | | | |




Seems to be a relation between amount of focal tissue destruction and
| | | | | | | | | | | |


development of PTE | | |




Mahler et al. confirmed the association between TBI severity and risk for
| | | | | | | | | | | |


developing unprovoked seizures | | |




As AF is comparable for mild and severe TBI, both diagnoses roughly contribute
| | | | | | | | | | | | |


equally to the disease burden of epilepsy in society due to the higher prevalence
| | | | | | | | | | | | | |


of mild TBI
| | |




The risk for unprovoked epileptic seizures was highest within the first 6 months
| | | | | | | | | | | | |


after mild and severe TBI
| | | | |




Patients with a combination of cerebral contusion and ICH are at very high risk for
| | | | | | | | | | | | | |


unprovoked seizures and PTE, which calls for closer monitoring and special
| | | | | | | | | | | |


precautions in particular during the first years after the trauma
| | | | | | | | |




What is the dose-response relationship for rehabilitative therapy following
| | | | | | | | |


stroke? - CORRECT ANSWER✔✔-Treatment groups receiving more therapy
| | | | | | | |


improved beyond control groups that received less
| | | | | |




Increased time scheduled for therapy was a significant predictor of increased
| | | | | | | | | | |




improvement by itself | | |




Positive relationship |

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