Shared Flashcard Set

Details

UFCOP PBD Exam 4 Peris
N/A
73
Physiology
Graduate
11/18/2010

Additional Physiology Flashcards

 


 

Cards

Term
T/F The diagnostic criteria for Schizophrenia is 1 positive symptom for at least 1 month.
Definition
F. 1 positive plus 1 or more of positive, negative, or cognitive. Duration: continuous signs of disturbance for at least 6 months including >1 month of + symptoms.
Term
Delusions, hallucinations, and catatonia are examples of positive/negative symptoms of schizophrenia
Definition
+
Term
affective flattening, alogia, avolition are examples of postive/negative symptoms of Schizophrenia?
Definition
-
Term
neologisms and incoherence are examples of what type of schizophrenic symptom?
Definition
congnitive
Term
T/F Regarding schizophrenia, 1 or more areas of functioning such as work, self-care, and interpersonal relations are markedly below the level achieve prior to onset.
Definition
T
Term
T/F The direct physiological effects of a drug or medical condition may induce psychosis and therefore must be ruled our for diagnosing Schizophrenia
Definition
T
Term
T/F The lifetime risk for schizophrenia is higher in males than in females
Definition
F. lifetime is equal, however males generally have earlier onset
Term
What is the estimated suicide rate for schizophrenia w/o treatment?
Definition
10%
Term
What is the worldwide incidence of schizophrenia?
Definition
1-2%, (may be higher considering an estimated 25% homeless probably would be diagnosed)
Term
T/F The is no genetic factor involved in schizophrenia?
Definition
F. Definitely some genetic factor. 1st degree relative-10%, both parents-40%, monozygotic twin-50% (shows not completely genetic)
Term
T/F There is an excess of summer births among schizophrenics.
Definition
F. Winter
Term
More + symptoms is classified as ____ schizophrenia, while more _ as ____ schizophrenia.
Definition
paranoid (+), disorganized (-)
Term
For Schizophrenia, the dopamine hypothesis suggests that mesolimbic excess/deficiency causes postive/negative symptoms?
Definition
excess, postive
Term
For Schizophrenia, the dopamine hypothesis suggest that mesocortical excess/deficiency causes positive/negative symptoms?
Definition
deficiency, negative
Term
T/F chronic NMDA antagonists mimic negative symptoms and cognitive defects of schizophrenia
Definition
T. Glutamate hypothesis--> Loss of NMDA receptors
Term
For diagnosis of depression, at least __ symptoms must persist for at least ___ (amount of time)
Definition
5, 2 weeks
Term
T/F Unipolar depression is equally likely in women and men.
Definition
F. 2x more likely in women
Term
T/F there is an increased risk of depression 6 months postpartum
Definition
T
Term
Hypersomnia and overeating are characteristic of ____ unipolar depression.
Definition
atypical
Term
insomnia and anorexia are characteristic of ____ unipolar depression.
Definition
melancholic
Term
_____ is the form of unipolar depression that exhibits milder symptoms that last 2 years or more.
Definition
dysthymia
Term
T/F There is a great genetic component observed in bipolar depression the unipolar.
Definition
T
Term
Most antidepressant drugs increase levels of ____ and/or _____
Definition
5HT and NE
Term
Suicide victims with major depression have increased _____ receptor and decreased ____ receptor
Definition
5HT-1A autoreceptor
5HT-2 postsynaptic
Term
T/F Abnormal neuronal growth factor production/release may be involved in both depression and schizophrenia.
Definition
T
Term
About ___ (what percentage) of patient with depression exhibit _____ hypersecretion that abates when mood is normalized
Definition
1/2, cortisol
CRF-->ACTH-->Cortisol
Term
T/F depressive symptoms are common with hyperthyroidism.
Definition
F. common with HYPOthyroidism. Administration of T3 or TRH improves symptoms and efficacy of anti-depressant drugs.
Term
____________ tolerance is a change in a drug's pharmacokinetics. Is there a lower/higher/unchanged concentration of drug at site of action.
Definition
Dispositional, lower
Term
____________ tolerance is a change in a drug's pharmacodynamic. Is there a lower/higher/unchanged concentration of drug at site of action.
Definition
functional, unchanged. Example: alcohol induces GABA-->decreased sensitivity of receptors to GABA.
Term
T/F You often see faster tolerance of some effects of a drug than others.
Definition
T. e.g. Opiates- emetic effects faster than analgesic effects (so side effects of nausea will go away) and reward pathway (abuse) much faster tolerance than respiratory depression (overdose!)
Term
T/F Tolerance means that you must take drug to prevent withdrawal.
Definition
F. Tolerance=increased dose needed for original response. Physical dependence=must take drug to prevent withdrawal.
Term
5HT is inhibits/activates the release of dopamine in mesocortical pathway?
Definition
inhibits
Term
T/F the severity of abstinence syndrome is often determined by the drugs pharmacodynamics.
Definition
F. pharmacokinetics. A drug with a shorter half life will induce a more severe abstinence syndrome.
Term
T/F In some instances, increased exposure to a drug leads in an increased effect of the drug.
Definition
T. Reverse tolerance
Term
Epilepsy is a brain disorder characterized by ______ but _____ seizures
Definition
transient, recurrent
Term
T/F Epileptic seizures are always associated with impairment or loss of consciousness and abnormal movements or behavior.
Definition
F
Term
A prolonged seizure lasting longer than 30 minutes is called ______. Is this epilepsy?
Definition
status epilecticus. no
Term
Who first formally noted that seizures are preceded by an aura?
Definition
Galen
Term
Who suggested a clear differentiation between idiopathic and symptomatic epilepsy?
Definition
Tissot
Term
What is the historical term for partial seizures that progressed to generalized seizures?
Definition
Jacksonian March
Term
Who completed the first successful surgical intervention for epilepsy?
Definition
Horsley
Term
Who invented the electroencephalogram?
Definition
Berger
Term
What percentage of people living past 800 years will be diagnosed with epilepsy?
Definition
3%
Term
What two populations account for the highest incidence of epilepsy?
Definition
children and elderly
Term
What determines the specific symptoms of a seizure?
Definition
Location and extent of brain area affected
Term
_____ seizures originate in a small group of neurons.
Definition
Partial
Term
T/F Simple partial seizures impair consciousness.
Definition
F
Term
T/F A sudden sense of fear may be considered an aura.
Definition
T
Term
The seizure focus of complex partial seizures in often in which two lobes? Impair consciousness?
Definition
temporal or frontal
yes
Term
_____ seizures are those that do not begin with a discrete focal point but rather involve both hemispheres from the onset
Definition
Generalized
Term
Convulsive seizures are those that involve _____ and ____ movements
Definition
tonic and clonic
Term
Tonic movements are those that involve increases in _____
Definition
muscle tone
Term
clonic movements are those that involve repetitive alternation between ____ and ____
Definition
contraction and relaxation
Term
T/F Patients who have simple absence seizures often do not realize that they have had a seizure
Definition
T
Term
Simple (or typical )Absence Seizures are also know as ____
Definition
petit mal
Term
How do complex absence seizures differ from simple absence seizures?
Definition
involve muscle activity such as blinking of eyes, movements of mouth, rubbing of hands
Term
T/F Atypical absence seizures begin and end gradually, leave a patient more aware of events, and are more likely to be associated with low intelligence
Definition
Term
____ seizures are brief shock like jerks of a muscle or group of muscles
Definition
Myoclonic
Term
T/F Myoclonic jerks are only experienced by people with epilepsy.
Definition
F. Falling asleep jerk
Term
_____ seizures cause muscles to suddenly relax. (Also called falling or drop seizures)
Definition
atonic
Term
Tonic seizures generally last for how long?
Definition
less than 20 seconds
Term
T/F clonic seizures are usually not followed by a period of tiredness or confusion.
Definition
T
Term
_________ seizures are also referred to as grand mal
Definition
tonic-clonic
Term
Febrile seizures occur in what percent of all children?
Definition
2-5%
Term
T/F Fever reduction will prevent febrile seizures.
Definition
F
Term
Febrile seizures are ____ seizures that occur in children b/w 3 months and 5 years old when they have a high fever
Definition
tonic-clonic
Term
______ epilepsy accounts for 2-8% of all patient with epilepsy
Definition
childhood absence (CAE)
Term
T/F 15% of children with CAE with later develop JME
Definition
T
Term
T/F Simple partial seizures, complex partial seizures, and secondarily generalized are all common in Temporal lobe epilepsy
Definition
T
Term
Complex partial seizures originating in the frontal lobe have a higher incidence of ______
Definition
automatisms
Term
On an EEG, increased synchronicity is marked by higher/lower amplitude and higher/lower frequency?
Definition
higher amplitude and lower frequency
Term
What famous person is known for having Huntington's Disease?
Definition
Woody Guthrie
Term
T/F Huntington's disease affects as many people as Hemophilia, CF, or MD?
Definition
T
Supporting users have an ad free experience!