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70 Cards in this Set
- Front
- Back
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Effort Reward Imbalance Model
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you work really hard for something and don't get what you thinking is coming to you
get your PhD and can't work |
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20 people present at the same time having been at the swimming pool that was very clean and well maintained and they all have seizures
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mass psychogenic illness
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Kids that had low iron and zinc are more likely to have what problems?
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attention
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kids with attention problems may have had what deficiencies
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iron and zinc
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SPARX
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video games to treat kids with adolescent depression
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RDoc
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uses imaging techniques to see what is going on in the brain in depression, social phobia, and other mental illnesses to help us better understand these illnesses and make more informed diagnoses in the future.
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Alameda County Study
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what makes a person healthy?
do they smoke? how much sleep do they get? do you eat breakfast? explore the impact of behaviors in social context. Theyfound that people with the highest mortality were those with social isolation |
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what words define culture?
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all-encompassing
integrated learned shared |
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Ataque de Nervois
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type of culture-bound syndrome:
culturally appropriate expression of powerful emotions leading to crying fits, shaking, etc. |
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Culture- bound syndrome
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boundsyndromes- symptoms that are considered to be a recognizable disease only withina specific culture or society.
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Mohammed Kochi's story
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he had stomach surgery and then was told he would need chemotherapy. he didn't want to have the pump put in because then he couldn't wash himself before prayers.
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Justine Chitsena's story
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Loa girl with septal defect
the grandma said she could not have surgery because then the scar would be kept in death through her soul |
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Roger Philip's story
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African american man on dialysis.
he thinks that black people dont get kidneys and should be able to receive kidneys from white people. |
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Alicia Mercado
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latino woman who lost her house and was not compliant becuase of it
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what is required for
§ Myelin § Monoamine synthesis § Neuronal glial energy metabolism |
Iron
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Describe "Emotionally Volatile"
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The amygdala is hyperreactive to the environment.The frontal cortex is less able to tone down the response. They arehypersensitive to threats in the environment.
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Describe a "Callous" personality
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They don’t read fear
They don’t regulate their response based on theenvironment because they don’t feel these emotions |
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Men who have sex with men should be vaccinated for what?
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Hep A and Hep B
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how do we treat PCOS
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oral contraceptives (Desogestrel or ortho tri-cyclin)
Spironolactone (blocks androgen formation) |
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Stage 2 hypertension
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> 160/100
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what words or phrases describe culture
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it is all encompassing, integrated, learned, and shared
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Describe the continuum of intercultural development. what are the steps
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1. Denial
2. Polarization 3. Minimization 4. Acceptance 5. Adaptation |
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a patient suffers from spirit attacks that seem weird to you but not her parents, siblings, or friends
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Culture/context-bound syndrome
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culturally appropriate expression of powerful emotions leading to crying fits, shakes
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ataque de vervios
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the lived experience of the embodied self
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individual body
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disease vs illness
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disease- objective, measurable basis of ill health
illness- subjective experience of being unwell |
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gay men have higher risk of what?
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HIV, Hep B, anal cancer, proctitis, anal syphilis, enteritis, pharyngitis
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number one fear of a gay person is?
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being shunned
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what group accounts for 1/3 of suicides among adolescents
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gay youths
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who is at increased risk of substance abuse, depression, and self-imposed isolation
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gay and lesbians
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men who have sex with men should be vaccinated for what?
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Hep A and Hep B
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resistant hypertension
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hypertension not controlled with 3 meds. only controlled with 4 meds
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what age group is the fastest contracting AIDS
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16-24
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what type of macrophage increases in an immune state
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M1
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Stress leads to a shift towards which T cell type? What is the effect of this?
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Th2 over Th1
Th1 cells are anticancer. Because we have less of these cells we have more cancer in chronic stress. |
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what affect does cancer have on fat tissue
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Stress increase number of adipocytes which increases leptin levels. We get morecytokines released from adipocytes. It enhancesletpin levels. Leads to production of signals that are anti-apoptotic sowe don’t recognize and kill off cancer cells.
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what role does adrenaline have in relation to stress
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stress causes adrenaline release which is anti-aptoptotic and favors tumor growth
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50% of TBI is related to what?
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alcohol
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Coup vs Contracoup Injury
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Coup- the initial hit (in all the pictures this was the frontal lobe)
Contracoup- the bounce back (this was always sown as the back of the head) |
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Patient presents with memory impairment, headaches, and irritability. They were hit in the head 2 months ago.
Diagnosis? |
Post Concussion Syndrome
you just hope that it will recover with time. there is nothing you can do. |
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anteriorcingulate cortex
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the center of self
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what changes occur in the lungs with aging |
decrease in FEV1 and FVC |
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is depression normal for aging |
no |
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what is the first line medication for an elderly person who is depressed |
SSRI's |
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what happens to CYO 3A4 with aging |
it slows (seen in phase 1) therefore we want to use phase 2 |
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what is the temperature cut off for a fever in the elderly |
99.4 |
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what happens to renal function as we age |
it decreases |
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what is the most common presenting symptom for an elderly person in sepsis ? |
Mental status change in the elderly the temperature will be decreased (99.4) and the heart rate will decrease (90) |
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89 year old man presents with dyspnea and no chest pain |
MI |
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what is the most common presenting symptom in an elderly individual with MI |
Dyspnea |
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if a 90 year old presents with atrial fibrilation what do we have to think of and what test must we order |
TSH think hyperthyroidism |
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What is the most common presenting symptom in a ill patient |
Delirium |
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dead man found. furrows diagonally above the thyroid cartilage. |
hanging |
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dead man found. furrows horizontally below the thyroid cartilage. |
ligature strangulation |
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man experiences pain in his muscles during physical exercise on a hot day. does he need to worry about other heat injuries? |
no just give him a water/Na solution to drink |
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insulin release is impaired in hypo or hyperthermia |
hypothermia |
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TRPV 1 and 2 TRPV3 TRPV 8 |
1 is stimulated by capcaisin, 1 and 2- painful heat 3- camphor, warm feeling 8- cold, menthol |
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where are warm sensitive neurons located in the hypothalamus |
anterior/preoptic neuron |
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where are cold sensitive neurons located in the hypothalamus |
they haven't found any yet |
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compare heat loss in apical and non-apical skin |
apical (nose, lips, ears, hands, feet)- glomus bodies non-apical skin- vasodilators |
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transect the rostral midbrain |
constant sleep you killed the rooster |
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transect the mid brain |
constant wakefulness |
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what opioid is not used for chronic pain because it is toxic to the kidneys |
Meperidone |
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anterior cingulate cortex |
behavioral response to apin |
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pre-frontal cortex |
thoughts about pain |
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insula |
sensory experience of limbic system |
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what did the alameda county study find to be the primary cause of death |
social isolation |
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what is the world's most common form of malnutrition |
iron deficiency |
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we start statins at an LDL of what? |
190 1 risk factor and LDL of 160-189 2 risk factors and LDL of 130-159 Pavastatin if >8 Lipitor if >10 don't give statin if Triglycerides are >500 |
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where does placebo activation take place |
rostral anterior cingulate cortex |
