Belovich- INTRO to Mental Health Flashcards

(63 cards)

1
Q

Behaviors result from genetic, , and environmental influences integrated with psychosocial experiences

A

epigenetic

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2
Q

Mind (soul) - mediated higher mental functions (conscious experiences) and interacted with brain via the gland

A

pineal

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3
Q

Psychiatric symptoms may have or origins:

A

organic; functional

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4
Q

“Organic Disorders” are associated with a reason for the behavior

A

physiological

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5
Q

Physiological reasons for organic disordorders:

  • Lesion/tumor
  • Abnormal of brain region
  • Neurotransmitters disrupted by disease state or drugs
  • abnormalities (e.g., thyroid hormones)
  • Sometimes associated with a genetic abnormality
A

size; Endocrine

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6
Q

What psychiatric disorders involve functional impairment, yet no physiological abnormality is observed

A

“Disorders of Function”

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7
Q

The “False Distinction” of Organic vs. Functional Disorders includes that Efficacy of pharmacological treatments implies underlying component

A

organic

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8
Q

Some psychiatric disorders fall into both categories of functional and organic:

A

Dementia/Alzheimer

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9
Q

Assumption: associated circuitry or mechanism not yet discovered can fall under the ““ Distinction” of Organic vs. Functional psychiatric Disorders

A

False

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10
Q

Mood changes (e.g., depression with dominant lesions, mood elevation with nondominant lesions) Difficulties with motivation, concentration, attention, orientation, and problem solving (dorsolateral convexity lesions) Difficulties with judgment, inhibitions, emotions, personality changes (orbitofrontal lesions) Inability to speak fluently (i.e., Broca aphasia [dominant lesions]) are associated with which lobe?

A

frontal lobe

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11
Q

Mood changes (e.g., depression with lesions, mood elevation with lesions)

A

dominant; nondominant

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12
Q

Difficulties with motivation, concentration, attention, orientation, and problem solving ( convexity lesions) of frontal lobe

A

dorsolateral

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13
Q

Difficulties with judgment, inhibitions, emotions, personality changes (l lesions) of frontal lobe

A

orbitofronta

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14
Q

Inability to speak fluently (i.e., Broca [dominant lesions]) of frontal lobe

A

aphasia;

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15
Q

Which lobe associated with Impaired memory Psychomotor seizures Changes in aggressive behavior Inability to understand language (i.e., Wernicke’s aphasia [dominant lesions])?

A

temporal lobe

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16
Q

Inability to understand language (i.e., aphasia [dominant lesions]) of frontal lobe

A

Wernicke’s

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17
Q

Lobe lession associated with Poor new learning; implicated specifically in Alzheimer’s disease?

A

Limbic lobes

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18
Q

syndrome (decreased aggression, increased sexual behavior, hyperorality)

A

Klüver-Bucy

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19
Q

Klüver-Bucy syndrome (decreased aggression, increased sexual behavior, hyperorality) associated with brain lesion where?

A

hippocampus

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20
Q

Decreased conditioned fear response Problems recognizing the meaningfulness of facial and vocal expressions of anger in others associated with which brain lesion where?

A

Amygdala

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21
Q

Impaired processing of visual–spatial information (e.g., cannot copy a simple line drawing or neglects the numbers on the left side when drawing a clock face [right-sided lesions]) Impaired processing of verbal information (e.g., cannot tell left from right, do simple math, name fingers, or write [Gerstmann’s syndrome, dominant lesions]) associated with brain lesion where?

A

parietal lobes

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22
Q

Impaired processing of verbal information (e.g., cannot tell left from right, do simple math, name fingers, or write [syndrome, dominant lesions]) lesion associated with parietal lobes

A

Gerstmann’s

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23
Q

Which lobe associated with Visual hallucinations and illusions Inability to identify camouflaged objects Blindness?

A

occipital lobes

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24
Q

A brain lesion where is associated with Hunger leading to obesity (ventromedial nucleus damage), loss of appetite leading to weight loss (lateral nucleus damage)

Effects on sexual activity and body temperature regulation?

A

hypothalamus

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25
Hunger leading to obesity ( nucleus damage) in hypothalamus
ventromedial
26
loss of appetite leading to weight loss ( nucleus damage) in the hypothalamus
lateral
27
A lesion in which part of brain is associated with Changes in sleep–wake mechanisms (e.g., decreased REM sleep) Loss of consciousness?
Reticular system
28
Which part of brain lesion where is associated with Disorders of movement (e.g., Parkinson’s disease [substantia nigra], Huntington’s disease [caudate and putamen], and Tourette’s syndrome [caudate])?
Basal ganglia
29
Disorders of movement (e.g., Parkinson’s disease [substantia _]_ in basal ganglia
nigra]
30
Huntington’s disease [and putamen] in basal ganglia
caudate
31
Huntington’s disease [caudate and] in basal ganglia
putamen
32
Tourette’s syndrome located in the of the basal ganglia
caudate
33
Cognitive functions are best understood as a series of events across complex pathways and of neuronal communication across neuronal networks
signaling; Patterns
34
Cortical Networks are both and plastic:
robust
35
Networks are both robust and plastic: * Being is the “effect threshold” for genetic mutations and environmental factors * Being means neuronal connections undergo changes in strength and intensity based on use: * “Neurons that fire together wire together”
Robust:; Plastic
36
Today’s Psychiatry is concerned primarily with the brain’s functions
association
37
How does the brain make sense of and integrate external and internal information?
primary areas of the cortex: motor, somatosensory, visual, auditory, olfactory, etc.
38
primary areas of the cortex: motor, somatosensory, visual, auditory, olfactory, etc. receive information via?
sensory thalamic nuclei
39
Sensory input represents the world
external
40
information is received with little interpretation of the meaning of that information
Sensory
41
Which areas (units) of the brain work with primary areas to interpret sensory information?
Association
42
Association areas use with internal drivers, memories, and emotional stimuli
Integration
43
What are the internal drivers associated with integration of the association areas of the brain interpreting sensory information?
cognition, memory, emotion, learning
44
Which brain system is integral to the functions of internal drivers: cognition, memory, emotion, and learning?
Limbic system
45
Integration and interpretation drives planning and initiation of motor activity ( output)
behavioral
46
Understanding how information from sensory and motor systems is processed helps distinguish logical thought from distortions
psychopathological
47
Mental health diagnosis is based primarily on the clinician’s impression of the patient’s of his/ her thoughts and feelings
interpretation
48
Psychiatric diagnosis is largely **independent/dependent** of physical signs and symptoms • Lab results and radiological tests usually used only to rule out causes
independent; organic
49
What part of the brain assigns emotional value to stimulus?
limbic system
50
of neurotransmitters present in serum or CSF can indicate altered level of activity
Metabolites
51
What is the metabolite for dopamine present in serum and cerebrospinal fluid?
HVA, homovanillic acid
52
What are the metabolites for norepinephrine present in serum and cerebrospinal fluid?
VMA (vanillymandelic acid MHPG (3-methyoxy-4-hydroxyphenylglycol)
53
What is the metabolite for seratonin present in serum and cerebrospinal fluid?
54
Neurotransmitter levels **can/cannot** be collected from specific brain regions and **are/ are not** reliable for making diagnoses
cannot; are not
55
CSF and serum lab values measure neurotransmitter levels **locally/globally** * Neurotransmitters exert their effects **locally/globally** * Neurotransmitter levels **are/are not** considered diagnostic criteria
globally; locally; are not
56
Psychiatry diagnoses are typically made by **exclusion/inclusion**
exclusion
57
Time of onset and of symptoms can often provide a valuable clue
duration
58
What is an internal phenotype associated with a set of objective characteristics not visible to unaided eye?
endophenotype
59
**Objectively/subjectively** observed behaviors indicate internal phenotypes?
objectively
60
1) Objectively measured cognitive impairment is considered an • May appear in multiple patients with different diagnosed syndromes
endophenotype
61
Effective management of psychiatric disorders often requires a approach • Blending of pharmacological (bio), psychotherapeutic (psycho) and social (social) treatment modalities
biopsychosocial
62
Treatments for severe and/or mental health conditions (psychotic depression, mania, catatonia, etc.) can include: * Electroconvulsive therapy (ECT) * Transcranial magnetic stimulation * Vagal stimulation and deep brain stimulation * Surgical intervention
refractory
63