Ousley- Social Behavior

Question 1

A patient’s ____ can have a lot of influence on their general health, illness, and treatment.

Answer 1

culture

Question 2

when in doubt of the patient’s cultural preferences, do what

Answer 2

just ask

Question 3

ability to understand and effectively interact with people from cultures different from our own

Answer 3

cultural competence

Question 4

_____is seen in about the same amount in all cultures, but presentation of symptoms may vary based on culture

Answer 4

schizophrenia

Question 5

first thing to do when speaking to a patient

Answer 5

ask them how they would like to be addressed

Question 6

For many _____, religion is a major social and personal support, and pastors and ministers may be consulted prior to medical doctors, especially for mental health problems.
Family networks tend to be strong and elderly family members are often approached for health care advice

Answer 6

African Americans

Question 7

race/ethnicity with highest suicide rate

Answer 7

native americans

Question 8

Tend to have larger families
Respect for the extended family, especially the elderly, is important

Answer 8

Hispanic/Latino Americans

Question 9

Some ____ patients believe that voicing emotion and pain improves the outcome of illness, which may lead to perceptions that they display more emotions when ill than other groups.

May seek health care from folk healers, often in conjunction with traditional medical care

Answer 9

Hispanic/Latino Americans

Question 10

Just like Latinos, ________are expected to show strong respect for and care for elderly parents/relatives, protect elderly relatives from negative medical diagnoses, and make medical decisions

Answer 10

Asian Americans

Question 11

Higher rates of Alcohol Use Disorder and suicide than white Americans

Answer 11

Indigenous peoples

Question 12

may follow dietary, dress, and religious practices
Female patients expect to remain as covered as possible, may ask to keep their heads and faces covered, and often prefer female physicians for OB-Gyn care
If must be treated by a male physician, may ask for husband or female relative to be present

Answer 12

Middle Eastern Americans

Question 13

Like all other mammals, default sexual development is female, unless the testis determining factor gene (______) is present on the Y chromosome, causing differentiation of gonadal tissue

Answer 13

SRY gene

Question 14

_____ differences have been noted in the hypothalamus, anterior commissure, corpus callosum, and thalamus

Answer 14

gender

Question 15

XY genotype and normal secretion of androgens, but genetic defect leads to inability to respond to androgen, resulting in female phenotype

Answer 15

Androgen insensitivity syndrome

Question 16

excessive adrenal androgen secretion from 21-hydroxylase deficiency leads to masculinization of genitalia in XX females

Answer 16

congenital adrenal hyperplasia

Question 17

sense of self as being male, female, or other

Answer 17

gender identity

Question 18

expression of one’s gender identity in society

Answer 18

gender role

Question 19

preference for same sex or opposite sex sexual partners

Answer 19

sexual orientation

Question 20

have a persistent and pervasive feeling that they have been born into the body of the wrong sex

Answer 20

gender dysphoria

Question 21

_____ plays a major role in sexual interest and drive

Answer 21

testosterone

Question 22

circulating ____ levels can also have effects on mood/emotion

Answer 22

hormone

Question 23

Drugs that block ____ have negative effects on sexuality

Answer 23

dopamine

Question 24

_____and ____stimulate DA system and increase sexual interest and performance

Answer 24

amphetamines and cocaine

Question 25

Tends to have negative effects on sexuality

Answer 25

serotonin (SSRIs)

Question 26

NE, alcohol, marijuana, and opioids all have ____ effects on sexuality

Answer 26

negative

Question 27

the most common male sexual disorder

Answer 27

acquired erectile disorder

Question 28

____ and diabetes can cause decreased sexuality

Answer 28

MI

Question 29

Sexual interest does not necessarily decrease with _____; just slower erection and vaginal dryness can appear

Answer 29

age

Question 30

physical or psychological aggression that occurs between people that are presumed to be equally matched

Answer 30

fighting

Question 31

physical or psychological aggression (or neglect) carried out by people with physical, social, or financial power over weaker or more vulnerable individuals

Answer 31

abuse

Question 32

Hx of violence more likely to see in future Poverty Instability in childhood

Answer 32

determinants of violent behavior

Question 33

____ are usually more aggressive than ____

Answer 33

males than females

Question 34

Hx of head injury Abnormal EEG Lesions People are inhibited when using substances

Answer 34

determinants of violence

Question 35

increased _____ associated with increased aggression

Answer 35

dopamine

Question 36

low levels of ______ seen in body fluids of violent people

Answer 36

5-HIAA

Question 37

Episodes where they lose control Late teens-early 20s Big differential diagnosis

Answer 37

intermittent explosive disorder

Question 38

Characterized by excessive fire setting and overwhelming interest in/attraction to fire

Answer 38

pyromania

Question 39

Impulse to take things without paying for them, despite the fact that they are affordable

Answer 39

kleptomania

Question 40

Overwhelming need to gamble despite the behavior negatively affecting family and work relationships

Answer 40

gambling disorder

Question 41

Strong need or impulse to pull out one’s own hair

Answer 41

Trichotillomania

Question 42

Associated with decreased serotonergic function

Answer 42

impulsive and aggressive behavior

Question 43

SSRIs and valproic acid can be used for treatment of _____ behavior

Answer 43

impulsive and aggressive

Question 44

Some degree of dementia Physical dependence on others

Answer 44

elder abuse

Question 45

Prematurity or low birth weight Hyperactivity Mild disability Perceived as “slow” or “different” Colicky or fussy infant

Answer 45

child abuse

Question 46

Lack of things they need (glasses, medications, dentures)

Answer 46

elder abuse

Question 47

Poor personal care Injuries/bruises in abnormal places Stressed parents Lack of needed nutrition

Answer 47

child abuse

Question 48

70-90% of incidents of sexual abuse are perpetrated by ____

Answer 48

by someone known to the child

Question 49

Any STD in a child Genital or anal trauma Recurrent urinary tract infections

Answer 49

child abuse

Question 50

Majority male Often uses alcohol or drugs Impulsive, angry Low frustration tolerance

Answer 50

abuser

Question 51

Financially or emotionally dependent on the abuser Is often pregnant Delays seeking medical care

Answer 51

abused

Question 52

physicians are MANDATED reporters of this suspected abuse

Answer 52

child and elder abuse

Question 53

Direct reporting not appropriate in competent adult Physician should document the abuse

Answer 53

domestic partner abuse

Question 54

crime of violence and control Vaginal/oral/anal penetration may occur Erection and ejaculation do not have to occur for the crime of rape to have been committed

Answer 54

rape