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CMAS 465 Exam 1 questions with correct answers
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CMAS 465 Exam 1 questions with correct answers
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CMAS 465 Exam 1What are ACEs? - correct answer ✔✔Adverse childhood experiences
Abuse: physical, sexual, psychological
Neglect: emotional, physical
Exposure to other traumatic stressors: substance abuse, divorce, mental illness, battered mother,
criminal behavior etc.
What do ACEs measure? - correct answer ✔✔Adverse childhood experiences
What did ACEs uncover? - correct answer ✔✔4-12 times increase in alcoholism, drug abuse, depression,
and suicide attempt
2-4 times increase in poor self-rated health
3-4 times increase in chronic illness (heart disease, liver disease)
Adverse health outcomes - correct answer ✔✔Chronic stress
Brain: difficulty concentrating, anxiety, depression
Cardiovascular: high cholesterol, high BP
Skin: hair loss, dry skin, acne
Gut: constipation, diarrhea, discomfort
Joints and muscles: inflammation
Immune system: risk of illness, low immune defenses
Reproductive system: decrease hormone production, increase PMS symptoms
What are the different types of stress? - correct answer ✔✔Positive
Tolerable
Toxic
, Positive stress - correct answer ✔✔Mild/moderate and short-lived stress response necessary for health
development
Tolerable stress - correct answer ✔✔More severe stress response but limited in duration which allows
for recovery
Toxic stress - correct answer ✔✔Extreme, frequent, or extended activation of the body's stress response
without the buffering presence of a supportive adult
Frequency of ACEs? - correct answer ✔✔No reported ACEs: 38%
1 ACE: 21%
2 ACEs: 14%
3 ACEs: 10%
4-5 ACEs: 17%
What is evidence based treatment? - correct answer ✔✔The conscientious, explicit and judicious use of
current best evidence in making decisions about the care of the individual patient. It means integrating
individual clinical expertise with the best available external clinical evidence from systematic research
What are the 4 categories of evidence based treatment? - correct answer ✔✔Well-established
Probably efficacious
Possibly efficacious
Experimental
Well-established treatment - correct answer ✔✔Treatments where those that had been proven effective
according to at least one randomized control trial (RCT) following very strict experimental guidelines
Probably efficacious treatment - correct answer ✔✔Treatments should be proven to be more effective
than a no treatment control group
Possibly efficacious treatment - correct answer ✔✔Treatments must have at least one study showing
positive results
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