pmh c iii exam questions and complete solutions gr
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PMH-C III Exam Questions and Complete
Solutions Graded A+
What is institutional racism? - Answer: a form of racism expressed in the practice of social and political
institutions
what is biological weathering? - Answer: -the idea that chronic exposure to racism can dysregulate:
-HPA Axis and damage bodily systems and lead to physical outcomes like cardiovas dis and obesity
-cognitive affective regions
what is the death ratio to live births for black women? - Answer: 43.5 deaths per 100,000 live births
what is the death ratio to live births for white women? - Answer: 12.7 deaths per 100,000 live births
what is the death ratio to live births for women of "other" ethnic/racial groups? - Answer: 14.4 deaths
per 100,000 live births
what is pharmacogenetic testing? - Answer: -study of how genes affect the body's response to certain
meds
-can be expensive and not always covered by insurance
-do not use as a substitute for clinical judgment or for primary decision making purposes
what is transcranial magnetic stimulation (TMS)? - Answer: -noninvasive procedure uses magnetic fields
to stimulate nerve cells in the brain to improve symptoms of dep
what is electroconvulsive therapy? - Answer: -treatment most commonly used in patients with severe
major dep or bipolar that hasn't responded to other treatments
-brief electrical stimulation of the brain while patient is under anesthesia
-may be helpful in dep, mania, and psychosis
-no known adverse effects on offspring
, what percentage of women with bipolar have a risk of postpartum psychosis? - Answer: 80+%
what are some non-benzo anti-anxiety meds that are used? - Answer: -buspar
-vistaril- used for high anx and sleep
-seroquel- works really well for insomnia and anx (the lower the dose the more sedating it is)
what are some pros and cons of tricyclic antidepressants? - Answer: -pros: can be very effective for
sleep; no association between TCAs and major organ malformation
-cons: can be difficult to manage bc you have to get blood levels and you can overdose
what are symptoms of serotonin syndrome? - Answer: -muscle discordination/twitching
-high fever
-sweating
-confusion
what dosages of zoloft are used? - Answer: -start with 25 mgs for 4-6 days; 50 mgs for 1-2 wks and
increase as needed to achieve effective treatment
-ocd and panic disorder often require higher dosage
-100-200mg is typical for maintenance
what are the FDA categories in assessing the impact of meds in pregnancy? - Answer: -pregnancy and
labor
-lactation
-impacts on reproduction
what is interconception care and what does it consist of? - Answer: -care provided to mothers between
pregnancies to improve health outcomes for women, newborns, and kids
-this period is an opportunity to assess risk associated with adverse outcomes for women and their
future infant
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