PMH-C III Test Questions and
Answers17
what are some assessment tools for trauma? - ANSWERS --PC
-PCL 5
-PTSD 5
-PHQ 9
-GAD
What are the causes of PMADs? - ANSWERS --physical
-social
-psychological
what can cause later onset of postpartum depression? - ANSWERS -1 rapid weaning
2 hormonal birth control
3 increased family stress
4 return to work
5 loss and grief
6 illness and hospitalization
what are obstacles to care of PMADs? - ANSWERS --shame and stigma
-provider misinformation
-cultural taboos
-provider accessibility
,What is institutional racism? - ANSWERS -a form of racism expressed in the practice of social
and political institutions
what is biological weathering? - ANSWERS --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? - ANSWERS -43.5 deaths per 100,000 live
births
what is the death ratio to live births for white women? - ANSWERS -12.7 deaths per 100,000 live
births
what is the death ratio to live births for women of "other" ethnic/racial groups? - ANSWERS -
14.4 deaths per 100,000 live births
what is pharmacogenetic testing? - ANSWERS --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)? - ANSWERS --noninvasive procedure uses
magnetic fields to stimulate nerve cells in the brain to improve symptoms of dep
what is electroconvulsive therapy? - ANSWERS --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? - ANSWERS -80+%
what are some non-benzo anti-anxiety meds that are used? - ANSWERS --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? - ANSWERS --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? - ANSWERS --muscle discordination/twitching
-high fever
-sweating
-confusion
what dosages of zoloft are used? - ANSWERS --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? - ANSWERS --
pregnancy and labor
-lactation
-impacts on reproduction
Answers17
what are some assessment tools for trauma? - ANSWERS --PC
-PCL 5
-PTSD 5
-PHQ 9
-GAD
What are the causes of PMADs? - ANSWERS --physical
-social
-psychological
what can cause later onset of postpartum depression? - ANSWERS -1 rapid weaning
2 hormonal birth control
3 increased family stress
4 return to work
5 loss and grief
6 illness and hospitalization
what are obstacles to care of PMADs? - ANSWERS --shame and stigma
-provider misinformation
-cultural taboos
-provider accessibility
,What is institutional racism? - ANSWERS -a form of racism expressed in the practice of social
and political institutions
what is biological weathering? - ANSWERS --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? - ANSWERS -43.5 deaths per 100,000 live
births
what is the death ratio to live births for white women? - ANSWERS -12.7 deaths per 100,000 live
births
what is the death ratio to live births for women of "other" ethnic/racial groups? - ANSWERS -
14.4 deaths per 100,000 live births
what is pharmacogenetic testing? - ANSWERS --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)? - ANSWERS --noninvasive procedure uses
magnetic fields to stimulate nerve cells in the brain to improve symptoms of dep
what is electroconvulsive therapy? - ANSWERS --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? - ANSWERS -80+%
what are some non-benzo anti-anxiety meds that are used? - ANSWERS --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? - ANSWERS --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? - ANSWERS --muscle discordination/twitching
-high fever
-sweating
-confusion
what dosages of zoloft are used? - ANSWERS --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? - ANSWERS --
pregnancy and labor
-lactation
-impacts on reproduction
