Pathophysiology Exam 2
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Questions and Answers

What condition is characterized by an impairment of language, cognition, learning, and memory?

  • ADD/ADHD
  • Cerebral Palsy
  • Down Syndrome (correct)
  • Autism Spectrum Disorder
  • Which treatment option is recommended for individuals with Down syndrome?

  • Occupational therapy
  • Behavioral therapy
  • Speech therapy (correct)
  • Psychotherapy
  • What is a prominent clinical manifestation of predominant inattentive ADD/ADHD?

  • Hyperactivity
  • Impulsive behavior
  • Difficulty staying focused (correct)
  • Excessive talking
  • Which type of cerebral palsy is characterized by increased muscle tone and rigidity of extremities?

    <p>Spastic</p> Signup and view all the answers

    What factor is NOT associated with the pathogenesis of ADD/ADHD?

    <p>High birth weight</p> Signup and view all the answers

    What is a key risk factor for developing Cerebral Palsy?

    <p>Cerebral hypoxia</p> Signup and view all the answers

    Which of the following describes ataxic cerebral palsy?

    <p>Inability to control movement</p> Signup and view all the answers

    What is the medical term for the condition characterized by an abnormal number of chromosomes, commonly associated with Down syndrome?

    <p>Trisomy</p> Signup and view all the answers

    What is a common cognitive symptom associated with PTSD?

    <p>Difficulty concentrating</p> Signup and view all the answers

    Which neurotransmitter is decreased in individuals with PTSD?

    <p>GABA</p> Signup and view all the answers

    What characterizes panic disorder?

    <p>Sudden episodes of intense fear</p> Signup and view all the answers

    Which physical symptom is commonly associated with panic disorder?

    <p>Palpitations</p> Signup and view all the answers

    What are the clinical manifestations of delirium?

    <p>Includes disorientation and rapid speech</p> Signup and view all the answers

    What neurotransmitter is typically found in excessive amounts during mania in bipolar disorder?

    <p>Norepinephrine</p> Signup and view all the answers

    Which genetic factor is associated with the pathogenesis of depression?

    <p>Family history</p> Signup and view all the answers

    Which neurotransmitter is primarily involved in anxiety disorders?

    <p>GABA</p> Signup and view all the answers

    What defines a delusion?

    <p>Fixed beliefs not based in reality</p> Signup and view all the answers

    What defines Generalized Anxiety Disorder (GAD)?

    <p>State of excessive worrying that interferes with daily function</p> Signup and view all the answers

    What is the role of dopamine in schizophrenia?

    <p>Imbalance contributes to symptoms</p> Signup and view all the answers

    Which of the following is NOT a common clinical manifestation of anxiety?

    <p>Increased appetite and weight gain</p> Signup and view all the answers

    What is a notable clinical manifestation of Obsessive-Compulsive Disorder (OCD)?

    <p>Recurring unwanted thoughts or compulsions</p> Signup and view all the answers

    Which neurotransmitter imbalance is associated with anxiety?

    <p>Increase in norepinephrine and decrease in GABA</p> Signup and view all the answers

    What impact does the amygdala have in anxiety disorders?

    <p>Causes a hyperactive or hyporesponsive response</p> Signup and view all the answers

    What is a common pathogenesis factor for delirium?

    <p>Medication side effects and dehydration</p> Signup and view all the answers

    What is the main characteristic of addiction?

    <p>Compulsive drug taking despite desire to stop</p> Signup and view all the answers

    Which effect does alcohol have on neurotransmitters?

    <p>Enhances effects of GABA and decreases glutamate</p> Signup and view all the answers

    What immediate physiological response does tobacco use cause?

    <p>Releases epinephrine and activates the sympathetic nervous system</p> Signup and view all the answers

    What is a common characteristic of chronic opioid use disorder?

    <p>Relapsing illness that can become chronic</p> Signup and view all the answers

    What are cataracts primarily characterized by?

    <p>Cloudy and opaque discoloration of the clear lens</p> Signup and view all the answers

    What is a common risk factor for developing cataracts?

    <p>Exposure to UV light</p> Signup and view all the answers

    Which type of glaucoma is characterized by emergency symptoms like pain and vomiting?

    <p>Closed-angle/narrow angle glaucoma</p> Signup and view all the answers

    What visual impairment is associated with macular degeneration?

    <p>Central vision loss due to degeneration of the macula</p> Signup and view all the answers

    What is the primary purpose of cortisol during stressful events?

    <p>Inhibits inflammatory effects</p> Signup and view all the answers

    Which part of the brain releases CRH when a stressor occurs?

    <p>Hypothalamus</p> Signup and view all the answers

    What occurs during the exhaustion stage of General Adaptation Syndrome (GAS)?

    <p>Decreased immune function may occur</p> Signup and view all the answers

    What is allostasis involved in?

    <p>Returning the body to homeostasis</p> Signup and view all the answers

    Which neurotransmitters are involved in the LC/NE system?

    <p>Epinephrine and norepinephrine</p> Signup and view all the answers

    What is a possible consequence of chronic stress on the body's systems?

    <p>Heart and kidney failure</p> Signup and view all the answers

    What condition is characterized by excessive CSF in the cranial vault?

    <p>Hydrocephalus</p> Signup and view all the answers

    What is a common manifestation of hydrocephalus?

    <p>Mental impairment and unstable gait</p> Signup and view all the answers

    Study Notes

    Cognitive Functions

    • Perception: Sensory input and interpretation of the environment.
    • Memory: Retention and recall of past experiences and learning.
    • Executive Function: Higher thinking processes that enable flexibility, adaptability, and goal-directed behavior.

    Down Syndrome

    • Associated with impairments in language, cognition, learning, and memory.
    • MRI reveals smaller total intracranial volume and differences in the cerebellum, brainstem, and frontal lobes.
    • Treatment includes speech therapy, physical therapy, and communication techniques.

    Attention Deficit Disorders (ADD/ADHD)

    • Pathogenesis linked to maternal genetics, alcohol, tobacco use, and premature delivery.
    • Clinical manifestations:
      • Predominantly Inattentive: Difficulty completing tasks, easily distracted.
      • Predominantly Hyperactive-Impulsive: Fidgets, talks a lot, engages in risk-taking.
      • Combined: Presence of both inattentive and hyperactive-impulsive symptoms.

    Cerebral Palsy

    • Disorder of movement, muscle tone, or posture due to brain injury or abnormal development before age 1.
    • Risk factors include cerebral hypoxia, hemorrhage, infections, genetic abnormalities, and low birth weight.
    • Clinical manifestations involve issues with muscle movement, gait, and balance.
    • Pyramidal/Spastic CP: Increased muscle tone and rigidity.
    • Extrapyramidal/Nonspastic CP: Dystonic (fine motor coordination issues) and Ataxic (coordination alterations).

    Autism Spectrum Disorder (ASD)

    • Etiology risk factors include paternal age, maternal health, and genetic components.

    Dementia and Delirium

    • Dementia: Chronic disorder marked by memory impairment, personality changes, and impaired reasoning.
    • Delirium: Most common hospitalization complication in the elderly, arising from dehydration, electrolyte imbalances, fever, and infections. Clinical manifestations include disorientation, rapid speech, and emotional swings.

    Anxiety Disorders

    • Neurotransmitters involved include decreased GABA, imbalanced norepinephrine (NE), and other neurotransmitter systems.
    • Clinical manifestations include a sense of dread, avoidance of social interactions, somatic symptoms (e.g., palpitations and sweating).
    • Amygdala: Part of the brain associated with hyperactive responses in anxiety.

    Obsessive-Compulsive Disorder (OCD)

    • Characterized by recurring unwanted thoughts and compulsive behaviors.
    • Neurotransmitters involved show a decrease in serotonin and an increase in cortisol.

    Generalized Anxiety Disorder (GAD)

    • Excessive worry impacting daily function; cognitive symptoms include restlessness, fatigue, and irritability.
    • Neurotransmitter changes: increased norepinephrine and decreased GABA.

    Post-Traumatic Stress Disorder (PTSD)

    • Clinical manifestations: memory disorders, cognitive symptoms (e.g., hypervigilance), and physical symptoms like sleep disturbances.
    • Involves decreased GABA neurotransmitter levels.

    Panic Disorder

    • Sudden intense fear episodes with increased sympathetic function. Symptoms include palpitations, sweating, feelings of unreality, and impending doom.
    • Neurotransmitter changes: increased norepinephrine, decreased GABA, and increased glutamate.

    Depression

    • Pathogenesis linked to genetic components and chronic stress or illness.
    • Neurotransmitter deficiencies include decreased norepinephrine, serotonin, and dopamine.

    Bipolar Disorder

    • Characterized by a smaller prefrontal cortex and family history of mood disorders.
    • Neurotransmitter dysregulation leads to excessive norepinephrine during mania and depletion during depressive episodes.

    Schizophrenia

    • Clinical manifestations: faulty perceptions, inappropriate actions, disconnection from reality, delusions, and hallucinations.
    • Neurotransmitters involved include norepinephrine, serotonin, GABA, and dopamine imbalances.

    Addiction

    • Defined as compulsive drug use despite a desire to quit.
    • Neurotransmitter involvement: enhances GABA, decreases glutamate, and increases dopamine in reward centers.
    • Treatment options include cognitive behavioral therapy, medications, and support groups.

    Eye Disorders

    • Cataracts: Cloudy discoloration of the lens, gradual onset, and risk factors include age, UV light exposure, and certain medications.
    • Glaucoma: Characterized by high intraocular pressure leading to vision loss; can be open-angle (asymptomatic) or closed-angle (emergency with clear symptoms).

    Stress Response

    • General Adaptation Syndrome (GAS): Three stages - alarm (activation of stress response), resistance (adaptation), and exhaustion (chronic stress effects).
    • HPA Axis: Regulates stress response through hormonal release from the hypothalamus, pituitary gland, and adrenal glands.

    Hydrocephalus and Meningitis

    • Hydrocephalus: Excessive cerebrospinal fluid (CSF) leading to mental impairment and unstable gait.
    • Meningitis: Inflammation of the meninges covering the brain and spinal cord.

    Hemorrhage Types

    • Subdural Hemorrhage: Bleeding between the dura and arachnoid mater due to vein tearing.

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    Description

    Prepare for Exam 2 in Pathophysiology with this quiz. It covers crucial concepts such as perception, memory, and executive functions, as well as specific disorders like Down syndrome. Test your understanding of pathogenesis and the implications seen through MRI imaging.

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