MOC Post-Test - Trauma-Informed Care Conference 2019 Survey

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* 1. Participant Information:

First Name

Last Name

Degree (e.g., MD, DO, NP, RN, etc.)

Date of Birth (MM/DD/YY)

Email Address

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* 2. ABP ID Number (Required to receive MOC Part 2 Credit)

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* 3. The 3 levels of the stress response include all of the below except:

Tolerable

Intermittent

Positive

Toxic

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* 4. True or false: The 3 categories of ACEs are Abuse, Neglect and Household Dysfunction.

True

False

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* 5. True or False: Toxic stress is the result of strong, frequent or prolonged activation of body’s stress responses without buffering or protection of adult support.

True

False

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* 6. Specify behaviors and physical effects that often manifest in children with higher ACE scores

Increased incidence of smoking before age 12, ongoing smoking, and Chronic Obstructive Pulmonary Disease

Increased IV drug use, increased # of sexual partners, and increased likelihood of having a sexually transmitted disease

Increased risk of alcoholism and increased risk of marrying an alcoholic

All of the above

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* 7. Select strategies to build resilience and a sense of well-being in children and youth that will last into adulthood

Build self-esteem, increase school involvement, increase recognition of good citizenship

Build individual capabilities, strengthen attachment and belonging, fostering thriving communities, community capacity development

Build accountability, strengthen clear expectations, increase zero tolerance policies

None of the above

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* 8. Summarize the primary ACE research findings

A. Children with more ACEs have a greater cortisol stress response

B. Children with fewer ACEs are more likely to be cognitively intact

C. Children with zero ACEs are more likely to become diabetic or asthmatic

D. Children with higher ACEs scores are more likely to acquire social and behavioral conditions

A and D

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* 9. When parenting children who’ve experienced ACEs, discipline should be:

Calm and consistent to give predictability and structure

Minimal and passive to avoid re-traumatization

Strict and authoritarian to reverse behavioral problems the child has developed

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* 10. How can parents gain their child’s attention if they are dissociating?

Assertively repeating the child’s name

Using description and the “I wonder” skill

Rhythmically snapping or clapping until the child’s attention is redirected

Using time-out as a consequence for not paying attention

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* 11. A child who was sexually abused starts talking to her mom about one of the assaults. What would be an appropriate response?

Ignoring the child – this is sexualized behavior and should not be reinforced

Using reflection to show the child she is understood

Using praise to encourage the child for expressing her feelings

Both B and C

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* 12. Which of the following would NOT be good advice to give a parent who is feeling anxious?

Step away for a moment and focus on your breathing

Suck it up – you need to focus on your child’s feelings right now

Label your feelings and share how you are coping with them

Repeat positive affirmations to yourself

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* 13. When is the greatest risk for developing a depressive episode (select the best answer)

Infancy

Childhood

Adolescence

Middle Age

Old Age

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* 14. Depression is more prevalent in males compared to females

True

False

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* 15. Select the answer that DOES NOT APPLY to depression arising from childhood maltreatment

Earlier onset of depression

More severe symptoms

Chronic clinical course

Higher rates of comorbidity

Responds better to antidepressant drugs compared to psychotherapy

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* 16. The most common form of child maltreatment in this country is:

Physical abuse

Sexual abuse

Neglect

Emotional abuse

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* 17. Understanding the ACE study helps us practice which of the following concepts:

Understanding the person's story

View symptoms as adaptations

All behavior has meaning and purpose

All of the above

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* 18. Which of the following potential child health outcomes are attributable to a high ACEs score?

Failure to thrive

Sleep disruption

Asthma

Obesity

Suicide

All of the Above

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* 19. Which stress response system is currently not known to become dysregulated with toxic stress?

Neurological system

Vestibular system

Immune system

Endocrine system

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* 20. The Pediatric ACEs and Related Life-events Screener (PEARLS) tool, is designed to screen for risk factors for toxic stress not in the original ACE Study, but which have also been found to impact child and adult health.

True

False

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* 21. All stress is toxic to developing brains and bodies and leads to negative health outcomes.

True

False

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* 22. Which of the following is an effective method of buffering Toxic Stress in children.

Quality sleep

Supportive relationships

Regular Exercise/Physical Activity

Mindfulness/Meditation

Mental health services

All of the above

MOC Post-Test - Trauma-Informed Care Conference 2019

Post-Test Questions

Question Title

* 1. Participant Information:

Question Title

* 2. ABP ID Number (Required to receive MOC Part 2 Credit)

Question Title

* 3. The 3 levels of the stress response include all of the below except:

Question Title

* 4. True or false: The 3 categories of ACEs are Abuse, Neglect and Household Dysfunction.

Question Title

* 5. True or False: Toxic stress is the result of strong, frequent or prolonged activation of body’s stress responses without buffering or protection of adult support.

Question Title

* 6. Specify behaviors and physical effects that often manifest in children with higher ACE scores

Question Title

* 7. Select strategies to build resilience and a sense of well-being in children and youth that will last into adulthood

Question Title

* 8. Summarize the primary ACE research findings

Question Title

* 9. When parenting children who’ve experienced ACEs, discipline should be:

Question Title

* 10. How can parents gain their child’s attention if they are dissociating?

Question Title

* 11. A child who was sexually abused starts talking to her mom about one of the assaults. What would be an appropriate response?

Question Title

* 12. Which of the following would NOT be good advice to give a parent who is feeling anxious?

Question Title

* 13. When is the greatest risk for developing a depressive episode (select the best answer)

Question Title

* 14. Depression is more prevalent in males compared to females

Question Title

* 15. Select the answer that DOES NOT APPLY to depression arising from childhood maltreatment

Question Title

* 16. The most common form of child maltreatment in this country is:

Question Title

* 17. Understanding the ACE study helps us practice which of the following concepts:

Question Title

* 18. Which of the following potential child health outcomes are attributable to a high ACEs score?

Question Title

* 19. Which stress response system is currently not known to become dysregulated with toxic stress?

Question Title

* 20. The Pediatric ACEs and Related Life-events Screener (PEARLS) tool, is designed to screen for risk factors for toxic stress not in the original ACE Study, but which have also been found to impact child and adult health.

Question Title

* 21. All stress is toxic to developing brains and bodies and leads to negative health outcomes.

Question Title

* 22. Which of the following is an effective method of buffering Toxic Stress in children.