3. Psychotic Disorders Flashcards

1
Q

Nonbizarre delusion

A

false belief that is plausible but is not true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bizarre delusion

A

False belief that is impossible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ideas of reference

A

belief that cues in the external environment are uniquely related to the individual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Thought broadcasting

A

Belief that one’s thoughts can be heard by others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Thought insertion

A

Belief that other’s thoughts are being placed in one’s head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Delusions of grandeur

A

Belief that one has special powers beyond those of a normal person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Somatic delusions

A

Belief that one is infected with a disease or has a certain illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Command hallucinations

A

Auditory hallucinations that directly tell the patient to perform certain acts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hallucination usually associated with epilepsy

A

Olfactory hallucination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tactile hallucination

A

Usually secondary to drug use or alcohol withdrawl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Most common hallucination exhibited by schizophrenic patients

A

Auditory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Vitamin deficiencies that can cause psychosis

A

B12
Folate
Niacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Misinterpretation of external stimulus

A

Illusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

24-year-old male with 9 months of anxiety, concern that people are watching him, hearing voices…What is the important workup?

A

TSH
RPR
Brain imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Type of symptoms in schizophrenia that respond more robustly to antipsychotic medications

A

Positive symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Three phases of schizophrenia

A
  1. Prodromal: Patient may become socially withdrawn, irritable, have declining work/school performance, newfound interest in religion etc.
  2. Psychotic: perceptual disturbances, delusions, disordered thought content
  3. Residual: Follows an episode of active psychosis. Mild hallucinations or delusions, social withdrawal, negative symptoms
17
Q

Alogia

A

Poverty of speech, too few ideas expressed (reduction in amount of speech)

18
Q

Length of brief psychotic disorder

A

less than 1 month

19
Q

Echopraxia

A

Mimics behavior (PRActices behavior)

20
Q

Echolalia

A

Repeats words or phrases

21
Q

Concordance rate of Schizophrenia among mono-zygotic twins

22
Q

Most commonly abused substance in schizophrenics

23
Q

Downward drift hypothesis

A

People with schizophrenia are unable to function well in society and hence end up in lower socioeconomic groups

24
Q

Pathways affected in shizophrenia

A

prefrontal cortical: decreased activity-negavitve sx

Mesolimbic: increased activity-positive sx

25
Pathway blocked by antipsychotics that causes Parkinsonian like symptoms
Nigrostriatal
26
Acute onset...prognosis
Better
27
Mood symptoms...prognosis
Better
28
Primary actions of 1st generation antipsychotics
D2 antagonists
29
Second generation receptor interactions
5-HT2 | D4 > D2
30
Treatment for dystonia and Parkinsonism
Benztropine or diphenydramine | Anticholinergics
31
Treatment for akathisia
Beta blocker or benzodiazapene
32
Anticholinergic side effects
dry mouth constipation blurred vision hyperthermia
33
Metabolic syndrome: constellation of conditions? | Group of antipsychotis?
HTN Elevated blood sugar Excess body fat around waist Abnormal cholesterol levels 2nd generation antipsychotics Increase risk for CV disease, stroke, type 2 diabetes