3. Psychotic Disorders

Question 1

Nonbizarre delusion

Answer 1

false belief that is plausible but is not true

Question 2

Bizarre delusion

Answer 2

False belief that is impossible

Question 3

Ideas of reference

Answer 3

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

Question 4

Thought broadcasting

Answer 4

Belief that one’s thoughts can be heard by others

Question 5

Thought insertion

Answer 5

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

Question 6

Delusions of grandeur

Answer 6

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

Question 7

Somatic delusions

Answer 7

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

Question 8

Command hallucinations

Answer 8

Auditory hallucinations that directly tell the patient to perform certain acts

Question 9

Hallucination usually associated with epilepsy

Answer 9

Olfactory hallucination

Question 10

Tactile hallucination

Answer 10

Usually secondary to drug use or alcohol withdrawl

Question 11

Most common hallucination exhibited by schizophrenic patients

Answer 11

Auditory

Question 12

Vitamin deficiencies that can cause psychosis

Answer 12

B12
Folate
Niacin

Question 13

Misinterpretation of external stimulus

Answer 13

Illusion

Question 14

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

Answer 14

TSH
RPR
Brain imaging

Question 15

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

Answer 15

Positive symptoms

Question 16

Three phases of schizophrenia

Answer 16

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 Prodromal: Patient may become socially withdrawn, irritable, have declining work/school performance, newfound interest in religion etc.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

Question 17

Alogia

Answer 17

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

Question 18

Length of brief psychotic disorder

Answer 18

less than 1 month

Question 19

Echopraxia

Answer 19

Mimics behavior (PRActices behavior)

Question 20

Echolalia

Answer 20

Repeats words or phrases

Question 21

Concordance rate of Schizophrenia among mono-zygotic twins

Answer 21

50 %

Question 22

Most commonly abused substance in schizophrenics

Answer 22

Nicotine

Question 23

Downward drift hypothesis

Answer 23

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

Question 24

Pathways affected in shizophrenia

Answer 24

prefrontal cortical: decreased activity-negavitve sx

Mesolimbic: increased activity-positive sx

Question 25

Pathway blocked by antipsychotics that causes Parkinsonian like symptoms

Answer 25

Nigrostriatal

Question 26

Acute onset…prognosis

Answer 26

Better

Question 27

Mood symptoms…prognosis

Answer 27

Better

Question 28

Primary actions of 1st generation antipsychotics

Answer 28

D2 antagonists

Question 29

Second generation receptor interactions

Answer 29

5-HT2

D4 > D2

Question 30

Treatment for dystonia and Parkinsonism

Answer 30

Benztropine or diphenydramine

Anticholinergics

Question 31

Treatment for akathisia

Answer 31

Beta blocker or benzodiazapene

Question 32

Anticholinergic side effects

Answer 32

dry mouth
constipation
blurred vision
hyperthermia

Question 33

Metabolic syndrome: constellation of conditions?

Group of antipsychotis?

Answer 33

HTN
Elevated blood sugar
Excess body fat around waist
Abnormal cholesterol levels

2nd generation antipsychotics

Increase risk for CV disease, stroke, type 2 diabetes