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4C - Psychiatry > Assessment of schizophrenia > Flashcards

Assessment of schizophrenia Flashcards

1
Q

are men or women more likely to have schizophrenia?

A

M = F

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2
Q

when does schizophrenia normally start

A

late adolescence and early adulthood

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3
Q

what causes schizophernia

A

Increase in dopaminergic transmission in mesolimbic projection

OR

decrease in dopaminergic transmission in mesocortical projection

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4
Q

what are some risk factors for schizophrenia

A

Lower socioeconomic class
Migrant populations and ethnic minorities
Family history of schizophrenia
Urban populations
Obstetric complications
Neurological Abnormalities
1st year parental separation
substance misuse

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5
Q

what are some obstetric complications which increase risk of schizophrenia

A

Prenatal nutritional deprivation
Prenatal brain injury
Prenatal influenza

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6
Q

what are some symptoms of schizophrenia

A

Hallucinations
Disorganised Speech
Delusions
Disorganised behaviour
Diminished speech
Emotional Blunting
Diminished Motivation
Diminished Pleasure-seeking

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7
Q

what are the different types of catatonic symptoms

A

stupor
excitement
waxy flexibility (catalepsy)
stereotypy
mannerism
ambitendence
automatic obedience

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8
Q

what are the symptoms of schizophrenia according to ICD-11

A

a) Persistent delusions
b) Persistent hallucinations – most commonly auditory
c) Disorganised thinking (FTD)
d) Experiences of influence, passivity, or control
e) Negative symptoms such as affective flattening, alogia or paucity of speech, avolition, asociality, and anhedonia
f) Grossly disorganised behaviour that impedes goal-directed activity e.g., bizarre, purposeless, unpredictable, inappropriate emotional responses
g) Symptoms of catatonia

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9
Q

what is paranoid schizophrenia

A

mainly delusions and hallucinations

MOST common

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10
Q

what is hebephrenic (disorganised) schizophrenia

A

affective changes, disturbed behaviour, FTD, mannerisms, social isolation

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11
Q

what type of schizophrenia is most common

A

paranoid

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12
Q

which type of schizophrenia is most common in people ages 15-25

A

hebephrenic/disorganised

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13
Q

what is residual schizophrenia

A

chrnoic stage
from positive to negative symptoms

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14
Q

how do you treat catatonic schizophrenia

A

Antipsychotics, benzodiazepines, ECT

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15
Q

what is simple schizophrenia

A

Insidious, progressive development of oddities of conduct, inability to meet the demands of society and decline in total performance.

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16
Q

what is post-schizophrenic depression

A

Depressive episode arising in the aftermath of a schizophrenic illness

17
Q

what is the main risk to consider in post-schizophrenic depression

A

suicide

18
Q

what is undifferentiated schizophrenia

A

Meets general diagnostic criteria but does not conform to any subtype, or features of >1 subtype without a clear predominance

19
Q

what is the most effective schizophrenic drug

A

clozapine

20
Q

what is schizophrenia affective disorder

A

Meet all diagnostic requirements for schizophrenia AND a mood disorder

21
Q

how do you management a depressive episode in schizoaffective disorder

A

SSRI

22
Q

how do you management a manic episode in schizoaffective disorder

A

mood stabilizer
lithium, sodium valproate

23
Q

A 30 year old with schizophrenia would like some talking therapy. Which psychological therapy does NICE recommend for all patients?

A

CBT

24
Q

A pregnant woman with schizophrenia asks how likely her child is to develop the condition. Her partner does not have a mental illness.

A

13%

25
Q

A 17 year old boy has not been able to attend school for 4 months, has lost contact with friends, and is difficult to understand because his sentences don’t make sense. Sometimes he laughs or grimaces for no discernible reason. What subtype of schizophrenia does he have?

A

Hebephrenic

26
Q

Affective flattening is characterised by which of the following? - Expressionless and unresponsive facial appearance, lack of eye contact, monotonous voice, all of the above

A

all of them

4C - Psychiatry (15 decks)

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