Chapter 22 -Schizophrenia

Question 1

Grandiose delusions

Answer 1

the belief that one has exceptional powers, wealth, skill, influence, or destiny

Question 2

Nihilistic delusions

Answer 2

the belief that one is dead or a calamity is impending

Question 3

Persecutory delusions

Answer 3

the belief that one is being watched, ridiculed, harmed, or plotted against

Question 4

Somatic delusions

Answer 4

beliefs about abnormalities in bodily functions or structures

Question 5

diminished emotional expression

Answer 5

restriction or flattening in the range and intensity of emotion

Question 6

alogia

Answer 6

reduced fluency and productivity of thought and speech

Question 7

avolition

Answer 7

withdrawal and inability to initiate and persist in goal-directed activity

Question 8

anhedonia

Answer 8

inability to experience pleasure

Question 9

Negative Symptoms

Answer 9

anhedonia
avolition
alogia
diminished emotional expression

Question 10

Positive symptoms

Answer 10

Hallucinations

Delusions

Question 11

Echolalia

Answer 11

repetition of another’s words that is parrot-like and inappropriate

Question 12

Circumstantiality

Answer 12

extremely detailed and lengthy discourse about a topic

Topic goes around and around in a circle

Question 13

Loose associations

Answer 13

absence of the normal connectedness of thoughts, ideas, and topics; sudden shifts without apparent relationship to preceding topics

Question 14

Tangentiality

Answer 14

the topic of conversation is changed to an entirely different topic that is a logical progression but causes a permanent detour from the original focus

Question 15

Flight of Ideas

Answer 15

the topic of conversation changes repeatedly and rapidly, generally after just one sentence or phrase

Question 16

Word Salad

Answer 16

stringing together words that are not connected in any way

Question 17

Neologism

Answer 17

words that are made up that have no common meaning and are not recognizable

Question 18

Paranoia

Answer 18

suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity

Question 19

Referential thinking

Answer 19

a belief that neutral stimuli have special meaning to the individual, such as a television commentator who is speaking directly to the individual

Question 20

Autistic thinking

Answer 20

restricts thinking to the literal and immediate so that the individual has private rules of logic and reasoning that make no sense to anyone else

Question 21

Concrete Thinking

Answer 21

lack of abstraction in thinking; inability to understand punch lines, metaphors, and analogies

Question 22

Verbigeration

Answer 22

purposeless repetition of words or phrases

Question 23

Metonymic Speech

Answer 23

use of words with similar meanings interchangeably

Question 24

Clang Association

Answer 24

repetition of words or phrases that are similar in sound but in no other way, for example, “right, light, sight, might”

Question 25

Stilted Language

Answer 25

overly and inappropriately artificial formal language

Question 26

Pressured Speech

Answer 26

speaking as if the words are being forced out, often rapidly

Question 27

Aggression

Answer 27

behaviors or attitudes that reflect rage, hostility, and the potential for physical or verbal destructiveness (usually comes about if the person believes someone is going to do him or her harm

Question 28

Agitation

Answer 28

inability to sit still or attend to others, accompanied by heightened emotions and tension

Question 29

Catatonia

Answer 29

psychomotor disturbances such as stupor, mutism, posturing, or repetitive behavior

Question 30

Catatonic excitement

Answer 30

a hyperactivity characterized by purposeless activity and abnormal movements, such as grimacing and posturing

Question 31

Echopraxia

Answer 31

involuntary imitation of another person’s movements and gestures

Question 32

Regressed behavior

Answer 32

behaving in a manner of a less mature life stage; childlike and immature behavior

Question 33

Stereotypy

Answer 33

repetitive purposeless movements that are idiosyncratic to the individual and to some degree outside of the individual’s control

Question 34

Hypervigilance

Answer 34

sustained attention to external stimuli as if expecting something important or frightening to happen

Question 35

Waxy Flexibility

Answer 35

posture held in an odd or unusual fixed position for extended periods of time

Question 36

What neurotransmitter is mostly responsible for the positive symptoms of schizo?

Answer 36

Dopamine

Question 37

Pseudoparkinsonism

Answer 37

Resting tremor, rigidity, bradykinesia or akinesia, masklike face, shuffling gait, decreased arm swing

Question 38

Acute dystonia

Answer 38

Intermittent or fixed abnormal postures of the eyes, face, tongue, neck, trunk, and limbs

Question 39

Akathisia

Answer 39

pacing, rocking, shifting from foot to foot; subjective sense of not being able to sit or be still

Question 40

Tardive dyskinesia

Answer 40

Abnormal dyskinetic movements of the face, mouth, and jaw; choreoathetoid movements of the legs, arms, and trunk

Question 41

Acute motor abnormalities

Answer 41

Pseudoparkinsonism Acute dystonia Akathisia

Question 42

Late-Appearing Motor abnormalities

Answer 42

Tardive dyskinesia

Question 43

Schizophrenia is treated with what kind of meds

Answer 43

1st gen antipsychotics 2nd gen antipsychotics Anticholinergics

Question 44

AIMS scale assesses

Answer 44

Abnormal movements

Question 45

SAPS scale assesses

Answer 45

Positive symptoms

Question 46

First Generation Antipsychotics | most meds end in “zine”

Answer 46

Chlorpromazine (Thorazine) Thoridazine (Mellaril) Trifluoperazine (Stelazine) Haloperidol (Haldol)

Question 47

First Generation Antipsychotics Symptoms

Answer 47

EPS, weight gain, Sexual dysfunction, urinary retention, and dry mouth

Question 48

Anticholinergics treat what symptoms specifically?

Answer 48

EPS

Question 49

Second Generation Antipsychotics

Answer 49

“pines”, “dones”, 2 “pips”, and 1 “rip”

Question 50

What medications are the first line meds for schizophrenia

Answer 50

Second generation antipsychotics | “pines”, “dones”, 2 “pips”, and 1 “rip”

Question 51

Clozapine severe adverse effect

Answer 51

Agrandulocytosis

Question 52

Second Gen Antipsychotic SE

Answer 52

``` Sedation Orthostatic hypotension Weight gain DM Cardiac arrhythmia ```

Question 53

Ziprasidone & Haloperidol monitor ___

Answer 53

ECG for prolonged QT interval

Question 54

Which 2nd gen antipsychotic causes breast enlargement/increased prolactin levels

Answer 54

Risperidone

Question 55

Complication of first gen antipsychotics

Answer 55

Neuroleptics Malignant hyperthermia

Question 56

Complication of second gen antipsychotic

Answer 56

Metabolic syndrome

Question 57

Symptoms of metabolic syndrome

Answer 57

weight gain, dyslipidemia, and altered glucose metabolism due to increased insulin resistance

Question 58

Tx for anticholinergic crisis

Answer 58

Discontinuation of meds Physostigmine Gastric lavage, charcoal, catharsis for intentional overdoses