Clinical Approach to Psychotic Disorders (Hill) Flashcards

1
Q

Schizophrenia presents earlier in which sex?

A

Men

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2
Q

What is the peak time of onset for schizophrenia?

A

Late adolescence and early adulthood

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3
Q

Use of what increases the risk of schizophrenia 6X?

A

Cannabis

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4
Q

With schizophrenia, which type of symptoms have a better prognosis?

A

Positive symptoms have better prognosis than negative symptoms

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5
Q

What are the positive symptoms of schizophrenia?

A

1) Delusions
2) Hallucinations
3) Catatonia
4) Agitation

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6
Q

When do the positive symptoms of schizophrenia typically present?

A

Active phase

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7
Q

What feature of schizophrenia is characterized by when connections among patient’s ideas are absent or obscure and listeners may feel as if understanding of the patient’s thoughts had been suddenly lost?

A

Loosening of Associations

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8
Q

What feature of schizophrenia is characterized by internal interruption in patient’s speech/thoughts?

A

Thought Blocking

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9
Q

Besides Loosening of Associations and Thought Blocking, what other form of though feature is seen with schizophrenia?

A

Poverty of Content and Speech

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10
Q

What are the negative symptoms of schizophrenia?

A

1) Affective Flattening
2) Apathy
3 Social Withdrawal
4) Anhedonia
5) Poverty of Thought
6) Content of Speech

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11
Q

When do the negative symptoms of schizophrenia typically present?

A

Residual Phase

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12
Q

How long must symptoms be present for in order to diagnose schizophrenia?

A

6 months

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13
Q

Schizophrenia has higher rates in patients born in what months?

A

Winter and early spring

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14
Q

The current hypothesis linked to schizophrenia states that what NTs are increased?

Which are decreased?

A

1) Dopamine, serotonin, NE

2) GABA

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15
Q

In the current research for diagnosis of schizophrenia, what does eye-tracking reveal?

A

Delayed saccadic eye movements

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16
Q

What is the single leading cause of death with schizophrenia?

A

Suicide

17
Q

At least two of the following below describes which type of Schizophrenia?

1) Motoric immobility as evidenced by catalepsy or stupor
2) Excessive motor activity (apparently purposeless and not influenced by external stimuli).
3) Extreme negativism or mutism.
4) Peculiarities of voluntary movement such as posturing, stereotyped movements, prominent mannerisms or prominent grimacing.
5) Echolalia or echopraxia

A

Catatonic Type

18
Q

Haloperidol and fluphenazine are used in the treatment of schizophrenia for?

A

Acute psychosis (They’re FGA)

19
Q

New atypical antipsychotics are used in the treatment of schizophrenia during what phase?

A

Stabilization Phase

20
Q

Keeping patients free from symptoms while avoiding incapacitating side effects is the goal of what phase?

A

Maintenance Phase

21
Q

What is Schizoaffective Disorder?

A

Combination of schizophrenia symptoms and mood disorder symptoms, such as depression or mania

22
Q

Presence of at least one or more of the following below and the duration of an episode of the disturbance is at least 1 day and no more than 1 month, with eventual return to premorbid level of functioning is characteristic of?

  1. Delusions
  2. Hallucinations
  3. Disorganized Speech
  4. Grossly Disorganized or Catatonic Behavior
A

Brief Psychotic Disorder

23
Q

What disorder meets criteria A, D, and E for schizophrenia but the episode lasts at least 1 month but less than 6 months?

A

Schizophreniform

24
Q

What is characterized by never meeting criterion A for schizophrenia and apart from the impact of the delusion, functioning is not impaired and behavior is not odd or bizarre?

How long must the delusions last for?

A

1) Delusional Disorder

2) At least one month

25
Q

Schizophrenia must last for?

Schizophreniform must last for?

Brief psychotic disorder must last for?

A

1) 6 months or more
2) 1-6 months
3) Less than a month

26
Q

A person that is very introverted and voluntarily withdraws form social interactions is characteristic of?

A

Schizoid

27
Q

Schizoid symptoms along with magical thinking and odd behavior is characteristic of?

A

Schizotypal

28
Q

Schizotypal along with psychosis is characteristic of?

A

Schizophrenia

29
Q

Schizophrenia along with mood disorders is characteristic of?

A

Schizoaffective