Clinical Psychotic Disorders Dr. Hill

Question 1

positive sx and what phase

Answer 1

delusions, hallucinations, disorganized behavior, catatonia (super hyper they get locked up), agitation
= ACTIVE PHASE

Question 2

negative sx are what and present in what stage

Answer 2

catatonia, depression, flat face, social withdraw, anhedonia, apathy
= RESIDUAL phase

Question 3

delirium vs dementias

Answer 3

delirium = acute
dementias = longterm, irreversible

Question 4

disease that expoed during prenatal times that can cause schitzophrienia

Answer 4

Influenza virus

Question 5

brain parts affected in schitzophrenia

Answer 5

reduced brain V( enlarged 3rd and lateral ventricles)

Reduced limbic system (hippocampus, amygdala), Reduced Thalamus, reduced PFC (causing eventual dementia)

Question 6

positive sx are associated with what NT

Answer 6

D2 receptors overactivity
GABA low activity
low glutamate

Question 7

DX schizophrenia how

Answer 7

at least 1 of (Delusions, hallucinations, disorganized speech) and can include grossly disorganized catatonic, negative sx
= need 2 sx or more for 6mo

Question 8

violent pt give what in ER

Answer 8

Lorazepam or Haloperidol IM

Question 9

schizophrenia leading cause of death and how to reduce this

Answer 9

suicide (20-50%)

= clozapine can reduce this

Question 10

catatonia sx and tx

Answer 10

excessive motor activity ( can stand in one place for very long time not eating or moving)
repeat what you say
involuntary movements
excessive negativism 
= TX with benzodiazepines

Question 11

antipsychotics do what

Answer 11

block DA receptors

Question 12

TX :

1. acute phase
2. stabilized phase
3. maintenance phase

Answer 12

1. haloperidol, fluphenazine,(FGA) + lorazepam
2. SGA
3. long acting injections (ROAP)

Question 13

neuroleptic malignant syndrome

Answer 13

FGA can cause this : fever, muscle rigidity, ANS instability, delirium

Question 14

Clozapine can cause what side effect

Answer 14

WG

Agranulocytsis

Question 15

Ziprasidone can cause what side effect

Answer 15

LONG QT

Question 16

schizoaffective disorder

Answer 16

depression and then bipolar switching off with schizophrenia sx all along (for at lease 2 weeks for each type)

Question 17

Brief psychotic disorder

Answer 17

1 day to 1 month

= delusions, hallucinations, disorganized speech, or catatonic

Question 18

schizophreniform

Answer 18

1 month to 6months

= no flat face, still function and social

Question 19

delusional disorder

Answer 19

at least 1 month, still function normally
= have realistic beliefs that something is happening, not true however nonbizarre
= being followed or poisoned
= being loved by some stranger

Question 20

schizoid sx

Answer 20

introverted avoid social interactions

Question 21

schizotypal sx

Answer 21

schizoid + magical thinking and odd behavior

Question 22

Schizophrenia

Answer 22

schizotypal (magical + schizoid) and psychosis

Question 23

Schizoaffective sx

Answer 23

schizophrenia (avoid social + magical thinking + psychosis) And MOOD Disorder

Question 24

loosening of associations and thought blocking means

Answer 24

1. ideas are not connected, not able to understand pt

2. internal interruptions that can take a while before they continue talking