Clinical- Psychotic Disorders I Flashcards

1
Q

What are Persistently held beliefs held despite evidence or agreement to the contrary?

A

delusions

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2
Q

What type of delusion?

I’m God, Jesus, I have cured cancer

A

grandiose delusions

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3
Q

What type of delusion:

Special meaning to things in the environment (neutral event or thing)

A

ideas of reference

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4
Q

What type of delusion?

Belief that one’s body fxns are abnormal

pseudocyesis= think you are pregnant when you are not

A

somatic delusion

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5
Q

What type of delusion?

Other people can hear my thoughts

A

though broadcasting

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6
Q

What are the 3 key features of schizophrenia?

A

delusions

hallucinations

thought disorganization

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7
Q

What is perception of a nonexistent object or event?

A

hallucination

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8
Q

What is the most common type of hallucination in Schizophrenia?

A

auditory hallucination

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9
Q

Visual hallucinations occur with schizophrenia but most often with .

A

toxidrome

toxicity usually from drugs

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10
Q

Tactile hallucinations can occur with Schizophrenia and is also common in which 2 condtions?

A

alcohol withdrawal and stimulant-induced psychosis.

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11
Q

Olfactory hallucinations can occur from aura of temporal lobe or brain

A

epilepsy; tumor

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12
Q

Gustatory hallucinations – rare but can occur with or CNS lesion

A

epilepsy

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13
Q

–Vivid dreamlike hallucinations occur at transition from wakefulness to sleep – normal variant – up to 30% of people, also common in Narcolepsy

A

Hypnagogic / hypnopompic

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14
Q

Which key feature of Schizophrenia is hard to fake?

A

thought disorganization

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15
Q

What type of thought disorganization is being described:

excess details around stuff

A

circumstantiality

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16
Q

What type of thought disorganization is being described:

go off on tangents

doesn’t reach the essential point

A

tangentiality

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17
Q

What type of thought disorganization is being described:

nonsensical transitions between thoughts

A

loose associations / derailment

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18
Q

What type of thought disorganization is being described:

made up words that make sense to the person speaking

A

neoligisms

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19
Q

What type of thought disorganization is being described:

pt. blanks out for a minute

A

thought blocking

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20
Q

What type of thought disorganization is being described:

rhyming words in discussion, grouping of words (usually rhyming)

A

clang associations

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21
Q

What are the primary psychotic disorders (6)?

A
  • Schizophrenia (most prevalent)
  • Schizoaffective Disorder
  • Schizophreniform Disorder
  • Delusional Disorder
  • Brief Psychotic Disorder
  • Other Schizophrenia Spectrum Disorders
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22
Q

What is the most prevalent primary psychotic disorder?

A

Schizophrenia

23
Q

What is a combo of schizophrenia and a mood disorder (depression or bipolar)?

A

schizoafffective disorder

24
Q

Schizophrenia that lasts more than a month and less than 6 months?

A

schizophreniform

25
Q

What is schizophrenia that lasts less than a month?

A

brief psychotic disorder

26
Q

• Mood Disorders with Psychotic Features • Substance-induced Psychotic Disorders • Dementia-related psychoses • Other Neurological D/O (e.g. stroke, TBI, multiple sclerosis, brain tumor) • Psychotic Disorder due to other medical conditions (e.g. thyrotoxicosis or other endocrine, systemic lupus erythematosus or other autoimmune) • Trauma-related Disorders • Some Personality Disorders (Borderline, Cluster A)

are considered what type of psychotic disorder?

A

secondary psychotic disorders

27
Q

Substance-induced Psychotic Disorders is most commonly caused by which type of drug?

A

stimulants

28
Q

in criterion A of Schizophrenia in the DSM, what must be included in order to be diagnosed with the disease?

A

A. Two (or more) of the following five (At least one from 1-3)

  1. Delusions 2. Hallucinations 3. Disorganized Speech
  2. Grossly disorganized or catatonic behavior
  3. Negative symptoms (i.e. diminished emotional expression or avolition)
29
Q

What are the 5 criteria in DSM-5 Criterion A for schizophrenia?

A
  1. Delusions
  2. Hallucinations
  3. Disorganized Speech
  4. Grossly disorganized or catatonic behavior
  5. Negative symptoms (i.e. diminished emotional expression or avolition)
30
Q

List some other criteria that are considered for a diagnosis for schizophrenia other than

  1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic behavior 5. Negative symptoms (i.e. diminished emotional expression or avolition)
A
31
Q

What type of behavior is marked decrease in reactivity to environment

A

catatonic behavior

32
Q

– opposition or no response to instructions or internal stimuli

A

negativism

33
Q

No, or very little, verbal response

A

mutism

34
Q

– No psychomotor activity; not relating to environment, near unconciousness

A

stupor

35
Q

– Maintaining a rigid, inappropriate, or bizarre posture

A

posturing

36
Q

– repeated non-goal directed movements

A

stereotypy

37
Q

– mimicking another’s speech

A

echolalia

38
Q

– mimicking another’s movements

A

echopraxia

39
Q

Catatonic excitement = excessive, motor activity

A

purposeless

40
Q

What is a decreased level of facial expression and decreased spontaneous movements?

A

affective flattening

41
Q

As concerning schizophrenia:

impaired grooming and physical anergia

A

avolition

42
Q

As concerning negative symptoms of schizophrenia:

poverty of speech and content

A

alogia

43
Q

As concerning negative symptoms of schizophrenia:

Few interests: 95% • Few relationships: 96% • Impaired intimacy: 84%

A

anhendonia and social withdrawal

44
Q

Positive/negative symptoms: characterized by the presence or exaggeration of behaviors

A

positive

45
Q

Positive/negative symptoms: characterized by the absence or insufficiency of normal behaviors

A

negative

46
Q

Alogia = poverty of

avolition = loss of

anhedonia= lack of

A

speech

motivation

pleasure

47
Q

Describe the • Two-hit hypothesis of schizophrenia:

A

both due to genetics and enviromment

48
Q

Environment:

  • Obstetric Complications or in utero insults
  • Child abuse / Head injury
  • Cannabis or Methamphetamine Use

are all considered possible causes of along with genetics

A

Schizophrenia

49
Q

Schizophrenia is ranked among top illnesses contributing to global burden of disease

A

ten

50
Q

What is the typical age of onset for both men and women for schizophrenia?

A

18-25 for men, 25-30 for women

51
Q

Those diagnosed with schizophrenia do/do not have higher rates of substance abuse and co-morbid medical conditions

A

do

52
Q

Good/Poor prognosis?

A

good prognosis

53
Q

Good/poor prognosis?

A

poor prognosis

54
Q
A