Diagnoses

Question 1

Time requirement for

(a) scz
(b) brief psychotic d/o
(c) schizophreniform
(d) schizoaffective
(e) delusional d/o

Answer 1

Time requirement

(a) scz: 6+ mo of symptoms
(b) brief psychotic d/o: 1+ day but

Question 2

Percent of scz pts that
(a) attempt suicide
(b) complete suicide
(c) M:F
Scz genetic component
(d) monozygotic twins
(e) first degree relatives

Answer 2

Scz 
(a) 50% attempt suicide
(b) 15% complete suicide
(c) M = F 
Genetics
(d) 50% incidence btwn monozygotic twins
(e) 10% incidence btwn first degree relatives

Question 3

Neurotransmitter etiology of scz

(a) DA
(b) 5HT
(c) NE

Answer 3

Scz etiology

(a) Increased DA in limbic system => positive symptoms
(b) Increased 5HT in prefrontal cortex => negative symptoms
(c) Decreased NE => anhedonia

Question 4

Brain image findings of scz

Answer 4

• *Ventricular enlargement
• cortical atrophy
• hypoactivity of frontal lobes on PET scan

Question 5

Prognosis of pts w/ schizophreniform

Answer 5

• 1/3 recover

- 2/3 progress to schizophrenia

Question 6

Tx for

(a) delusional d/o
(b) schizophreniform
(c) schizoaffective

Answer 6

Tx

(a) delusional d/o- low dose antipsychotic
(b) schizophreniform- 3-6 mo. antipsychotics + supportive psychotherapy
(c) schizoaffective- concurrent antipsychotics + antidepressants

Question 7

What is pseudocyesis

Answer 7

Physiologic signs and symptoms of pregnancy in absence of pregnancy
-cultural psychosis/common delusion

Question 8

What is folie-a-deux?

Answer 8

Literally means “a madness shared by 2”

-when delusions/hallucinations are transmitted from one to another