E3 Schizophrenia

Question 1

What personality type usually links to schizophrenia?

Answer 1

Schizotypal

Question 2

What disorder has delusions of 1 month or longer w/o sig impairment?

Answer 2

Delusional Disorder

Question 3

What is identical to schizophrenia but has a reduced duration (impairment might not be present)? How long?

Answer 3

Schizophreniform; between 1-6 months

Question 4

What is a combination of mood disorder episode and schizophrenia?

Answer 4

Schizoaffective

Question 5

Are all schizophrenics violent?

Answer 5

Mostly not, but more violent then the general population

Question 6

Do schizophrenics have split or multiple personalities?

Answer 6

No, Not DID

Question 7

What type of disturbances is schizophrenia?

Answer 7

Heterogenous

Question 8

What does heterogenous disturbances mean?

Answer 8

There is very differing symptoms

Question 9

What are the four symptoms of schizophrenia?

Answer 9

1. Positive symptoms
2. Disorganized speech
3. Disorganized/catatonic behavior
4. Negative symptoms

Question 10

What symptoms are when something is added?

Answer 10

Positive Symptoms

Question 11

What symptoms are when something is removed?

Answer 11

Negative Symptoms

Question 12

What are the 3 required symptoms? (atleast 1 required)

Answer 12

1. Hallucinations
2. Delusions
3. Disorganized speech

Question 13

What is a symptom that is a fixed belief not amenable to change that is about a misrepresentation of reality?

Answer 13

Delusions

Question 14

What is the difference between a bizarre and a non-bizarre delusion?

Answer 14

Bizarre is impossible and does not come from real-life experience, while non-bizarre “could” happen

Question 15

A clinical delusion cannot be

Answer 15

Swayed

Question 16

What are delusions of being a famous person or messiah? (Exaggeration of self-importance)

Answer 16

Delusions of Grandeur

Question 17

What are beliefs that one is going to be conspired against, cheated, or harmed?

Answer 17

Delusions of Persecution

Question 18

What is a belief that events have personal meaning? (I was meant to see this)

Answer 18

Delusions of Reference

Question 19

What are perception like experiences that occur w/o an external stimulus ?

Answer 19

Hallucinations

Question 20

What is the most common hallucination in schizophrenia ?

Answer 20

Auditory

Question 21

Positive or negative: An absence or insufficiency of normal behavior?

Answer 21

Negative (removal)

Question 22

What is an inability to initiate and persist in activities?

Answer 22

Avolition (or apathy)

Question 23

What is a poverty of speech?

Answer 23

Alogia

Question 24

What is very little expressed emotion?

Answer 24

Affective flattening

Question 25

What is a lack of pleasure or indifference to activities ?

Answer 25

Anhedonia

Question 26

What is a limited interest in social activities?

Answer 26

Asocial

Question 27

Are disorganized symptoms in just speech?

Answer 27

No also behaviors

Question 28

What is a disorganized speech disorder that is irrelevant or barely relevant responses?

Answer 28

Tangentiality

Question 29

What is a disorganized speech disorder that has conversation taken in unrelated directions, ABRUPTLY CHANGING DIRECTION

Answer 29

Loose associations

Question 30

Do schizophrenics exhibit normal behavior?

Answer 30

No; pigeon collection or CVS masturbation

Question 31

What is a motor dysfunction that ranges from wild agitation to complete immobility?

Answer 31

Catatonia

Question 32

What is innapropriate affect?

Answer 32

Wrong situational emotion; laughing at a funeral

Question 33

What is the lifelong population presence of schizophrenia?

Answer 33

1%

Question 34

Premorbid is what stage of life? What are developmental issues of schizo in premorbid?

Answer 34

Childhood and adolescence; Attentional and social problem

Question 35

What is prodromal? What are the associated behaviors?

Answer 35

1-2 years before diagnosis; Psychotic like behavior and anhedonia

Question 36

What is the peak onset of schizo in men? Female?

Answer 36

Males: mid-20s Female: Late-20s

Question 37

Do schizo patients relapse?

Answer 37

Yes

Question 38

Is there a genetic influence in schizo?

Answer 38

Yes

Question 39

What are mechanisms that contribute to underlying problems causing symptoms

Answer 39

Endophenotypes

Question 40

What is different about eye movement in schizo patients?

Answer 40

They do not have eye movements; SACCADICEGE eye movements

Question 41

Is meth a dopamine agonist or antagonist?

Answer 41

Agonist

Question 42

Do agonists increase or decrease dopamine?

Answer 42

Increase (they mimic)

Question 43

What dopamine agonist is used to treat parkinsons?

Answer 43

L-Dopa

Question 44

Are neuroleptics agonists or antagonists?

Answer 44

Antagonist

Question 45

Parkinsons is a lack/oversuffiency of dopamine?

Answer 45

Lack

Question 46

Neuroleptics notoriously do not help to cure what symptoms

Answer 46

Negatives

Question 47

What is the timing issue of neuroleptics?

Answer 47

Dopamine blocks quickly, but it can take weeks to do better

Question 48

Schizo patients tend to have what 2 changed to brain structure?

Answer 48

1. Enlarged ventricle 2. Hypofrontality (less active frontal cortex)

Question 49

A less active frontal cortex causes problems in

Answer 49

working memory and attention

Question 50

What are the 3 environmental influences of schizo?

Answer 50

1. Perinatal/prenatal birth comp. 2. Marijuana 3. City Life

Question 51

What is the #1 treatment of schizophrenia? what percentage is helped?

Answer 51

Neuroleptics; 60-70%

Question 52

What are the side effects of neuroleptics?

Answer 52

Grogginess, blurred vision, cottonmouth, weight gain, MOTOR DIFFICULTIES RELATED TO PARKINSONS

Question 53

What did Gottesman (1991) conclude about schizophrenia?

Answer 53

Schizophrenia risk increases as genetic linkage increases

Question 54

What is the most involved NT in having schizophrenia?

Answer 54

Dopamine

Question 55

According to an obsolete, unsupported theory, a cold, dominating, and rejecting parent who was thought to cause schizophrenia in her offspring

Answer 55

Schizophrenogenic mother

Question 56

If an individual has schizophrenia and lives in a family with high expressed emotion, they are ? times (less/more) likely to relapse than if they lived in a family with low expressed emotion

Answer 56

3.7X; More

Question 57

More serious side effects of neuroleptics are called

Answer 57

extrapyramidal

Question 58

What is involuntary movements of the tongue, face, mouth, or jaw and can include protrusions of the tongue, puffing of the cheeks, puckering of the mouth, and chewing movements EXTRAPYRIMIDAL

Answer 58

Tardive dyskinesia

Question 59

True or False: Schizo patients take their medicine on time

Answer 59

False; very untrusting

Question 60

Doctor-patient relationships, cost of medicine, stigma are all a part of

Answer 60

Noncompliance of medicine

Question 61

What treatment is a helpful addition to drugs in treating schizo?

Answer 61

Psychosocial influences (CBT, family therapy, etc.)