E3 Schizophrenia Flashcards

Exam 3

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1
Q

What personality type usually links to schizophrenia?

A

Schizotypal

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2
Q

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

A

Delusional Disorder

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3
Q

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

A

Schizophreniform; between 1-6 months

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4
Q

What is a combination of mood disorder episode and schizophrenia?

A

Schizoaffective

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5
Q

Are all schizophrenics violent?

A

Mostly not, but more violent then the general population

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6
Q

Do schizophrenics have split or multiple personalities?

A

No, Not DID

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7
Q

What type of disturbances is schizophrenia?

A

Heterogenous

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8
Q

What does heterogenous disturbances mean?

A

There is very differing symptoms

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9
Q

What are the four symptoms of schizophrenia?

A
  1. Positive symptoms
  2. Disorganized speech
  3. Disorganized/catatonic behavior
  4. Negative symptoms
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10
Q

What symptoms are when something is added?

A

Positive Symptoms

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11
Q

What symptoms are when something is removed?

A

Negative Symptoms

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12
Q

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

A
  1. Hallucinations
  2. Delusions
  3. Disorganized speech
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13
Q

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

A

Delusions

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14
Q

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

A

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

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15
Q

A clinical delusion cannot be

A

Swayed

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16
Q

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

A

Delusions of Grandeur

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17
Q

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

A

Delusions of Persecution

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18
Q

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

A

Delusions of Reference

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19
Q

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

A

Hallucinations

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20
Q

What is the most common hallucination in schizophrenia ?

A

Auditory

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21
Q

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

A

Negative (removal)

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22
Q

What is an inability to initiate and persist in activities?

A

Avolition (or apathy)

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23
Q

What is a poverty of speech?

A

Alogia

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24
Q

What is very little expressed emotion?

A

Affective flattening

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25
Q

What is a lack of pleasure or indifference to activities ?

A

Anhedonia

26
Q

What is a limited interest in social activities?

A

Asocial

27
Q

Are disorganized symptoms in just speech?

A

No also behaviors

28
Q

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

A

Tangentiality

29
Q

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

A

Loose associations

30
Q

Do schizophrenics exhibit normal behavior?

A

No; pigeon collection or CVS masturbation

31
Q

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

A

Catatonia

32
Q

What is innapropriate affect?

A

Wrong situational emotion; laughing at a funeral

33
Q

What is the lifelong population presence of schizophrenia?

A

1%

34
Q

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

A

Childhood and adolescence; Attentional and social problem

35
Q

What is prodromal? What are the associated behaviors?

A

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

36
Q

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

A

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

37
Q

Do schizo patients relapse?

A

Yes

38
Q

Is there a genetic influence in schizo?

A

Yes

39
Q

What are mechanisms that contribute to underlying problems causing symptoms

A

Endophenotypes

40
Q

What is different about eye movement in schizo patients?

A

They do not have eye movements; SACCADICEGE eye movements

41
Q

Is meth a dopamine agonist or antagonist?

A

Agonist

42
Q

Do agonists increase or decrease dopamine?

A

Increase (they mimic)

43
Q

What dopamine agonist is used to treat parkinsons?

A

L-Dopa

44
Q

Are neuroleptics agonists or antagonists?

A

Antagonist

45
Q

Parkinsons is a lack/oversuffiency of dopamine?

A

Lack

46
Q

Neuroleptics notoriously do not help to cure what symptoms

A

Negatives

47
Q

What is the timing issue of neuroleptics?

A

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

48
Q

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

A
  1. Enlarged ventricle
  2. Hypofrontality (less active frontal cortex)
49
Q

A less active frontal cortex causes problems in

A

working memory and attention

50
Q

What are the 3 environmental influences of schizo?

A
  1. Perinatal/prenatal birth comp.
  2. Marijuana
  3. City Life
51
Q

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

A

Neuroleptics; 60-70%

52
Q

What are the side effects of neuroleptics?

A

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

53
Q

What did Gottesman (1991) conclude about schizophrenia?

A

Schizophrenia risk increases as genetic linkage increases

54
Q

What is the most involved NT in having schizophrenia?

A

Dopamine

55
Q

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

A

Schizophrenogenic mother

56
Q

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

A

3.7X; More

57
Q

More serious side effects of neuroleptics are called

A

extrapyramidal

58
Q

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

A

Tardive dyskinesia

59
Q

True or False: Schizo patients take their medicine on time

A

False; very untrusting

60
Q

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

A

Noncompliance of medicine

61
Q

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

A

Psychosocial influences (CBT, family therapy, etc.)