Esquizofrenia

Question 1

A 45-year-old man with classic features of schizophrenia has always experienced co-ocurring symptoms of depression - including feeling “down in the dumps”, having a poor appetite, feeling hopeless, and suffering from insomnia - during his episodes of active psychosis. These depressive symptoms ocurred only during his psychotic episodes and only during the 2-year period when the patient was experiencing active symptoms of shizophrenia. After his psychotic episodes were present, the patient has never met full criteria for major depressive disorder at any time. What is the appropriate DSM-5 diagnosis?

Answer 1

Schizophrenia

Question 2

Schizophrenia spectrum and other psychotic disorders are defined by abnormalities in one or more of five domains, four of which are also considered psychotic symptoms. Which is not considered a psychotic symptom?

Answer 2

Avolition

Question 3

A 19 year-old college student is brought by ambulance to the emergency department. His college dorm supervisor, who called the ambulance, reports that the student was isolating himself, was pacing in his room and was not responding to questions. In the emergency department, the patient gets down in a crouching position and begins making barking noises at seemingly random times. His urine toxicology report is negativa, and all labs are within normal limits. What is the best description of these symptoms?

Answer 3

Catatonic behaivor

Question 4

A 30 year-old single woman reports having experienced auditory and persecutory delusions for 2 months, followed by a full major depressive episode with sad mood, anhedonia, and suicidal idetions lasting 3 months. Although the depressive episode resolves with pharmacotherapy and psycotherapy, the psychotic symptoms persist for another month before resolving. What diagnosis best fits this clinical picture?

Answer 4

Schizoaffective disorder

Question 5

There is a requirement for a mjor depressive episode or a maniac episode to be part of the symptom for a DSM-5 diagnosis of schizoaffective disorder. In order to separate schizoaffectivve disorder from depressive or bipolar disorder with psychotic features, which of the following symptoms must be present for at least 2 weeks in the absence of a major mood episode at some point during the lifetime duration of the ilness

Answer 5

Delusions or hallucinatios

Question 6

In which of the folloing disorders can psychotic symptoms occur

Answer 6

Bipolar and depressive desorders, susbstance use disorder, posttraumatic stress disorder, other medical conditios