extra stuff

Question 1

which specific hallucinations suggest a diagnosis of schizofrenia?

Answer 1

• 3rd party auditory schizofrenia

- Voices echoing patients thought

Question 2

positive symptoms?

Answer 2

delusions

hallucinations

Question 3

Schneider’s first rank symptoms include?

ABCD

Answer 3

A - Auditory Hallucinations.
B - Broadcasting of Thought.
C - Controlled Thought (delusions of control).
D - Delusional Perception.

Question 4

other symptoms in schizophrenic psychosis?

Answer 4

Perplexity
thought insertion
Incongruous affect

Question 5

clinical features of schizofrenia?

Answer 5

Psychosis:
halluciantaion
dellusions
thought disorder

cognitive symptoms:
Impaired attention, memory and executive functions

Negative Symptoms:
Asociality
Alogia-poverty of speech
Anhedonia

Question 6

brain changes in schizofrenia?

Answer 6

Enlarged ventricles

Question 7

what Ido people think the cause of schizofrenia is?

Answer 7

Hyperdopminergic Theory
NMDA receptor hypofunction
Impairment of GABA signaling
Serotonin Theory

dopinergic pathway

Question 8

what pathway is responsible for DA overactivity associated with positive symptoms.

Answer 8

Meso-limbic Dopamine Pathway

Question 9

DA underactivity associated with negative symptoms

Answer 9

Meso-cortical Dopamine Pathwa

Question 10

D2 blockade by antipsychotic Px associated with Parkinsonian side-effects.

Answer 10

Nigrostriatal Dopamine Pathway

Question 11

D2 blockade by antipsychotic Px leads to increased Prolactin levels and Hyperprolactinaemia.
Which pathway is responsible for this?

Answer 11

Tuberoinfundibular Dopamine Pathway

Question 12

only one drug has been shown to cause no Tardive Dyskinesia.

What is it?

Answer 12

Clozapine

Question 13

atypical antipsychotics?

Answer 13

Olanzapine
Risperidone
Clozapine

Question 14

typical antipsychotics?

Answer 14

Chloropromazine

Haloperidol

Question 15

Given his past psychiatry history his parents can sign him into a psychiatric hospital against his will.
T/F

Answer 15

F

Question 16

how long can an emergency detention run?

Answer 16

72hours

Question 17

who can undertake A Short Term (28 day) Detention

Answer 17

Approved Medical Practitioner (AMP) only

Question 18

what can increase the rate of relapse in schizophrenia?

Answer 18

Non compliance to treatment
Misuse of illicit substances
C. High Expressed Emotion at home
Major Life Events

Question 19

Side affects of Clozapine

Answer 19

Neutropenia	   	   	
Seizures	   	   
Idiopathic hyperthermia	   	   	
Weight gain	   	   	
Hypersalivation

Question 20

Psychiatric drugs can directly cause physical disease.

3 main conditions to be aware of

Answer 20

Weight Gain and Obesity.
Diabetes.
Metabolic Syndrome: Obesity, Hypertension, Dyslipidaemia and Abnormal Glucose Metabolism

Question 21

what drugs can cause hyperprolactinaemia?

Answer 21

Amisulpride,
Risperidone,
Typical Antipsychotics.

Question 22

hyperprolactinaemia causes…

Answer 22

Galactorrhea.
Menstrual irregularities.
Sexual dysfunction.
Osteoporosis.
Increased risk breast cancer.
Serum Prolactin levels should be checked if any pt reports such symptoms.

Question 23

All patients should have … prior to starting antipsychotics.

Answer 23

ECG

and record BMI

Question 24

proven to be effective psycho-social interventions in the management of schizophrenia?

Answer 24

Family Therapy	   	   	
B. CBT	   	   	
C. Social Skills Training	   	   	
D. Compliance Therapy	   	   	
E. Supported Employment

NOT Individual Psychodynamic Psychotherapy- DOESNT HELP

Question 25

Factors associated with a good outcome in Schizophrenia include

Answer 25

Being married

Prominent affective symptoms