Psych teaching

Question 1

What are the six types of schizophrenia?

Answer 1

Paranoid, hebephrenic, catatonic, undifferentiated, residual, simple

Question 2

What are the features of paranoid schizophrenia?

Answer 2

Most common type - auditory hallucinations and paranoid delusions

Question 3

What are the positive symptoms of schizophrenia?

Answer 3

thought echo, thought insertion, thought broadcasting, 3rd person auditory hallucinations, delusional perception, odd behaviour, thought disorder, lack of insight

Question 4

What are the negative symptoms of schizophrenia?

Answer 4

Blunted affect, apathy, social isolation, poverty of speech, poor self care

Question 5

how do you diagnose schizophrenia?

Answer 5

1. a first rank symptom: delusional perception, somatic passivity, delusions of thought, auditory hallucinations
2. no other cause for psychosis

Question 6

What are typical antipsychotics (plus examples)?

Answer 6

generalised dopamine receptor blockers: haloperidol, chlorpromazine, flupentixol deconoate (depot injection)

Question 7

What are atypical antipsychotics (+examples)?

Answer 7

more selective dopamine blockers, also block serotonin 5-HT2 receptors.
Olanzapine, risperidone, clozapine, aripiprazole

Question 8

What are the complications of schizophrenia?

Answer 8

Suicide, CVD, cancer - delayed diagnosis and late presentation, substance misuse, social isolation

Question 9

What is schizoaffective disorder?

Answer 9

A disorder with a combination of psychosis (hallucinations, delusions) and mood symptoms (manic and/or depressive)

Question 10

What are the three types of anxious personality disorders?

Answer 10

Avoidant, dependent, obsessive compulsive personality disorder

Question 11

What are the three types of suspicious personality disorders?

Answer 11

Paranoid, schizoid, schizotypal personality disorder

Question 12

What are the three types of emotional/impulsive personality disorders?

Answer 12

Borderline, histrionic, narcissistic

Question 13

What are the features of schizoid personality disorder?

Answer 13

features a lack of interest or desire to form relationships with others and feelings that this is of not benefit to them

Question 14

What are the features of schizotypal personality disorder?

Answer 14

usual beliefs, thoughts and behaviours as well as social anxiety that makes forming relationships difficult

Question 15

What are the features of histrionic personality disorder?

Answer 15

features the need to be at the centre of attention and having to perform for others to maintain that attention

Question 16

What antipsychotic do you use in parkinsons?

Answer 16

Clozapine (can’t use haloperidol as it interferes with efficacy of levodopa)