Psychiatry

Question 1

What are the poor prognostic factors in schizophrenia

Answer 1

Prolonged pre-morbid personality
Drug abuse
Male
Young
Fam hx
Poor relations
Can’t hold a job.
Slow onset
Mainly negative symptoms- apathy, decreased motor activity, poor motivation/self care

Question 2

What are the good prognostics factors in schizophrenia

Answer 2

Family, older onset, acute onset, good social function, positive symptoms (delusions, hallucinations), family history of MOOD disorder

Question 3

What two things primarily kill in schizophrenia

Answer 3

1. Suicide
2. Cardiovascular health

Question 4

What are the atypical drugs used in schizophrenia

Answer 4

1. Clozapine
2. Olanzapine
3. Risperidone
   Class- second gen

Question 5

What are the side effects of second gen anti-psychotics

Answer 5

Metabolic- cholesterol, glucose, obesity

Question 6

What are the first gen anti psychotics

Answer 6

Haloperidol
Chloropromazine

Question 7

What are the side effects of first gen anti-psychotics

Answer 7

Extra pyramidal symptoms: tardive dyskinesia

Prolonged qt