Psychiatry-Schizophrenia

Question 1

Definition of psychosis

Answer 1

Loss of contact with reality (delusions, hallucinations, disorganized speech/behavior)

Question 2

Positive symptoms of psychosis

Answer 2

Presence of things that should not be there: delusions, hallucinations, illusions and disorganization of thought

Question 3

Negative symptoms of psychosis

Answer 3

Absence of things that should be there: apathy (lack of novelty), anhedonia (lack of interest), a logia (lack of speech detail) and affective flattening (robotic)

Question 4

6 subtypes of delusions

Answer 4

1) Paranoid 2) Somatic 3) Sexual 4) Religious 5) Nihilistic (dying) 6) Grandiose

Question 5

4 types of hallucinations

Answer 5

1) Visual 2) Tactile (bugs) 3) Olfactory 4) Auditory

Question 6

4 types of disorganization

Answer 6

1) Perseveration (same though over and over) 2) Loose associations (illogical thoughts) 3) Clanging (rhyming words) 4) Neologisms (made up words)

Question 7

Criteria for diagnosis of schizophrenia

Answer 7

2+ symptoms for 6+ months: delusions, hallucinations, disorganization, negative symptoms

Question 8

Schizophrenia characterized by a decline in function

Answer 8

Prodrome

Question 9

Schizophrenia characterized by acute episodes

Answer 9

Psychotic

Question 10

Schizophrenia characterized by less severe symptoms between episodes

Answer 10

Residual

Question 11

Criteria for diagnosis of schizophreniform

Answer 11

Same as schizophrenia but < 6 months and > 1 month.

Question 12

Criteria for diagnosis of brief psychotic disorder

Answer 12

1+ symptom 1 day to 1 month: delusions, hallucinations, disorganization or catatonic behavior

Question 13

Area of brain associated with positive symptoms

Answer 13

Mesolimbic system due to increased DA activity

Question 14

Area of brain associated with negative symptoms

Answer 14

Prefrontal cortex

Question 15

Area of brain associated with increased prolactin secretion

Answer 15

Tubuloinfundibular (from DA blockade)

Question 16

Criteria for diagnosis of delusional disorder

Answer 16

1+ months with function not significantly impaired and symptoms well encapsulated: erotomanic, grandiose, jealous, persecutory, somatic

Question 17

Folie a deux

Answer 17

Delusions shared by two people in a relationship

Question 18

Schizoaffective disorder

Answer 18

Psychotic for 2+ weeks w/o mood symptoms. Mood symptoms present for substantial portion of psychotic illness

Question 19

Schizotypal people

Answer 19

Dungeon and dragon magicals

Question 20

Schizoid people

Answer 20

Loners