psychoses

Question 1

Disturbance in the perception of reality, evidenced by hallucinations, delusions, or thought disorganization

Answer 1

psychosis

Question 2

periods of high risk for agitation, aggression, impulsivity (suicide), and other forms of behavioral dysfunction

Answer 2

psychotic states

Question 3

Active phase sx include: delusions, hallucinations, disorganized speech, catatonic behavior, poverty of speech/affective flattening

Answer 3

schizophrenia

Question 4

Duration of symptoms necessary for diagnosis of schizophrenia

Answer 4

Continuous signs of disturbance for at least 6 months and at least 1 month of “active-phase” symptoms

Question 5

What are the positive symptoms of schizophrenia?

Answer 5

delusions and hallucinations

Question 6

What do the following have in common: affective flattening, poverty of speech, blocking, poor grooming, lack of motivation, anhedonia, social withdrawal?

Answer 6

negative symptoms of schizophrenia

Question 7

What is the significance of patients that predominantly have positive symptoms?

Answer 7

Normal brain structures on CT scans. Relatively good responses to treatments

Question 8

What is the significance of patients that predominantly have negative symptoms?

Answer 8

Structural brain abnormalities on CT scans. Poor responses to treatments

Question 9

Subtype of schizophrenia characterized by preoccupation with one or more delusions or frequent auditory hallucinations

Answer 9

paranoid type

Question 10

Subtype of shizophrenia characterized by disorganized speech, disorganized behavior, flat or inappropriate affect

Answer 10

disorganized type

Question 11

Subtype of schizophrenia characterized by motoric immobility, excessive purposeless motor activity, extreme negativism or mutism, peculiarities of voluntary movement

Answer 11

Catatonic type

Question 12

false belief based on incorrect inference about external reality that is not consistent with patient’s intelligence and cultural background. cannot be corrected by reasoning

Answer 12

delusion

Question 13

peak age of onset of schizophrenia for males and females

Answer 13

men 8-25yrs and women 25-35 yrs

Question 14

Most likely etiology of schizophrenia

Answer 14

Too much dopaminergic activity

Question 15

What do studies using CT show regarding the brains of schizophrenic patients?

Answer 15

Lateral and third ventricular enlargement. Some degree of reduction in cortical volume

Question 16

Past personal h/o before onset of the disease includes: introversion, few friends, enjoys solitary activities to the exclusion of social activities

Answer 16

schizophrenia

Question 17

Percentage of schizophrenic patients who attempt suicide

Answer 17

50%

Question 18

Treatment for violent behavior of schizophrenics

Answer 18

Acute sedation with lorazepam (Ativan), 1 to 2 mg IM, may be repeated every hour as needed

Question 19

T/F the presence of hallucinations and/or delusions is NOT a necessity for a diagnosis of schizophrenia.

Answer 19

true

Question 20

T/F If it presents later in life, schizophrenia should be at the top of your differential, especially in a male!

Answer 20

false, onset usually occurs at younger ages

Question 21

prominently features both affective and psychotic symptoms

Answer 21

schizoaffective disorder