psychosis Flashcards
The following are true regarding maintenance therapy in schizophrenia; EXCEPT: (CHOOSE
ONE)
A. Relapse is seldom due to poor compliance with medication.
B. There is evidence that the use of neuroleptics early in the course of the illness leads to a better outcome
C. Relapses probably have an adverse effect on the future course of the illness
D. Drug holidays have been advocated as a means of assessing the need for continuance of the drug.
E. Relapse on withdrawing from a neuroleptic drug may be due to dopamine receptor hypersensitivity
A. Relapse is seldom due to poor compliance with medication.
In the neuroleptic malignant syndrome: which ONE of the following statements is true?
A. Characteristically, includes hypothermia as one of its presenting features.
B. Is a life-threatening complication of neuroleptic treatment
C. Is more common in older female patients.
D. Is caused by sudden withdrawal from relatively high doses of neuroleptic drugs
E. May occur with only certain neuroleptics
B. Is a life-threatening complication of neuroleptic treatment.
The following regarding neuroleptic-induced dyskinesias are true; EXCEPT: (CHOOSE ONE)
A. Akathisia is a persistent pathological change in muscle tone.
B. Drug-induced Parkinsonism is more common in women
C. Idiopathic Parkinson’s disease and schizophrenia rarely co-exist.
D. Extra-pyramidal signs are aggravated by anxiety.
E. Dystonia may be acute or chronic
A. Akathisia is a persistent pathological change in muscle tone.
Match each definition with the correct term
Options
1. Magical
2. Blocking
3. Looseness of associations
4. Derealization
5. Depersonalization
a) Discontinuous and illogical stream of thoughts
b) A belief that thought alone can result in the accomplishment of certain wishes or activities
c) Sudden cessation of thinking in the middle of a discussion or sentence
d) The feeling that one is standing apart from oneself and observing one’s own actions
1. Magical → b) A belief that thought alone can result in the accomplishment of certain wishes or activities
2. Blocking → c) Sudden cessation of thinking in the middle of a discussion or sentence
3. Looseness of associations → a) Discontinuous and illogical stream of thoughts
4. Derealization → (not explicitly listed in the options, but typically involves the feeling that the external world is unreal or distorted)
5. Depersonalization → d) The feeling that one is standing apart from oneself and observing one’s own actions
Match each patient with the correct diagnosis or symptom:
Options
1. Mood disturbance
2. Affect disturbance
3. Disorientation
4. Circumstantiality
5. Perseveration
a) A 29-year-old patient describes witnessing a terrible plane crash that involved many victims and smiles and chuckles while telling the story
b) An adolescent patient responds to the examiner’s question with the same response he has given to a variety of previous questions
c) A 75-year-old man is asked a question and gives a long answer that incorporates a great deal of tedious and unnecessary details
d) A 40-year-old woman shows little facial expression and states that she has been unremittingly sad since the death of her dog
- Mood disturbance → d) A 40-year-old woman shows little facial expression and states that she has been unremittingly sad since the death of her dog
- Affect disturbance → a) A 29-year-old patient describes witnessing a terrible plane crash that involved many victims and smiles and chuckles while telling the story
- Disorientation → (Not explicitly listed in the options)
- Circumstantiality → c) A 75-year-old man is asked a question and gives a long answer that incorporates a great deal of tedious and unnecessary details
- Perseveration → b) An adolescent patient responds to the examiner’s question with the same response he has given to a variety of previous questions
Genetic factors are considered to be of major significance in the aetiology of all the following
disorders EXCEPT: (CHOOSE ONE)
A. Tourette’s syndrome
B. posttraumatic stress disorder
C. Alzheimer’s disease
D. schizophrenia
E. bipolar disorder
B. posttraumatic stress disorder
Olfactory hallucinations are relatively rare and are most commonly encountered in patients
with (CHOOSE ONE)
A. grand mal epilepsy
B. Wilson’s disease
C. parietal tumours
D. partial complex seizures
E. narcolepsy
D. partial complex seizures
In the absence of other symptoms, sporadically occurring behavioural automatisms and
olfactory hallucinations suggest a diagnosis of (CHOOSE ONE)
A. schizophreniform psychosis
B. non-dominant parietal lobe lesion
C. schizophrenia
D. hysterical personality disorder
E. temporal lobe lesion
E. temporal lobe lesion
The percentage of schizophrenic patients who ultimately commit suicide is approximately
(CHOOSE ONE)
A. 20 percent
B. 1 percent
C. 5 percent
D. 10 percent
E. 30 percent
D. 10 percent
Studies of the relationship between gender and schizophrenia have generally demonstrated
which ONE of the following
A. males tend to have a better prognosis than females
B. the lifetime risk of developing schizophrenia is approximately the same in males and females
C. there is a higher concordance rate in male monozygotic twins as compared with female monozygotic twins
D. males tend to respond better to neuroleptic medication
E. the usual age of onset is earlier for females than males
currect : B. the lifetime risk of developing schizophrenia is approximately the same in males and females
The mental status examination of patients with schizophrenia most commonly demonstrates a
marked disorder of (CHOOSE ONE)
A. mood
B. thinking
C. memory
D. insight
E. orientation
B. thinking
A 39-year-old man enters an emergency room complaining of anxiety and extreme
sleeplessness. He is noted to be markedly tremulous, and while being examined has a grand
mal seizure. This man might be suffering from withdrawal from any of the following
substances EXCEPT: (CHOOSE ONE)
A. Diazepam
B. Haloperidol
C. Lorazepam
D. Phenobarbital
E. Alcohol
B. Haloperidol
An appropriate therapeutic attitude toward the schizophrenic patient includes all the following
EXCEPT: (CHOOSE ONE)
A. tolerance of negative or bizarre behaviours
B. respect for the patient’s need for privacy
C. a consistent approach to the patient
D. a focus on the patient’s pathology
E. a desire to rescue the patient
E. a desire to rescue the patient
The family of a hospitalized and acutely schizophrenic patient have insisted that they want the
patient treated by psychotherapy and not with drugs. All the following are true statements that
could be made by the attending psychiatrist EXCEPT: (CHOOSE ONE)
A. psychotherapy alone can have an adverse effect on some schizophrenic patients
B. psychotherapy alone usually has little effect on acute psychotic symptoms
C. psychotherapy can be effective in assisting social rehabilitation
D. in preventing relapse, psychotherapy combined with antipsychotic medication is no more effective
than antipsychotic medication alone
E. antipsychotic medication can rapidly relieve psychotic symptoms
D. in preventing relapse, psychotherapy combined with antipsychotic medication is no more effective
than antipsychotic medication alone
In the order presented, the medications thioridazine, chlorpromazine, perphenazine, and
haloperidol are characterized by ONE of the following:
A. increasing extrapyramidal effects but decreasing anti-cholinergic effects
B. increasing anticholinergic effects but decreasing hypotensive effects
C. increasing hypotensive effects but decreasing sedative effects
D. increasing sedative effects but decreasing anticholinergic effects
E. increasing hypotensive effects but decreasing extrapyramidal effects
A. increasing extrapyramidal effects but decreasing anti-cholinergic effects
