PSYCHOSIS

Question 1

Schizophrenia DDx:

5

Answer 1

1. Schizoid or schizotypal personality disorder.
2. Schizophreniform disorder.
3. Psychotic disorder due to general medical condition.
4. Substance-induced psychosis.
5. Depression with psychotic features.

Question 2

Schizophrenia workup:

5

Answer 2

1. Mental status exam.
2. Urine tox.
3. TSH.
4. CBC.
5. Electrolytes.

Question 3

Substance-induced psychosis DDx:

4

Answer 3

1. Brief psychotic disorder.
2. Schizophreniform disorder.
3. Schizophrenia.
4. Psychotic disorder due to a general medical condition.

Question 4

Substance-induced psychosis workup:

6

Answer 4

1. Urine tox.
2. Mental status exam.
3. TSH.
4. CBC.
5. Electrolytes, BUN/Cr.
6. AST/ALT.

Question 5

Schizoaffective disorder DDx:

4

Answer 5

1. Mood disorder with psychotic features.
2. Schizophrenia.
3. Schizophreniform disorder.
4. Psychotic disorder due to a general medical condition.

Question 6

Schizoaffective disorder workup:

5

Answer 6

1. Mental status exam.
2. Beck depression inventory.
3. TSH.
4. CBC.
5. Electrolytes.