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Psychiatry > Psychosis > Flashcards

Psychosis Flashcards

1
Q

Short-lived illnesses similar to paranoid schizophrenia are associated with cocaine, amfetamines and cannabis. True or false?

A

True

drug-induced psychosis

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2
Q

What are Schneider’s first rank symptoms for schizophrenia? (three threes and two randoms)

A

THOUGHT ALIENATION

  • thought insertion
  • thought broadcast
  • thought broadcast

PASSIVITY PHENOMENA

  • made acts
  • made impulses
  • made emotions

AUDITORY HALLUCINATIONS

  • third person
  • running commentary
  • thought ECHO

SOMATIC PASSIVITY

DELUSIONAL PERCEPTIONS

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3
Q

What are the three features of auditory hallucinations in the first rank symptoms of schizophrenia?

A

third person
running commentary
thought echo

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4
Q

Name 6 possible negative symptoms of schizophrenia.

A 
blunted / incongruent affect
anhedonia 
low motivation
poverty of speech
self-neglect
social withdrawal
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5
Q

What is the STRONGEST risk factor for schizophrenia?

A

family history

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6
Q

Family history is a very strong risk factor for schizophrenia. What are some others?

A 
cannabis use
social isolation
urban environment
migration 
Black Afro-Caribbean 
abnormal early development / family interactions
premature birth / LBW
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7
Q

What is the biological management of schizophrenia?

A
  1. atypical antipsychotic
  2. another atypical antipsychotic
  3. clozapine
  4. ECT

all patients should be offered CBT

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8
Q

What is the main side effect of ATYPICAL anti-psychotics?

A

weight gain.

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9
Q

Why are people with schizophrenia more at risk of heart disease, respiratory disease, cancer and T2DM?

A

It may be something to do with eating badly, getting less exercise and smoking more than other people. It may be made worse by some of the medications that are prescribed for psychosis.

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10
Q

Vivid visual hallucinations, such as insects climbing the walls, makes you think of….

A

Delirium Tremens

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11
Q

What is the medical name for delusional jealousy?

A

Othello syndrome

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12
Q

Sudden onset psychosis after taking course of steroids. What should you consider?

A

steroid-induced psychosis

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13
Q

What happens if patients stop benzos too quickly?

A

benzodiazepine withdrawal

perspiration, anxiety, irritability, insomnia

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14
Q

Do the negative symptoms of schizophrenia respond well to medications?

A

no

positive do

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15
Q

Auditory/visual hallucinations and delusions (persecutory and/or grandiose). No thought disorder or flattened affect.
…What kind of schizophrenia does this describe?

A

paranoid schizophrenia

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16
Q

What kind of delusions are common in PARANOID schizophrenia?

A

persecutory

grandiose

17
Q

Which kind of schizophrenia is characterised by thought diosrder and flat affect?

A

hebephrenia (a.k.a ‘disorganised type’)

18
Q

What is hebephrenia (disorganised type schizophrenia) characterised by?

A

thought disorder

flat affect

19
Q

Agitated purposeless movement with waxy flexibility, echolalia and echopraxia. What kind of schizophrenia could this be?

A

Catatonic schizophrenia

20
Q

Insidious and progressive negative symptoms with no history of psychotic symptoms. What kind of schizophrenia is this?

A

simple

21
Q

Chronic negative symptoms. What kind of schizophrenia?

A

residual

22
Q

What is residual schizophrenia?

A

chronic negative symptoms

23
Q

What is simple schizophrenia?

A

inisidious and progressive negative symptoms with no history of psychotic symptoms.

24
Q

Name some other causes of psychosis apart from schizophrenia

A 
persistent delusional disorder
schizoaffective disorder
acute and transient psychosis
drug-induced psyhcosis
organic psychosis
puerperal psychosis
25
Q

What is psychosocial management of psychosis?

A

psycho

  • CBT
  • family therapy

social

  • carer support
  • employement / activity / education
  • support with engagement / benefits

Psychiatry (10 decks)

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