Psychosis

Question 1

Things to rule out when thinking of Catatonia secondary to AMC

Answer 1

Neoplasms
Head trauma
Encephalitis
HYPERcalcemia
Hepatic encephalopathy 
Homocystinuria
Dka

Question 2

Sneiderian aka first rank symptoms

Answer 2

A
B
C
D

Question 3

What cognitive battery recommended for Neuro cognitive testing as per CPA

Answer 3

Matrics

Question 4

How many of those with schizophrenia have 22q11 deletion

Answer 4

25%

Question 5

Definition of Clozapine resistant schizophrenia

Answer 5

• 6 weeks of midpoint or more of oral
• 6 weeks after steady state for IM
• clozapine: 8-12 weeks of greater 400 mg/day with trough levels greater than 350 for daily or 250 for equal divided dosing
• documentation of adherence
• persistence of 2 or more positive symptoms at moderate or one positive at great severity

Question 6

Recs for substance use in SCZ according to CPA guidelines

• smoking
• Alcohol

Answer 6

• buproprion then varenicline

- naltrexone for alch

Question 7

Lilliputian hallucination
Synesthetic vs cenesthetic
Palinopsia

Answer 7

Seeing little animals
“Seeing smells” vs “burning brain”
Image persists despite no more stimulus

Question 8

Infections causing SZC

Answer 8

HSV
Toxo
Rubella

NOT cmv

Question 9

Metabolic syndrome definitions

Answer 9

Abdominal obesity plus two other criteria
-TG higher than 1.7
HTN higher than 130/85
HDL <1.03 (40) in men, <1.3 (50) women
Glycemia higher than 5.6

Question 10

Defense mechanisms of delusional disorder

Answer 10

Reaction formation
Denial
Projection

Question 11

Symptoms suggestive of autoimmune encephalitis as per SZD guidelines

Answer 11

Rapid progression of working memory deficits over less than 3 months
New focal cns findings
Seizures

Question 12

Lifetime risk of suicide in SCZ

Answer 12

5 %

Question 13

How many of those with schizophrenia had a prodrome

Answer 13

80-90%

Question 14

Two scales that can measure APSS, BIPS, or GRD

Answer 14

SIPS

CAARMS

Question 15

5 key recovery processes as per SCZ guidelines

Answer 15

Connectedness
Hope
Identity
Meaning
Empowerment 
(chime framework)