Psychosis and Psychotic Disorder

Question 1

_________ is broadly defined as a loss of contact with reality

Answer 1

Psychosis

Question 2

This defines what?
(a) Strongly held false beliefs
(b) Beliefs are broadly classified as bizarre vs non-bizarre

Answer 2

Delusions

Question 3

Bizarre vs Non Bizarre delusions
Belief that family members have been replaced by body-doubles

Answer 3

Bizarre

Question 4

Bizarre vs Non Bizarre delusions
Belief that spouse is cheating despite overwhelming evidence
to the contrary

Answer 4

Non bizarre

Question 5

What type of delusion
Belief that one is being followed or harassed by outside entity

Answer 5

Persecutory delusions

Question 6

What type of delusion
Belief that one is a billionaire

Answer 6

Grandiose delusions

Question 7

What type of delusion
Believing a famous person is in love with them

Answer 7

Erotomanic delusions

Question 8

What type of delusion
Believing ones sinuses have been infested with worms

Answer 8

Somatic delusions

Question 9

What type of delusion
Believing a dialog on TV is directed towards you

Answer 9

Delusions of reference

Question 10

What type of delusion
Believing one’s thoughts and movements are being controlled by a
powerful outside force
-Such as planetary overlords or government

Answer 10

Delusions of control

Question 11

Wakeful sensory experiences of content that is not actually present
1) NOT illusions

Answer 11

Hallucinations

Question 12

What is an illusion?

Answer 12

misinterpretations of sensory experiences

Question 13

True/False
Hallucinations can occur in any of the five sensory modalities

Answer 13

True

Question 14

Evidence of thought disorganization is derived from the patients ______ during the interview process/

Answer 14

speech pattern

Question 15

What type of thought disorganization?
a) Very little information conveyed by speech
b) Often very sparse reply or lack of spontaneous speech

Answer 15

Alogia/poverty of content

Question 16

What type of thought disorganization?
a) Suddenly losing train of thought
b) Characterized by abrupt interruptions in speech

Answer 16

Thought blocking

Question 17

What type of thought disorganization?
Speech content that has ideas presented in a sequence that is not closely related or does not make sense

Answer 17

Loosening of association

Question 18

What type of thought disorganization?
a) Answers to interview questions diverge from topic being asked about
b) Is the interview question ever answered?

Answer 18

Tangentiality

Question 19

What type of thought disorganization?
a) Using words in a sentence that are linked by rhyming or sounding similar
b) “I fell down the well sell bell”

Answer 19

Clanging or clang association

Question 20

What type of thought disorganization?
a) Using words in a sentence that are linked by rhyming or sounding similar
b) “I fell down the well sell bell”

Answer 20

Clanging or clang association

Question 21

What type of thought disorganization?
a) Real words are linked together incoherently
b) Real words but basically nonsense

Answer 21

Word salad

Question 22

What type of thought disorganization?
Repeating words or ideas persistently

Answer 22

Perseveration

Question 23

acute psychosis is also associated with what issues?

Answer 23

Agitation and aggression

Question 24

What is done in order to work towards a dx of acute psychosis?

Answer 24

diagnosis of exclusion
R/o Biological cause
-Substance induced
-Psychosis associated with medical conditions

Question 25

What is used to treat acute agitation associated with psychosis

Answer 25

Haldol
-In certain scenarios may be able to simply “re-direct” the patient to help them with their agitation
1) Offer reassurance and simply talking to them may be enough

Question 26

What is this issue? Side effect of antipsychotics
a) Involuntary movements of the face
b) Sucking or smacking of the lips
c) Movements of the tongue
d) Facial grimacing
e) Odd movements of extremities
f) Usually occur after greater than six months of treatment on antipsychotic

Answer 26

Tardive Dyskinesia

Question 27

Second generation antipsychotics examples

Answer 27

Aripiprazole, risperidone, quetiapine, olanzapine

Question 28

What is this issue? Side effect of antipsychotics
a) Looks like Parkinson’s Disease
(1 Mask like facies, resting tremor, cogwheel rigidity, shuffling gait,
psychomotor retardation (bradykinesia)

Answer 28

Parkinsonian syndrome

Question 29

What is this issue? Side effect of antipsychotics
Involuntary contractions of muscles

Answer 29

Dystonia