Psychosis - FIRST AID Flashcards

1
Q

general term used to describe a distorted perception of reality.

A

Psychosis

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2
Q

The following signify psychosis EXCEPT

a. illusions
b. hallucinations
c. disorganized thinking/behavior
d. NOTA

A

D

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3
Q

The following can present with psychosis EXCEPT

a. schizophrenia
b. mania
c. depression
d. delirium
e. dementia
f. NOTA

A

F

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4
Q

fixed, false beliefs that remain despite evidence to the contrary
and cannot be accounted for by the cultural background of the individual.

A

Delusions

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5
Q

The neighbors
are spying on me by reading my mail
a. bizarre delusion
b. non-bizarre delusion

A

B

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6
Q

A Martian fathered my baby and inserted a microchip
in my brain
a. bizarre delusion
b. non-bizarre delusion

A

A

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7
Q

“The CIA is after me and tapped my phone

a. Delusions of persecution/paranoid delusions
b. Ideas of reference
c. delusions of grandeur
d. delusions of guilt

A

A

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8
Q

Belief that cues in the external environment are
uniquely related to the individual.
a. Delusions of persecution/paranoid delusions
b. Ideas of reference
c. delusions of grandeur
d. delusions of guilt

A

B

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9
Q
(belief that one’s
thoughts can be heard by others)
a. Thought broadcasting
b. Delusions of grandeur
c. Paranoid delusions
d. Delusions of guilt
A

A

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10
Q

Thought broadcasting

a. Delusions of persection
b. Delusions of control
c. Ideas of reference
d. Somatic Delusions

A

B

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11
Q

Belief that others’ thoughts are being placed in one’s head.

a. Thought broadcasting
b. Thought insertion
c. delusions of guilt
d. somatic delusions

A

B

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12
Q

Tought insertion

a. delusions of persecution
b. paranoid delusions
c. ideas of reference
d. Delusions of control

A

D

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13
Q

“I am the all-powerful son of God and I shall

bring down my wrath on you if I don’t get my way.” is an example of what type of delusion?

A

Delusion of grandeur

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14
Q

“I am responsible for all the world’s wars.” is an example of what type of delusion?

A

Delusions of guilt

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15
Q

Belief that one is infected with a disease or has a certain

illness.

A

Somatic Delusion

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16
Q

What is the most common type of hallucination exhibited by schizophrenic patients?

A

Auditory

17
Q

T/F Psychosis is pathognomonic of schizophrenia

A

F

18
Q

Three categories of schizophrenia symptoms

A

Positive Symptoms
Negative Symptoms
Cognitive Symptoms

19
Q

Three phases of Schizophrenia

A

Prodromal
Psychotic
Residual

20
Q

Phase of schizophrenia with Decline in functioning that precedes the first psychotic episode.
The patient may become socially withdrawn and irritable. He or she may
have physical complaints, declining school/work performance, and/or newfound
interest in religion or the occult.

A

Prodromal

21
Q

How many of the 5 symptoms are needed to diagnose schizophrenia?

A

2, at least one must be delusion/hallucination/disorganized speech

22
Q

For at least how long should 2 out of 5 symptoms be present?

A

at least 1 month

23
Q

T/F symptoms must cause significant social occupational, or self care functional deterioration to diagnose schizophrenia?

A

T

24
Q

5A’s of schizophrenia

A
  1. Anhedonia
  2. Affect, flat
  3. Alogia (poverty of speech)
  4. Attention (poor)
  5. Avolition (apathy)
25
Q

True about patients with schizophrenia EXCEPT

a. disheveled appearance
b. flat affect
c. intact procedural memmory
d. not oriented
e. lack of insight into their disease
f. NOTA

A

D; they are usually oriented

26
Q

% concordance of schizophrenia among monozygotic twins

A

50%

27
Q

% risk of inheritance if both parents have schizophrenia

A

40%

28
Q

risk if one first degree relative is affected

A

12%

29
Q

Substance abuse is comorbid in many patients and the most commonly abused is

a. nicotine
b. alcohol
c. cannabis

A

A>B>C

30
Q

people suffering
from schizophrenia are unable to function well in society and hence end up
in lower socioeconomic groups. This phenomenon is called

A

downward drift

31
Q

Duration of symptoms in schizophreniform disorder

A

between 1 and 6 months

32
Q

true of schizoaffective disorder

a. meet criteria for either a major depressive or manic episode, during which psychotic symptoms occur
b. delusions that only occur during mood disorder can be considered in schizoaffective disorder
c. Mood symptoms should be present for majority of the psychotic illness
d. AOTA

A

A

33
Q

Patient with psychotic symptoms as in schizophrenia; however, the symptoms
last from 1 day to 1 month, and there must be eventual full return to premorbid
level of functioning.

A

Brief Psychotic Disorder

34
Q

Usually nonbizarre delusions, daily functioning not significantly impaired

a. schizophrenia
b. delusional disorder

A

B

35
Q

Delusion that another person is in love with the individual

A

Erotomanic type

36
Q

Delusions of having great talent.

A

Grandiose type

37
Q

Delusions of unfaithfulness.

A

Jealous type

38
Q
Prognosis from Best to Worst
A. Mood disorder with psychotic features
B. schizophrenia.
C. Schizoaffective disorder
D. schizophreniform disorder
A

A>C>D>B

39
Q
Solitary activities, lack of enjoyment from
social interactions, no psychosis.
a. Schizoaffective
b. Schizotypal
c. schizoid
d. Schizophreniform
A

B

Schizotypal (personality disorder): Paranoid, odd or magical beliefs,
eccentric, lack of friends, social anxiety. Criteria for overt psychosis are
not met.
Schizoid (personality disorder): Solitary activities, lack of enjoyment from
social interactions, no psychosis.