Psychosis - FIRST AID

Question 1

general term used to describe a distorted perception of reality.

Answer 1

Psychosis

Question 2

The following signify psychosis EXCEPT

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

Answer 2

D

Question 3

The following can present with psychosis EXCEPT

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

Answer 3

F

Question 4

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

Answer 4

Delusions

Question 5

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

Answer 5

B

Question 6

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

Answer 6

A

Question 7

“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

Answer 7

A

Question 8

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

Answer 8

B

Question 9

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

Answer 9

A

Question 10

Thought broadcasting

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

Answer 10

B

Question 11

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

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

Answer 11

B

Question 12

Tought insertion

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

Answer 12

D

Question 13

“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?

Answer 13

Delusion of grandeur

Question 14

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

Answer 14

Delusions of guilt

Question 15

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

illness.

Answer 15

Somatic Delusion

Question 16

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

Answer 16

Auditory

Question 17

T/F Psychosis is pathognomonic of schizophrenia

Answer 17

F

Question 18

Three categories of schizophrenia symptoms

Answer 18

Positive Symptoms
Negative Symptoms
Cognitive Symptoms

Question 19

Three phases of Schizophrenia

Answer 19

Prodromal
Psychotic
Residual

Question 20

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.

Answer 20

Prodromal

Question 21

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

Answer 21

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

Question 22

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

Answer 22

at least 1 month

Question 23

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

Answer 23

T

Question 24

5A’s of schizophrenia

Answer 24

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

Question 25

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

Answer 25

D; they are usually oriented

Question 26

% concordance of schizophrenia among monozygotic twins

Answer 26

50%

Question 27

% risk of inheritance if both parents have schizophrenia

Answer 27

40%

Question 28

risk if one first degree relative is affected

Answer 28

12%

Question 29

Substance abuse is comorbid in many patients and the most commonly abused is a. nicotine b. alcohol c. cannabis

Answer 29

A>B>C

Question 30

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

Answer 30

downward drift

Question 31

Duration of symptoms in schizophreniform disorder

Answer 31

between 1 and 6 months

Question 32

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

Answer 32

A

Question 33

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.

Answer 33

Brief Psychotic Disorder

Question 34

Usually nonbizarre delusions, daily functioning not significantly impaired a. schizophrenia b. delusional disorder

Answer 34

B

Question 35

Delusion that another person is in love with the individual

Answer 35

Erotomanic type

Question 36

Delusions of having great talent.

Answer 36

Grandiose type

Question 37

Delusions of unfaithfulness.

Answer 37

Jealous type

Question 38

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

Answer 38

A>C>D>B

Question 39

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

Answer 39

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.