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Y3 Pyschiatry > Psychosis & SZ > Flashcards

Psychosis & SZ Flashcards

1
Q

Brian believes that his parents are trying to poison him because the government are controlling them, which psychopathology term is most appropriate?

A

Persecutory paranoid delusion

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2
Q

Brian believes that news articles on the television about world leaders’ phones being tapped are actually talking about him as he holds important government information?

A

Ideas of reference

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3
Q

“My guts have rotted, I can’t eat because I have no bowels” is an example of a ______

A

Nihilistic delusion

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4
Q

When Brian listens to the radio he can hear voices from elsewhere in the room telling him he must not think about the military information he has been given?

A

Functional hallucination

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5
Q

Brian believes he must not think about the military information as everyone else has access to his thoughts?

A

Thought broadcasting

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6
Q

Out of amphetamines, cocaine, cannabis and heroin, which is LEAST likely to cause drug induced psychosis?

A

Heroin

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7
Q

“Inability to distinguish subjective experience from reality” is the definition of ____

A

psychosis

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8
Q

Is insight present in psychosis?

A

nope

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9
Q

What is dementia praecox?

A

old term for schizophrenia

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10
Q

Can unipolar depression cause psychosis?

A

yes

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11
Q

What type of psychosis is most likely to occur in unipolar depression?

A

2nd person auditory hallucinations, mood congruent eg “you’re worthless”

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12
Q

What type of psychosis is most likely to occur in bipolar disorder?

A

2nd person auditory hallucinations, mood congruent eg. “you’re Christ”, “you’ve got a superpower”

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13
Q

“A fixed falsely held belief with no logical evidence” is the definition of ____

A

delusion

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14
Q

What is grandoise?

A

delusion of inflated self-worth

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15
Q

Give examples of drugs more likely to cause psychosis?

A

dopamine agonists, CCS

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16
Q

“A perception in the absence of of a stimulus” is the definition of _____

A

hallucination

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17
Q

When do physiological hallucinations occur?

A

hypnogogic or hypnopompic (upon wakening/ falling asleep)

also in sensory deprivation tank

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18
Q

“Giving innocuous events meaning” is the definition of _____, an example is thinking there is a message in newspaper for them

A

“giving innocuous events meaning” is the definition of IDEAS OF REFERENCE, an example is thinking there is a message in newspaper for them

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19
Q

Neologisms, tangentiality, Knight’s move thinking, clanging and verbigeration are all examples of _____

A

form of thought disorder

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20
Q

What is a neologism?

A

creating new words

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21
Q

What is tangentiality?

A

speaking about a topic unrelated to the discussion

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22
Q

What is Knight’s move thinking?

A

rapidly changes topic of conversation with unrelated ideas

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23
Q

What is clanging?

A

associating words by sound not meaning

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24
Q

What is verbigeration?

A

word salad

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25
Q

Thought insertion, thought withdrawal, thought broadcasting and thought blocking are all examples of _______

A

thought interference

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26
Q

What is thought insertion?

A

thinking thoughts are put into your head that aren’t yours

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27
Q

What is thought withdrawal?

A

thinking thoughts are being taken out of your head

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28
Q

What is thought broadcasting?

A

thinking everyone knows your thoughts

29
Q

What is thought blocking?

A

a mind blank

30
Q

What is passivity phenomenon

A

uncontrollable emotion/motor

example: people making your arm move, people controlling your emotions

31
Q

Thinking external events relate to you is ______, an example of this would be ______

A

self referential thinking

the TV is messaging me

32
Q

How long postpartum does puerperal psychosis occur?

A

2-4wk

33
Q

Puerperal psychosis is a medical emergency. T or F

A

true

34
Q

Puerperal psychosis occurs in patient’s with a history of mental illness. T or F

A

false, 50% of patients have no history of mental illness

35
Q

What is the 1st line drug management of psychosis?

A

PO lorazepam

36
Q

If PO lorazepam is unsuccessful after ____ minutes in the management of psychosis, the next line is ____

A

30 minutes

IM lorazepam

37
Q

What is the 1st line management of psychosis in a PTx is currently or previously was on a typical antipsychotic?

A

PO lorazepam + PO haloperidol

38
Q

What sedating drugs are options in the Mx of psychosis?

A

BDZ or sedating antipsychotic

39
Q

What gender is SZ more common in?

A

M

40
Q

What age range is SZ more common in in males?

A

15-25yr

41
Q

What age range is SZ more common in in females?

A

25-35yr

42
Q

What drug can trigger SZ onset (in a genetically susceptible individual)?

A

cannabis

43
Q

What medical risk factors for SZ are established by birth?

A

birth complication, 2nd trimester virus, prenatal maternal stress

44
Q

What is the % risk of developing SZ if you have a monozygotic twin with SZ?

A

45%

45
Q

What % heritability is SZ?

A

78%

46
Q

There is a SZ gene. T or F

A

false, many low penetrance mutations increase likeliness of developing condition

47
Q

What brain changes are individuals with SZ born with?

A

large lateral ventricles and less well developed neurons

48
Q

There is a loss of [grey/white] matter in PTx with SZ?

A

grey matter

49
Q

What pathway is overactive in SZ?

A

dopamine

50
Q

There is evidence of gliosis in SZ. T or F?

A

false

51
Q

What areas of the brain have a loss of grey matter in SZ?

A

superior temporal gyrus, parietal, hippocampus, basal ganglia, orbitofrontal cortex

52
Q

What is the commonest type of SZ?

A

paranoid

53
Q

Excitement, stupor, mutism and wavy flexibility are all seen in _____ type SZ

A

catatonic

54
Q

Can you Dx SZ in a child?

A

no

55
Q

What types of psychosis are seen in SZ?

A

3rd person auditory hallucination, delusions, form of thought disorder and thought interference

(less commonly 2nd person hallucinations can also occur)

56
Q

At what age are premorbid signs of SZ seen? Give an example

A

childhood, delay talking

57
Q

At what age are prodromal signs of SZ seen? What would these be observed as?

A

teenager, odd eccentric behaviour

58
Q

Slow/lack of speech, decreased motivation, loss of interests/pleasure, blunted affect, isolation and lack of energy are all examples of _______ in SZ

A

negative syndrome

59
Q

Hallucinations, delusions, passivity phenomena and form of thought disorders are all examples of ______ in SZ

A

positive syndrome

60
Q

How long must S+S must have bene present for a Dx of SZ?

A

> 1mth

61
Q

What is the management of negative symptoms in SZ?

A

antidepressant

62
Q

What is the 1st line drug management of SZ?

A

atypical antipsychotic

63
Q

What is the drug Mx in SZ for a PTx who has already tried 2 atypical antipsychotics?

A

clozapine

64
Q

What structural change is a predictor of a worse outcome in SZ?

A

large ventricles

65
Q

Is insidious or rapid onset a predictor of a worse outcome in SZ?

A

insidious

66
Q

Is onset in a younger or older PTx with SZ a predictor of a worse outcome in SZ?

A

younger

67
Q

What % of people with SZ commit suicide?

A

10-15%

68
Q

What is schizoaffective disorder?

A

Schizophrenia with a mood disorder

69
Q

What types of delusions could be seen in a PTx with SZ?

A

grandoise, persecutory

Y3 Pyschiatry (15 decks)

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