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Behavioral Medicine > Psychotic Disorders > Flashcards

Psychotic Disorders Flashcards

1
Q

DSM 5 defines schizophrenia spectrum and other psychotic disorders are defined by abnormalities in one or more of which five domains?

A 
Delusions
Hallucinations
Disorganized thought/speech
Disorganized/Abnormal Behavior
Negative Symptoms
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2
Q

________ are fixed ideas or beliefs that are not amenable to change in light of clear and conflicting evidence to the contrary.

A

Delusions

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3
Q

_________ are perception-like experiences that occur without an external stimulus. They are vivid and clear, full force and impact of normal perceptions, they are not under voluntary control.

A

Hallucinations

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4
Q

What are some examples of delusions?

A 
Persecutory
Grandiose
Erotomanic
Nihilistic
Somatic
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5
Q

What are examples of hallucinations?

A

Auditory
Visual
Somatic/tactile
Olfactory

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6
Q

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are being heard by others, perhaps over radio, perhaps out loud in the room. Voices outside their head.

A

Thought Broadcasting

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7
Q

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are not their own, they have been inserted into their mind by another person or entity

A

Thought Insertion

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8
Q

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes thoughts are being taken from their mind by another, thoughts are initiated but cannot be completed because it was removed by an outside force

A

Thought Withdrawal

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9
Q

Variation between extremes of emotions such as happiness, crying, and explosive anger would be considered what type of affect?

A

Labile Affect

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10
Q

Unchanging facial expression, paucity of gestures, and poor eye contact would indicate what type of affect?

A

Affect Flattening

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11
Q

Alogia is defined as what?

A

Impoverished thinking and cognition. (Can only be inferred from patient’s speech.) May have a poverty of speech versus poverty of content

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12
Q

_________ is defined as apathy, lack of energy or drive, cannot manage simple, every day tasks, often are unkempt, poor hygiene, poor performance at school or work.

A

Avolition

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13
Q

What is Anhendonia/Asociality?

A

Lack of interest of pleasure
Decreases activity
No Interest in Sex
Inability to feel intimate

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14
Q

A patient exhibiting purposeless motor activity and agitation would be considered to have what type of motor behavior?

A

Catatonic Motor Behavior

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15
Q

How may a patient exhibit attention impairment?

A

Difficulty focusing
Sporadic Attention Capabilities
Wander away in the middle of Conversations
Lack of identifying social ques

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16
Q

Flight of ideas would be indicative of _________ (Mania/Depression)

A

Mania

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17
Q

Change in weight either direction would be indicative of _________ (Mania/Depression)

A

Depression

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18
Q

Insomnia would be indicative of _________ (Mania/Depression)

A

Depression

19
Q

Decreased need for sleep would be indicative of _________ (Mania/Depression)

A

Mania

20
Q

Poor Judgement would be indicative of _________ (Mania/Depression)

A

Mania

21
Q

Poor Concentration would be indicative of _________ (Mania/Depression)

A

Depression

22
Q

Are the following positive or negative symptoms…..

Delusions
Hallucinations
Thought Disorders
Movement Disorders

A

Positive Symptoms

23
Q

Diagnosis of schizophrenia requires that two or more positive, negative and/or disorganized symptoms be present for at least how long?

The patient must also have at least one of what three symptoms to be diagnosed with Schizophrenia?

A

1 month

Must have one of the following…..

Delusions
Hallucinations
Disorganized Speech

24
Q

If a patient has a first-degree relative with schizophrenia, they have about a __% chance of developing schizophrenia as well.

A

10%

25
Q

T/F: To be diagnosed with schizophrenia, a patient’s symptoms must interfere significantly with ADLs (work, school, relationships)

A

True

26
Q

T/F: Childhood trauma is not associated with schizophrenia later in life

A

False

It is

27
Q

What age range is schizophrenia more likely to onset?

A

16 - 30 y.o.

28
Q

50% of schizophrenic patients will complain or exhibit symptoms of what?

A

Depression

29
Q

Exhibition of negative symptoms in schizophrenia are associated with a _______ (Better/Poorer) prognosis

A

Poorer Prognosis with negative symptoms

30
Q

T/F: One potential cause of schizophrenia may be the dopamine system being overly active

If true, what medication class may be used to treat this?

A

True

Consider Dopamine Antagonist

31
Q

A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia

A

Viral Infection

32
Q

A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia

A

Viral Infection

33
Q

If a schizophrenic patient has a loss of daily function then what treatment should be considered?

A

Hospitalization

34
Q

What are examples of low potency neuroleptics used in schizophrenia treatment?

A

Chlorpromazine
Thioridazine
Mesoridazine

35
Q

What are examples of high potency neuroleptics used in schizophrenia treatment?

A

Haloperidol
Fluphenazine
Thiothixene
Loxapine

36
Q

_________ symptoms are drug-induced movement disorders that include acute and tardive symptoms.

What are examples of these?

A

Extrapyramidal Sx

Dystonia
Akathasia
Parkinsonism
Bradykinesia
Tremor
Tardive Dyskinesia
37
Q

T/F: Extrapyramidal Sx are NOT side effects of neuroleptics

A

False

They are side effects

38
Q

Which high potency neuroleptic is most closely associated with extrapyramidal Sx?

A

Haloperidol (Haldol)

39
Q

Is benadryl (PO, IM, or IV) a good choice in treating neuroleptic side effects?

A

Yes!

40
Q

Which pyschotic disorder would be best described as…..

Symptoms of schizophrenia for at least 1 month BUT less than 6 months

A

Schizophreniform Disorder

41
Q

Which psychotic disorder would be best described as…..

Symptoms of schizophrenia and major mood disorders for 2 weeks without prominent mood symptoms, but OTHERWISE the mood symptoms predominate the duration of illness

A

Schizoaffective Disorder

42
Q

Which psychotic disorder would be best described as…..

Persistent, brief, contrary to reality without other symptoms of schizophrenia for 1 month of longer

A

Delusional Disorder

43
Q

Which psychotic disorder would be best described as…..

Delusions, Halucinations, and Disorganized speech that lasts for 1 day BUT less than 1 month and the patient often returns to their usual level of function

A

Brief Psychotic Disorder

44
Q

Which psychotic disorder would be best described as…..

Symptoms of psychosis developed during or after substance intoxication OR often as a part of a withdrawal syndrome

A

Substance/Medication-induced Psychotic Disorder

Behavioral Medicine (16 decks)

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