Psychotic Disorders Flashcards
What is the optic neurologic finding that is a hallmark of psychotic dysfunction
Difficulty with smooth pursuit, requiring catchup saccades
What are the prevalences of schizophrenia in the population at large, and in twins
1% and near 50% respectively
What childhood risk / birth condition is associate with schizophrenia
Birth in Winter
How long does it take to reach stabilization from an acute onset of schizophrenia (according to the APA)
6 Months
What cardiac side effect is associated with ALL first-generation anti-psychotics
QT- prolongation
Checking an AIMs is indicated how frequently in Adult and Older Adult patient populations
12 months and 6 months respectively for atypical antipsychotics, 6 and 3 for typical
Is there a FDA approved medication for TD
Yes, Valbenazine
What does the FEVER mnonic for NMS stand for
Fever, Encephalopathy, Vital sign/ autonomic instability, Elevated CPK, Rigidity
For testing purposes, what is the FIRST thing you do if someone shows up with NMS?
Stop the anti-psychotic
The World Federation of Societies for Biological Psychiatry recommends 5 medications as having level “A” evidence for use in first-episode psychosis. What are they?
Olanzapine, Quetiapine, Risperidone, Clozapine and Haldol, in that order.
What are relapse rates for schizophrenia per year, medicated vs non-medicated in the first year
30% which increases to 65% if not medicated
What is the target of CBT For Psychosis in the stable phase
Delusions
How does CBT for Psychosis aim to reduce distress from psychotic experiences
The goal is to normalize and then re-integrate the experience
How often do schizophrenic patients develop co-morbid substance use disorders other than nicotine
50%
What percent of patients with schizophrenia attempt suicide,
50%
