Psychotic Disorders

Question 1

What are the three positive symptoms of psychosis?

Answer 1

Hallucinations and delusions and disorganization

Question 2

What are the two types of hallucinations?

Answer 2

Hypnagogic and hypnopompic

Question 3

When do hypnagogic hallucinations occur?

Answer 3

When going to sleep

Question 4

When do hypnopompic hallucinations occur?

Answer 4

Waking from sleep

Question 5

What is the definition of a hallucination?

Answer 5

False perception in absence of real stimuli

Question 6

What is definition of delusion?

Answer 6

Fixed false belief maintained in face of evidence to the contrary

Question 7

What is the most common sensory type of hallucination in schizophrenia?

Answer 7

Auditory

Question 8

What is a grandiose delusion?

Answer 8

A delusion that is beyond expectations/reality

Question 9

What is a nihilistic delusion?

Answer 9

Feeling like already dead delusion

Question 10

What is a erotomanic delusion?

Answer 10

Convinced love is there for someone but it isn’t

Question 11

Define disorganization

Answer 11

Thought production in which there is no recognizable relationship between ideas

Question 12

Name the five negative symptoms of psychosis

Answer 12

Affective flattening
Alogia
Apathy
Anhedonia 
Attention deficit

Question 13

What is Anhedonia?

Answer 13

Negative symptom of psychosis where you lose interest in lots of things

Question 14

What is alogia?

Answer 14

Poverty of speech or lack of content in speech

Question 15

What is avolition apathy?

Answer 15

Negative symptom of psychosis where decrease grooming and have impersistence at work

Question 16

What usually precedes the onset of positive symptoms in psychosis?

Answer 16

Cognitive impairment

Question 17

What are two things you have to rule out before you can think it is psychiatric related psychosis?

Answer 17

Substance abuse and medical induced psychosis

Question 18

What is schizoaffective disorder?

Answer 18

Delusions/hallucinations for 2 or more weeks without a major mood episode (manic or depressed) during the lifespan of the delusions/hallucinations

Question 19

What if you have a mood disorder like MDD or bipolar affective disorder and psychosis…what is diagnosis?

Answer 19

Just mood disorder with psychosis

Question 20

Brief psychotic disorder has a duration of how long?

Answer 20

Less than 1 month of psychotic symptoms

Question 21

Schizophreniform has a duration of how long?

Answer 21

More than one month but less than 6 months of psychotic symptoms

Question 22

What is delusional disorder? Why is it called this?

Answer 22

Disorder with only delusions..no other symptoms of psychosis involved

Question 23

How long must you have active psychotic symptoms to be diagnosed with schizophrenia

Answer 23

More than one month

Question 24

How long must you have continuous signd of disturbance to be diagnosed with schizophrenia

Answer 24

6 months

Question 25

What must happen to your function to be diagnosed with schizophrenia?

Answer 25

Marked decrease in function

Question 26

How many symptms of schizophrenia must you have to be diagnosed?

Answer 26

At least two

Question 27

Which type of symptom, pos or neg, must you have for schizophrenia diagnosis?

Answer 27

Positive

Question 28

When do males have onset of schizophrenia?

Answer 28

18-25 years olf

Question 29

When do females have onset of schizophrenia/

Answer 29

25-35 and 45+ bc of menopause

Question 30

What is a biologic marker for poor prognosis in schizophrenia?

Answer 30

Enlarged ventricles equal more negative symptoms and worse diagnosis

Question 31

What is the main NT considered high in schizophrenia?

Answer 31

Dopamine

Question 32

Is schizophrenia genetic?

Answer 32

Yes…but not totally, environment thought to play a role

Question 33

What is the stress-diathesis model for schizophrenia?

Answer 33

Environmental stress added onto genetic predisposition leads to schizophrenia

Question 34

Is an acute or insidious onset worse prognosis in schizophrenia?

Answer 34

Insidious

Question 35

Is an episodic course or continuous course worse prognosis in schizophrenia?

Answer 35

Continuous course

Question 36

Is early or late age onset worse prognosis in schizophrenia?

Answer 36

Early age

Question 37

Is it easier to treat positive or negative symptoms

Answer 37

Positive symptoms

Question 38

Name the four dopamine pathwys in the brain

Answer 38

Mesolimbic Mesocortical Nigrostriatal Tuberohypophyseal

Question 39

What does too much dopamine in the mesolimbic pathway cause?

Answer 39

Positive symptoms of schizophrenia

Question 40

What does too little dopamine cause in the mesocortical pathway?

Answer 40

Negative symptoms of schizophrenia

Question 41

How do dopamine inhibitors affect the nigrostriatal pathway? What can this cause?

Answer 41

Decreases dopamine there… leads to tardive dyskineasia and extrapyramidal symptoms

Question 42

What is acute dystonia?

Answer 42

Involuntary muscle spasm of neck, tongue and back

Question 43

When does acute dystonia occur following treatment with antipsychotic?

Answer 43

Hours to five days after

Question 44

What is akathisia?

Answer 44

Inner sense of restlessness and compelling movement

Question 45

When does akathisia occur following treatment with antipsychotic?

Answer 45

Days to weeks after treatment

Question 46

What is parkinsonism?

Answer 46

Bradykinesia, rigidity, tremor and shuffling gait

Question 47

When does parkinsonism occur following treatment with antipsychotic?

Answer 47

Weeks to months

Question 48

What is tardive dyskinesia?

Answer 48

Involuntary abnormal movements

Question 49

When does tardive dyskinesia occur following treatment with antipsychotic?

Answer 49

More than 6 mos