Q2 Psychotic Disorders

Question 1

is psychosis a symptom or a disease

Answer 1

• a symptom

Question 2

psychosis is a gross impairment in _____ testing

Answer 2

• reality

Question 3

what is the decreased ability to evaluate the accuracy of perceptions and thoughts; make incorrect inferences about external reality (even in the face of contrary evidence)

Answer 3

• psychosis

Question 4

the three major categories of psychosis symptoms

Answer 4

• positive - presence of a symptom
• negative - absence of a symptom
• cognitive impairment

Question 5

types of positive symptoms in psychosis

Answer 5

• hallucination
• delusions
• disorganization

Question 6

hallucinations that occur when going to sleep are called-

Answer 6

• hypnaGOgic

Question 7

hallucinations that occur when waking from sleep are called

Answer 7

• HypnoPOmPic

Question 8

what is the most common form of hallucination in psychosis

Answer 8

• auditory hallucinations

Question 9

with olfactory and gustatory hallucinations, what should be considered

Answer 9

• medical cause

Question 10

which tactile hallucinations, what should be considered

Answer 10

• substance abuse

Question 11

what is the name for voices commanding patients to perform acts that could result in harm to themselves or others

Answer 11

• command auditory hallucinations

Question 12

what is a fixed false belief that is maintained even in the face of considerable evidence or likelihood to the contrary

Answer 12

• delusion

Question 13

categories of delusion

Answer 13

• persecutory
• grandiose
• nihilistic
• erotomanic

Question 14

what is the core feature of psychosis

Answer 14

• disorganization

Question 15

the association is directed by the sound rather than meaning

Answer 15

• clang association

Question 16

negative symptoms in psychosis

Answer 16

• affect (flat)
• alogia
• avolition-apathy
• anhedonia
• attention deficits

Question 17

what is poverty of speech/content of speech

Answer 17

• alogia

Question 18

what is a decrease in grooming/hygiene, impersistence at work/school

Answer 18

• avolition

Question 19

__________ precedes the onset of positive symptoms in psychosis

Answer 19

• cognitive impairment

Question 20

what is a primary psychotic disorder that meets the criteria for schizophrenia but also has a significant secondary mood component (meets major depressive or manic criteria) for a majority of the illness

Answer 20

• schizoaffective disorder

Question 21

what condition occurs if the psychotic symptoms are less than one month in duration

Answer 21

• brief psychotic disorder

Question 22

what condition occurs if the psychotic symptoms are between 1-6 months in duration

Answer 22

• schizophreniform disorder

Question 23

what condition occurs if the psychotic symptoms are absent except for the presence of delusions

Answer 23

• delusional disorder

Question 24

the active phase of schizophrenia has to have at least two psychotic symptoms for at least ______

Answer 24

• 1 month

Question 25

duration of schizophrenia must include continuous signs of the disturbance for at least _____

Answer 25

- 6 months

Question 26

you need ___ of 5 symptoms for schizophrenia these are:

Answer 26

- 2 - delusions - hallucinations - thought disorganization - catatonia - negative symptoms

Question 27

what percent of people with schizophrenia die from suicide

Answer 27

- 5%

Question 28

schizophrenia age of onset in males in females

Answer 28

- 18-25 - mid-late 20s - mid-late 40s

Question 29

risk factors for schizophrenia

Answer 29

- first generation immigrant - urban living - cannabis use - born late winter early spring - obstetrical complication - advanced paternal age FUC BOA (basically fuck boy)

Question 30

brain abnormalities association with schizophrenia

Answer 30

- enlarged ventricles - reduced volume but increased activity of temporal limbic structures - reduced frontal lobe activities

Question 31

neurotransmitters with importance roles in schizophrenia - which is most important

Answer 31

- dopamine (most important) - glutamate - GABA - acetylcholine

Question 32

is schizophrenia a genetic disorder is it entirely? what is the current concept

Answer 32

- yes - no - stress-diathesis model - stress = environmental insult - diathesis - genetic predisposition

Question 33

people with schizophrenia have an increased rate of mortality dying on average ____ years earlier

Answer 33

- 22.5

Question 34

positive symptoms is a (better/worse) prognostic factor for schizophrenia negative symptoms is a (better/worse) prognostic factor for schizophrenia

Answer 34

- better | - worse

Question 35

female gender is a (better/worse) prognostic factor for schizophrenia male gender is a (better/worse) prognostic factor for schizophrenia

Answer 35

- better | - worse

Question 36

enlarged lateral and 3rd ventricles is a (better/worse) prognostic factor for schizophrenia

Answer 36

- worse

Question 37

typical antipsychotic meds atypical antipsychotic meds

Answer 37

- dopamine blockers | - dopamine and 5HT blockers

Question 38

too much dopamine presents as __________

Answer 38

- Parkinsonism