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HBHD > Q2 Psychotic Disorders > Flashcards

Q2 Psychotic Disorders Flashcards

1
Q

is psychosis a symptom or a disease

A
  • a symptom
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2
Q

psychosis is a gross impairment in _____ testing

A
  • reality
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3
Q

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)

A
  • psychosis
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4
Q

the three major categories of psychosis symptoms

A
  • positive - presence of a symptom
  • negative - absence of a symptom
  • cognitive impairment
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5
Q

types of positive symptoms in psychosis

A
  • hallucination
  • delusions
  • disorganization
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6
Q

hallucinations that occur when going to sleep are called-

A
  • hypnaGOgic
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7
Q

hallucinations that occur when waking from sleep are called

A
  • HypnoPOmPic
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8
Q

what is the most common form of hallucination in psychosis

A
  • auditory hallucinations
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9
Q

with olfactory and gustatory hallucinations, what should be considered

A
  • medical cause
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10
Q

which tactile hallucinations, what should be considered

A
  • substance abuse
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11
Q

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

A
  • command auditory hallucinations
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12
Q

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

A
  • delusion
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13
Q

categories of delusion

A
  • persecutory
  • grandiose
  • nihilistic
  • erotomanic
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14
Q

what is the core feature of psychosis

A
  • disorganization
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15
Q

the association is directed by the sound rather than meaning

A
  • clang association
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16
Q

negative symptoms in psychosis

A
  • affect (flat)
  • alogia
  • avolition-apathy
  • anhedonia
  • attention deficits
17
Q

what is poverty of speech/content of speech

A
  • alogia
18
Q

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

A
  • avolition
19
Q

__________ precedes the onset of positive symptoms in psychosis

A
  • cognitive impairment
20
Q

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

A
  • schizoaffective disorder
21
Q

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

A
  • brief psychotic disorder
22
Q

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

A
  • schizophreniform disorder
23
Q

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

A
  • delusional disorder
24
Q

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

A
  • 1 month
25
Q

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

A
  • 6 months
26
Q

you need ___ of 5 symptoms for schizophrenia

these are:

A
  • 2
  • delusions
  • hallucinations
  • thought disorganization
  • catatonia
  • negative symptoms
27
Q

what percent of people with schizophrenia die from suicide

A
  • 5%
28
Q

schizophrenia age of onset in males

in females

A
  • 18-25
  • mid-late 20s
  • mid-late 40s
29
Q

risk factors for schizophrenia

A
  • first generation immigrant
  • urban living
  • cannabis use
  • born late winter early spring
  • obstetrical complication
  • advanced paternal age

FUC BOA (basically fuck boy)

30
Q

brain abnormalities association with schizophrenia

A
  • enlarged ventricles
  • reduced volume but increased activity of temporal limbic structures
  • reduced frontal lobe activities
31
Q

neurotransmitters with importance roles in schizophrenia

  • which is most important
A
  • dopamine (most important)
  • glutamate
  • GABA
  • acetylcholine
32
Q

is schizophrenia a genetic disorder

is it entirely?

what is the current concept

A
  • yes
  • no
  • stress-diathesis model
  • stress = environmental insult
  • diathesis - genetic predisposition
33
Q

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

A
  • 22.5
34
Q

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

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

A
  • better

- worse

35
Q

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

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

A
  • better

- worse

36
Q

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

A
  • worse
37
Q

typical antipsychotic meds

atypical antipsychotic meds

A
  • dopamine blockers

- dopamine and 5HT blockers

38
Q

too much dopamine presents as __________

A
  • Parkinsonism

HBHD (23 decks)

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