Schizo Flashcards
Criterion A for schizoaffective disorder requires an uninterrupted period of illness during which Criterion A for schizophrenia is met. Which of the following
additional symptoms must be present to fulfill diagnostic criteria for schizoaffective disorder?
A. An anxiety episode—either panic or general anxiety.
B. Rapid eye movement (REM) sleep behavior disorder.
C. A major depressive or manic episode.
D. Hypomania.
E. Cyclothymia.
Correct Answer: C. A major depressive or manic episode.
There is a requirement for a major depressive episode or a manic episode to be part of the symptom picture for a DSM-5 diagnosis of schizoaffective disorder.
In order to separate schizoaffective disorder from depressive or bipolar disorder with psychotic features, which of the following symptoms must be present for at least 2 weeks in the absence of a major mood episode at some point during the lifetime duration of the illness?
A. Delusions or hallucinations.
B. Delusions or paranoia.
C. Regressed behavior.
D. Projective identification.
E. Binge eating.
Correct Answer: A. Delusions or hallucinations.
A 27-year-old unmarried truck driver has a 5-year history of active and residual symptoms of schizophrenia. He develops symptoms of depression, including depressed mood and anhedonia, that last 4 months and resolve with
treatment but do not meet criteria for major depression. Which diagnosis best
fits this clinical presentation?
A. Schizoaffective disorder.
B. Unspecified schizophrenia spectrum and other psychotic disorder.
C. Unspecified depressive disorder.
D. Schizophrenia and unspecified depressive disorder.
E. Unspecified bipolar and related disorder.
Correct Answer: D. Schizophrenia and unspecified depressive disorder.
A 30-year-old single woman reports having experienced auditory and persecutory delusions for 2 months, followed by a full major depressive episode
with sad mood, anhedonia, and suicidal ideation lasting 3 months. Although
the depressive episode resolves with pharmacotherapy and psychotherapy,
the psychotic symptoms persist for another month before resolving. What diagnosis best fits this clinical picture?
A. Brief psychotic disorder.
B. Schizoaffective disorder.
C. Major depressive disorder.
D. Major depressive disorder with psychotic features.
E. Bipolar I disorder, current episode manic, with mixed features.
Correct Answer: B. Schizoaffective disorder.
Which of the following statements about the incidence of schizoaffective disorder is true?
A. The incidence is equal in women and men.
B. The incidence is higher in men.
C. The incidence is higher in women.
D. The incidence rates are unknown.
E. The incidence rates vary based on seasonality of birth.
Correct Answer: C. The incidence is higher in women.
A 55-year-old man with a known history of alcohol dependence and schizophrenia is brought to the emergency department because of frank delusions
and visual hallucinations. Which of the following would not be a diagnostic
possibility for inclusion in the differential diagnosis?
A. Schizophrenia.
B. Substance/medication-induced psychotic disorder.
C. Alcohol dependence.
D. Psychotic disorder due to another medical condition.
E. Borderline personality disorder with psychotic features.
Correct Answer: E. Borderline personality disorder with psychotic features.
A 65-year-old man with systemic lupus erythematosus who is being treated
with corticosteroids witnesses a serious motor vehicle accident. He begins to
have disorganized speech, which lasts for several days before resolving. What
diagnosis best fits this clinical picture?
A. Schizophrenia.
B. Psychotic disorder associated with systemic lupus erythematosus.
C. Steroid-induced psychosis.
D. Brief psychotic disorder, with marked stressor.
E. Schizoaffective disorder.
Correct Answer: D. Brief psychotic disorder, with marked stressor.
Which of the following patient presentations would not be classified as psychotic for the purpose of diagnosing schizophrenia?
A. A patient is hearing a voice that tells him he is a special person.
B. A patient believes he is being followed by a secret police organization that
is focused exclusively on him.
C. A patient has a flashback to a war experience that feels like it is happening
again.
D. A patient cannot organize his thoughts and stops responding in the middle
of an interview.
E. A patient presents wearing an automobile tire around his waist and gives
no explanation.
Correct Answer: C. A patient has a flashback to a war experience that feels like it is happening again.
