Schizophrenia

Question 1

risk factors

Answer 1

FHx*
traumatic childhood
canabis use
maternal poor health 
birth trauma 
urban environment
immigration

Question 2

first rank features

Answer 2

auditory hallucinations
thought disorders
delusional perceptions
passivity phenomena

Question 3

ex/ thought disorders

Answer 3

insertion
withdrawal
broadcasting

Question 4

delusional perceptions

Answer 4

2 stage process

normal object is perceived and secondary delusional insight into its meaning

Question 5

negative symptoms

Answer 5

poverty of speech
anhedonia
incongruity/blunting of affect
poor motivation

Question 6

ICD 10 diagnosis - one of

Answer 6

thought disorder
delusions of control, influence, passivity
auditory hallucinations
persistent delusions

Question 7

ICD 10 diagnosis - two of

Answer 7

persistent hallucination + fleeting delusions or overvalued ideas
breaks in train of thought
catatonic behaviour
negative symptoms

Question 8

good prognostic indicators

Answer 8

high IQ
sudden onset
precipitating factor
mostly +ve symptoms

Question 9

poor prognostic indicators

Answer 9

strong FHx
gradual onset
low IQ
prodromal phase 
lack of precipitant

Question 10

Mx

Answer 10

oral atypical antipsychotic is first line

offer CBT

Question 11

Mx - children and young people whose schizophrenia has not responded to adequate doses of at least two different antipsychotics used sequentially for 6-8 weeks

Answer 11

clozapine