Schizophrenia Flashcards

1
Q

Family history is one of the largest risk factors for schizophrenia. What is the risk of development if a parent, sibling or monozygotic twin has schizophrenia?

A

monozygotic twin = 50%
parent = 10-15%
sibling = 10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Other risk factors for psychotic disorders (not including FHx)

A

Black Caribbean ethnicity
Migration
Urban environment
Cannabis use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the categories of First Rank Symptoms in Schizophrenia

A
  • auditory hallucinations
  • thought disorders
  • passivity phenomena
  • delusional perceptions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the types of auditory hallucinations experienced in schizophrenia

A
  • two or more voices discussing the patient in the third person
  • thought echo
  • voices commenting on the patient’s behaviour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Thought disorders in schizophrenia

A

thought insertion
thought withdrawal
thought broadcasting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is passivity phenomena?

A

bodily sensations being controlled by external influence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the delusional perceptions in schizophrenia

A

2 step process:
1) normal object is perceived
2) sudden intense delusional insight into the objects meaning

e.g.
1)’The traffic light is green
2) therefore I am the King’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Do patients with schizophrenia typically have preserved insight?

A

No, they often lack insight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Give examples of “negative symptoms” seen in schizophrenia

A
  • blunting of affect
  • anhedonia
  • poverty of speech
  • poor motivation
  • social withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are neologisms?

A

made-up words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Poor prognostic factors in schizophrenia

A

strong family history
gradual onset
low IQ
lack of obvious precipitant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Management of schizophrenia

A
  • 1st Line: oral atypical antipsychotics
  • CBT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

There are high rates of cardiovascular disease in schizophrenic patients. Why is this the case?

A
  • Linked to both antipsychotic medication and high smoking rates in this population
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly