Schizophrenia Flashcards

1
Q

What do you need for a diagnosis

A

two+ for one month
-delusions
-hallucinations
-disorganized speech
-catatonic behavior
-negative symptoms

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2
Q

psychosis consists of

A

-hallucinations
-delusions
-disorganized thoughts
-abnormal motor behavior
-negative symptoms

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3
Q

primary psychosis

A

SSD

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4
Q

secondary psychosis

A

symptoms from substance use

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5
Q

schizophreniform

A

Schizophrenia symptoms for 1-5 months

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6
Q

brief psychotic DO

A

sudden onset of psychiatric symptoms for short amount of time

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7
Q

schizoaffective

A

PD, intense discomfort with close relationships, mood DO

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8
Q

delusional DO

A

nonbizarre delusions

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9
Q

Substance induced psychotic DO

A

psychosis caused by substance use

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10
Q

early age of onset

A

-brain abnormalities
poorer diagnosis

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11
Q

primary intervention

A

target people at risk but don’t have yet

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12
Q

secondary intervention

A

intervening early and treating

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13
Q

acute phase

A

severe and well-developed symptoms

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14
Q

every realapse

A

results in deterioration

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15
Q

risk factors

A

-genetic factors
-alteration in brain structure
-neurotransmitter system disrupted
-alterations to neural circuits

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16
Q

whats neuro chemicals are factors

A

-dopamine
-serotonin
-NMDA
-glutamine

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17
Q

synaptic pruning

A

cutting back of weak neurons
gene c-4

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18
Q

positive symptoms

A

hallucinations
delusions
bizzare behaviors
cataonia
formal thought DO

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19
Q

negative symptoms

A

apathy
lack of motivation
anhedonia
flat affect
poverty of speech
social withdrawl

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20
Q

associative looseness

A

inability to tie thoughts together

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21
Q

Tangential

A

train of thought wonders off

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22
Q

clanging

A

meaningless rhyming

23
Q

neologisms

A

made up words

24
Q

echolalia

A

repeating words

25
Q

circumstantiality

A

excessive detail

26
Q

cognitive symptoms

A

impaired memory
disruption in social learning
inability to reason

27
Q

what is important to teach about

A

early signs of relapse and develop a prevention plan

28
Q

haldol

A

first gen

29
Q

chlorpromazine

A

first gen

30
Q

trifluoperazine

A

first gen

31
Q

thiothixene

A

first gen

32
Q

fluphenazine

A

first gen

33
Q

thioridazone

A

first gen

34
Q

loxapine

A

first gen

35
Q

perphenazine

A

first gen

36
Q

First generation SE

A

-anticholinergic
-wt gain
-increased prolactin
-EPS
TD
NMS
aganulocytosis

37
Q

what does first generation target

A

positive

38
Q

clozapine

A

second

39
Q

risperidone

A

second

40
Q

olanzapine

A

second

41
Q

quetiapine

A

second

42
Q

ziprasidone

A

second

43
Q

paliperidone

A

second

44
Q

lurasidone

A

second

45
Q

iloperidone

A

second

46
Q

cariprazine

A

second

47
Q

aripiprazole

A

second

48
Q

what AAP cause wt gain

A

clozapine
olanzapine

49
Q

what AAP cause less wt gain

A

ziprasidone
cariprazine

50
Q

Second generation SE

A

anticholinergic
EPS (not as common)
gynecomastia
seizures
NMS
Metabolic syndrome
sedation
sexual problems
cardiac events

51
Q

NMS symptoms

A

high fever
high CPK
VS instability
Tachycardia
sweating
encephalopathy
altered LOC
muscle rigidity

52
Q

NMS treatment

A

stop drug
antipyretics
dantrolene
IV fluids

53
Q

antiparkinsons drugs

A

trihexyphenidyl
benztropine
diphenhydramine
biperiden