schizophrenia

Question 1

recurrence after 1st episode

Answer 1

50% improve
20% have no further episodes
20% live independently
5 yr relapse rateis 85%

Question 2

Modified Kane criteria for Tx resistant schiz

Answer 2

drug refractory= 2 trials of 4-6 weeks at 400-600 of clorpromazine
persistent illness= > 5 yrs with no period of good funciton
persistent psychotic symptoms= BPRS>45 and other scale stuff indicating positive sx.

Question 3

The only 2 social interventions with level A evidence as per 2001 GL?

Answer 3

family intervention (psycho ed)
supported emplyment
(ACT for certain populations)

Question 4

criteria for metabolic syndrome?

Answer 4

waist circumference of 102 (88 for F)
PLUS 2/4:
TG> 1.7 mmol/L
HDL-C < 1 (1.3 for F)
BP > 135/85
DM-II or FBG > 5.6 mmol/L