Schizophrenia Flashcards

1
Q

_____________ is a mental disorder characterized by delusions, false beliefs, hallucinations of sight or sound, odd behavior, and language disturbances, but retention of normal memory and cognition.

A

Schizophrenia

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2
Q

(Auditory/Visual) hallucinations are most common in schizophrenia.

A

Auditory

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3
Q

Fabricated or invented words that hold special meaning to the creator are termed ______________.

A

Neologisms

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4
Q

The meaningless repetition of another person’s spoken words is known as ___________.

A

Echolalia

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5
Q

A(n) _____________ is a fixed, false, idiosyncratic belief.

A

Delusion

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6
Q

______________ are perceptions without an existing external stimulus.

A

Hallucinations

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7
Q

A(n) _____________ is a misperception of an actual external stimulus.

A

Illusion

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8
Q

Schizophrenia affects about __-__% of the population worldwide.

A

0.5-1%

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9
Q

Schizophrenia typically has an onset between the ages of __-__ in males.

A

15-25

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10
Q

Schizophrenia typically has an onset between the ages of __-__ in females.

A

20-30

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11
Q

What are the most common conditions that result in a good prognosis for schizophrenia patients?

A
  • Doing well before illness
  • Abrupt onset
  • Late onset (early onset is much worse)
  • Prominent confusion
  • Family history of mood disorder
  • Good support system
  • Married status
  • Positive symptoms (instead of negative symptoms)
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12
Q

What are the most common conditions that result in a bad prognosis for schizophrenia patients?

A
  • Gradual, slow onset
  • Withdrawn, odd before illness
  • Early onset
  • Family history of psychosis/schizophrenia
  • Poor premorbid functioning
  • Negative symptoms
  • Single/divorced/widowed status
  • Poor support system
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13
Q

Increased (maternal/paternal) age increases the risk for development of schizophrenia.

A

Paternal

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14
Q

If one parent has schizophrenia, the children of that couple have a __% chance of developing the condition.

A

10%

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15
Q

If both parents have schizophrenia, the children of that couple have a __% chance of developing the condition.

A

50%

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16
Q

(Heroin/Cocaine/Cannabis) may increase the risk of schizophrenia.

A

Cannabis

17
Q

In patients with schizophrenia, there is (increased/decreased) ventricle size in the brain.

A

Increased

18
Q

In patients with schizophrenia, the thalamus is (enlarged/shrunken).

A

Shrunken

19
Q

Imaging of the frontal lobe in patients afflicted with schizophrenia reveals (increased/decreased) cortical volume and (increased/decreased) activity in the frontal lobes.

A

Decreased and decreased

20
Q

What is the abnormality shown in the following image?

A

Enlarged ventricles of the brain.

21
Q

One of the primary pathologies concerning schizophrenia is the dysregulation and imbalance of dopamine in the brain. Most often, this dysregulation results in frontal lobe (hyperactivity/hypoactivity) and limbic system (hyperactivity/hypoactivity).

A
  • Frontal lobe hypoactivity
  • Limbic system hyperactivity
22
Q

What is necessary for a diagnosis of schizophrenia?

A

Two or more of the following, each active for at least one month. At least one of these symptoms must be 1, 2, or 3 from the list.

  1. Hallucinations
  2. Delusions
  3. Disorganized speech (grossly bizarre language)
  4. Catatonia or grossly disorganized behavior
  5. Negative symptoms: affective flattening (decrease in emotion), alogia (absence of additional, unprompted speech), avolition (lack of drive)

These symptoms must persist for six months.

23
Q

___________________ is a disorder consisting of schizophrenic symptoms as well as prominent mood syndromes typical of bipolar disorder, such as manic or depressive episodes.

A

Schizoaffective disorder

24
Q

What are the three diagnostic criteria for schizoaffective disorder according to DSM V?

A
  1. An uninterrupted period of illness in which there is a major mood episode (manic or major depressive) concurrent with schizophrenia.
  2. Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode.
  3. Symptoms that meet the criteria for a major mood episode are present for the majority of illness.
25
Q

___________________ is an uncommon mental disorder in which a patient experiences prominent delusions without hallucinations or language disturbance. Patients often display paranoia, usually of a medical fixation (such as delusions of parasites or worms within their body). This disorder typically onsets later in life, around the ages of 40-50.

A

Delusional disorder

26
Q

___________ describes a type of delusion in which an individual believes that someone famous is in love with them.

A

Erotomanic

27
Q

___________ describes a type of delusion in which an individual believes they have some great, unparalleled talent.

A

Grandiose

28
Q

___________ describes a type of delusion in which an individual believes their loved one is unfaithful or untrue.

A

Jealous

29
Q

___________ describes a type of delusion in which an individual is paranoid that someone, often the government, is out to get them.

A

Persecutory

30
Q

___________ describes a type of delusion in which an individual believes they have a bodily disorder, but do not.

A

Somatic

31
Q

_________________ is a mental disorder in which an individual displays the symptoms associated with schizophrenia, but the symptoms are present more than 1 month but less than 6 months.

A

Schizophreniform disorder

32
Q

________________ is a mental disorder characterized by symptoms usually seen in schizophrenia, but the symptoms are present more than 1 day but less than 1 month. These are often precipitated by a severe stressor or postpartum conditions.

A

Brief psychotic disorder

33
Q

__-__% of people with schizophrenia commit suicide.

A

10-15%

34
Q

__% of people with schizophrenia have an alcohol or other drug dependence.

A

50%

35
Q

(T/F) Patients with schizophrenia often also suffer from smoking related disorders, such as COPD, or diabetes.

A

True.

36
Q

Dopamine blockade causes an increase in ___________ levels.

A

Prolactin

37
Q

____________ is the excessive or inappropriate production of milk. This may be brought about by increased levels of prolactin in the body.

A

Galactorrhea