Schizophrenia

Question 1

When does schizophrenia most commonly start?

Answer 1

In adolescence/early 20s

Question 2

Risk factors for schizophrenia (4)

Answer 2

Family history
Intrauterine and perinatal complications
Social isolation
Cocaine/cannabis use

Question 3

What are the “first-rank” symptoms of schizophrenia? (5)

Answer 3

Lack of insight
Auditory hallucinations
Thought interference
Delusional perceptions
Passivity phenomena

Question 4

How many first-rank symptoms are needed for the diagnosis of schizophrenia to be suggested?

Answer 4

One

Question 5

Negative symptoms of schizophrenia (5)

Answer 5

Underactivity
Low motivation
Social withdrawal
Emotional flattening
Self neglect

Question 6

Pattern of thought in schizophrenia (2)

Answer 6

Thought blocking

Loosening of associations

Question 7

Organic differential diagnoses (4)

Answer 7

Temporal lobe epilepsy
Encephalitis
Dementia
Delirium

Question 8

Psychiatric differential diagnoses (3)

Answer 8

Mania
Depression with psychotic features
Dissociative identity disorder

Question 9

Frequently co-morbid conditions (4)

Answer 9

Depression
Anxiety
PTSD
Substance misuse

Question 10

Poor prognostic indicators (4)

Answer 10

Insiduous onset
Early/childhood onset
Cognitive impairment
Longer duration of untreated psychosis

Question 11

Under the ICD-10 criteria how long must symptoms last for diagnosis?

Answer 11

At least one month