Schizophrenia

Question 1

What is the definition of psychosis?

Answer 1

‘Disease of the mind’

An inability to distinguish between symptoms of delusion, hallucination and disordered thinking from reality

Question 2

What is a delusion?

Answer 2

an inability to distinguish between symptoms of delusion, hallucination and disordered thinking from reality

Question 3

List 2 symptoms in psychosis

Answer 3

Hallucination

Delusion

Question 4

List 3 POSITIVE symptoms of schizophrenia

Answer 4

Hallucinations
Delusions
Disordered Thinking

Question 5

List 3 NEGATIVE symptoms of schizophrenia

Answer 5

Apathy
Lack of interest
Lack of emotions

Question 6

What is the ICD 10 criteria for a diagnosis of schizophrenia?

Answer 6

At least one of the following for more than a month:
Alienation of thought
Delusions of body control
Hallucinatory voices
Persistent delusions
OR
At least 2 of the following for more than a month:
Persistent hallucinations of any modality
Breaks in train of thought
Catatonic bahviour
Negative symptoms (apathy, lack of interest etc..)

Question 7

What is posturing?

Answer 7

Catatonic behaviour.

Patient rested in an awkward posture (does not move)

Question 8

What is wavy flexibility?

Answer 8

Catatonic behaviour.

Place patient in an awkward position and they will not correct

Question 9

List 3 factors that are relevant in the aetiology of psychosis

Answer 9

Biological factors
Psychological factors
Social factors

Question 10

List 3 biological factors that can perpetuate or predispose someone to spychosis

Answer 10

Genetics
Neurochemistry
Substance Misuse

Question 11

List 4 social factors that can perpetuate or predispose someone to psychosis

Answer 11

Occupation and social class
Migration
Social isolation
Live events

Question 12

List differentials of patients who present with schizophrenic illness

Answer 12

Psychotic Illnesses:
Delirium
Organic Brain Disease

Affective Illnesses:
Depressive episode with psychosis
Manic episode with psychosis