Schizophrenia and Psychosis

Question 1

The loss of contact with reality, usually including false beliefs about what is taking place or who one is (delusions), and seeing or hearing things that aren’t there (hallucinations)

Answer 1

psychosis

Question 2

2 or more of these criteria are needed for a month for psychosis

Answer 2

delusions
hallucinations
diorganized speech
grossly disorganized or catatonic behavior
negative symptoms- affective flattening, alogia, avolition

Question 3

what are most hallucinations w/ schizophrenia

Answer 3

auditory that are very critical

Question 4

lack of initiative or motivation

Answer 4

avolition

Question 5

lack of speech

Answer 5

alogia

Question 6

is a state of apparent unresponsiveness to external stimuli in a person who is apparently awake and
is difficult to differentiate from diffuse encephalopathy and nonconvulsive status epilepticus

Answer 6

Cataonia

Question 7

older 1st gen. antipsychotics had a high affinity for what?

Answer 7

dopamine 2 receptors

Question 8

ADRs of 1st generation antipsycotics

Answer 8

tardive dyskinesias
extra-pyramidal side effects
dystonias

Question 9

less risk of what w/ 2nd gen. antipsychotics

Answer 9

less risk of extra-pyramidal side effects and tardive dyskinesia

Question 10

ADRs w/ 2nd gen. antipsychotics

Answer 10

weight gain
elevated lipids
risk of T2DM

Question 11

2nd gen. antipsychotics that causes patients to gain 50-100 pounds

Answer 11

olanzapine

Question 12

What is Neuroleptic malignant syndrome

Answer 12

high fever, BP, rigidity, leukocytosis

elevated CPK

Question 13

Patient meets criteria for schizophrenia in addition to meeting criteria for major depression, a manic or mixed episode
Patient must have 2 weeks of delusions or hallucinations with the absence of mood symptoms
Symptoms of the mood disorder are present for a substantial part of the illness

Answer 13

Schizoaffective Disorder

Question 14

Delusions are present at least 1 month-things that occur in real life such as being followed, poisoned, infected, loved at a distance, having a deceived, or being deceived by a significant other
Outside of the delusions, behavior is not odd, bizarre or impaired
Patient has never meet criteria for schizophrenia

Answer 14

Delusional Disorder

Question 15

delusions that another person, usually higher status is in love with the person

Answer 15

Erotomanic delusional disorder

Question 16

delusions or worth, power, knowledge, identity, or a special relationship to a deity or famous person

Answer 16

Grandiose delusional disorder

Question 17

Beliefs that one’s partner is being unfaithful

Answer 17

jealous delusional disorder

Question 18

belief that someone the person is close to is being maltreated

Answer 18

persecutory delusional disorder

Question 19

delusions of a medical illness or physical defect

Answer 19

somatic delusional disorder

Question 20

Hallucinations or delusions that developed within 1 month of substance intoxication or withdrawal, or due to medication

Answer 20

drug induced psychosis