Schizophrenia Clinical

Question 1

A psychotic episode will last a?

Answer 1

A week

Question 2

Nihilistic?

Answer 2

Low mood psychotic depression eg No point eating food it will just sit there hence meaningless

Question 3

Dementia praecox forms:

Answer 3

Hebephrenic laughing unnecessarily etc , catatonic, paranoid and complex

Question 4

Hebephrenic?

Answer 4

Giggly, silly

Question 5

Catatonic?

Answer 5

Movement problems, stiff

Question 6

Simplex?

Answer 6

Negative symptoms, deattached

Question 7

Schneider, first rank symptoms?

Answer 7

Auditory hallucinations 
Somatic hallucinations 
Thought insertion, broadcast, withdrawal
Passivity phenomena 
Delusional perception

Question 8

Diagnosing schizophrenia?

Answer 8

1 of a to d, or 2 of e to h for at least 1 month

Question 9

Prevalence of schizophrenia?

Answer 9

0.2 to 0.7%

Question 10

Incidence of schizophrenia?

Answer 10

2/10000

Question 11

Male onset

Answer 11

21 to 26

Question 12

Female onset

Answer 12

25 to 32

Question 13

Difference between neurosis and psychosis?

Answer 13

Neurosis:
Depressive
Anxiety
OCD
Adjustment disorder 
Somatistaion disorder 

Psychosis:
Organis
Schizophrenia
Bipolar
Depressive psychosis

Question 14

Psychosis definition?

Answer 14

Illness characterised by a loss of boundaries with reality anf loss of insight with primary features of delusions and hallucinations

1 week of either of these symptoms at significant severity

Question 15

Affective psychosis includes?

Answer 15

Bipolar disorder, depression or psychosis and schizoaffective disorder

Question 16

Organic psychosis differentials?

Answer 16

Epilepsy, infections, cerebral trauma, demyelination, neuro developmental disorders, lupus, toxins, dementia, metabolic such as hepatic failure, and endocrine e.g cushings and acute drug intoxication e.g ketamine

Question 17

Signs of schizophrenia?

Answer 17

Self neglect, talking to themselves, social disturbance, perplexity clothing, posture

Question 18

Side effects of medication?

Answer 18

Parkinsonian symptoms
Tardive dyskinesia
Skin discolouration
Severe weight gain

Question 19

Differences in acute and chronic syndrome?

Answer 19

In acute they are withdrawn, restless, blunt mood, formal thought disorder, impaired insight, normal orientation positive symptoms

Chronic: lack of drive social withdrawal self neglect
Depression, stupor catatonia cognitive decline

Question 20

Positive symptoms?

Answer 20

Delusions
Hallucinations
Disorganised speech
Catatonia

Question 21

Negative symptoms?

Answer 21

Affective flattening
Alogia ( lack of speech too hard)
Anhedonia
Abolition (lack of motivation)

Question 22

Prognosis of schizo?

Answer 22

Better in 3rd world
20% comlpkete recovery
25%- persistent symptoms after first episode dementia praecox
Over 50% have a relapsing remitting illness with some function impairment between episodes

Question 23

Suicide in schizo?

Answer 23

5-10%

Question 24

What is social determinant to psychosis?

Answer 24

Cannabis