Schizophrenia Definitions

Question 1

Psychosis

Answer 1

State in which a person experiences hallucinations; delusions; disorganized thoughts, speech, or behavior

Question 2

Autistic thinking

Answer 2

restricts thinking to the literal and immediate so that the individual has private rules of logic and reasoning that make no sense to anyone else

Question 3

Circumstantiality

Answer 3

extremely detailed topic

Question 4

Clang association

Answer 4

repetition of words or phrases that are similar in sound but in no other way, for example, right, light, sight, might

Question 5

Concrete thinking

Answer 5

lack of abstraction in thinking; inability to understand punch lines, metaphors, and analogies

Question 6

Echolalia

Answer 6

repetition of another’s words that is parrot-like and inappropriate

Question 7

Flight of ideas

Answer 7

topic of conversation changes repeatedly and rapidly, generally after just one sentence/phrase

Question 8

loose associations

Answer 8

absence of the normal connectedness of thoughts, ideas, and topics; sudden shifts

Question 9

Metonymic speech

Answer 9

use of words inter changeably with similar meanings

Question 10

nilistic

Answer 10

Belief that someone is dead

Question 11

Neologisms

Answer 11

words that are made up that have no common meaning and are not recognized

Question 12

Paranoia

Answer 12

suspiciousness and guardedness that are unrealistic and often accompanied by grandiosity

Question 13

anhedona

Answer 13

lack of pleasure

Question 14

Pressured speech

Answer 14

speaking as if the words are being forced out

Question 15

allosia

Answer 15

decreased speech

Question 16

Referential thinking

Answer 16

such as the TV commentator speaking directly to the individual

Question 17

stilted language

Answer 17

overly and inappropriately artificial formal language

Question 18

tangentiality

Answer 18

the topic of conversation is changed to an entirely different topic

Question 19

Verbigeration

Answer 19

repetition of words or phrases

Question 20

Word salad

Answer 20

string of words that are not connected in any way (mixed words)

Question 21

Catatonia

Answer 21

psychomotor disturbances
such as stupor, mutism, posturing, or repetative behavior

Question 22

Catatonic excitement

Answer 22

a hyperactivity characterized by purposeless activity and abnormal movements such as grimacing and posturing

Question 23

Echopraxia

Answer 23

involuntary imitation of another person’s movements and gestures (copying someone elses behavior)

Question 24

Waxy flexibility

Answer 24

posture held in odd or unusual fixed position for extended periods of time

Question 25

Stereotypy

Answer 25

repetitive purposeless movements that are idiosyncratic to the individual and to some degree outside the individuals control

Question 26

Regressed behavior

Answer 26

behaving in a manner of a less mature life stage; childlike and immature behavior

Question 27

Akathesia

Answer 27

patient is restless and reports they feel driven to keep moving; extremely uncomfortable.
Beta-andrenergic blocker like Propranolol or Inderal may be required.
Failure to manage this SE result in patient not taking their medication.patient is restless and reports they
*Looks like aggression - but actually a SE

Question 28

Dystonic Reactions

Answer 28

Muscles tense
body is distorted
Imbalance of dopamine and acetylcholine.
Benadryl (diphenhydramine) 25mg- 50mg is helpful benztropine 1mg-2mg is helpful

Question 29

NMS (neuroleptic malignant syndrome)

Answer 29

High fever (102 to 104 degrees).
Tachycardia
Tachypnea
Muscle rigidity
Altered mental status.
High blood pressure or low blood pressure.
Excessive sweating

Question 30

Serotonin Syndrome

Answer 30

agitation, anxiety, restlessness, disorientation, diaphoresis, hyperthermia, tachycardia, nausea, vomiting, tremor, muscle rigidity, hyperreflexia, myoclonus, dilated pupils, ocular clonus, dry mucous membranes, flushed skin, increased bowel sounds

Question 31

Lamotrigine

Answer 31

Rash - SJS
*Discontinue immediately

Question 32

Divalproex
sodium

Answer 32

Avoid with liver dysfunction
Draw LFT before starting
Labs

Question 33

Carbamazepine

Answer 33

Aplastic anemia and agranulocytosis risk (CBC)