Schizophrenia- Derreberry

Question 1

what are the most prominent characteristics of schizophrenia

Answer 1

hallucinations
delusions
diorganizaiton

Question 2

what is the onset of Schizophrenia

Answer 2

late adolescence or early adulthood

Question 3

what is the worldwide prevalence of schizophrenia

Answer 3

1%

Question 4

a break from reality involving delusions, perceptual disturbances, and/or disordered thinking

Answer 4

psychosis

Question 5

disorders of thought content

Answer 5

patient’s beliefs, ideas, and interpretations of his/her surroundings

Question 6

disorders of thought process

Answer 6

manner in which patient links ideas and words together

Question 7

fixed, false beliefs that cannot be altered by rational arguments and cannot be accounted for the by cultural background of the individual

Answer 7

delusions

Question 8

paranoid delusion

Answer 8

irrational belief that one is being persecuted

Question 9

ideas of reference

Answer 9

belief that some event is uniquely related to the individual

Question 10

delusions of grandeur

Answer 10

belief that one has special powers beyond those of a normal person

Question 11

delusions of guilt

Answer 11

false belief that one is guilty or responsible for something

Question 12

sensory perception without an actual external stimulus

Answer 12

hallucination

Question 13

what is the most common hallucination seen in schizophrenia

Answer 13

auditory

Question 14

misinterpretation of an existing sensory stimulus ( such as mistaking a shadow for a cat)

Answer 14

illusion

Question 15

what are positive symptoms for Schizophrenia

Answer 15

add to something that is normal

hallucinations

Question 16

what clinical symptoms of Schizophrenia can cause the most social impairment and is associated with worse prognosis

Answer 16

disorganization

Question 17

what is the correlation between IQ and Schizophrenia

Answer 17

lower IQ with schizophrenia

Question 18

how long must a patient have symptoms in order to be diagnosed with schizophrenia for criteria A

Answer 18

at least 1 month

Question 19

what is the clinical presentation list for criteria A, in order for someone to be diagnosed with Schizophrenia

Answer 19

delusions
hallucinations
disorganized speech
grossly disorganized or catatonic behavior
negative symptoms

Question 20

for Schizophrenia, continuous signs of disturbance persist for at least how long

Answer 20

6 months

Question 21

what thought process is a negative symptoms of schizophrenia and might also be a feature of severe depression or dementia

Answer 21

poverty of thought

Question 22

Nihilism - Cotard’s syndrome delusion

Answer 22

patient believes that he/she is already dead

Question 23

capgras syndrome delusion? what other mental disorder is this commonly seen in

Answer 23

known person is not recognized and believed to be replaced ( common in dementia)

Question 24

Fregoli’s syndrome Deluison

Answer 24

persecutor is believed to take other identities

Question 25

folie a duex delusion

Answer 25

2 people share delusion

Question 26

hypnogogic hallucination

Answer 26

hallucinate as you go to sleep

Question 27

hypnopompic hallucination

Answer 27

hallucinate as you wake up

Question 28

what is the difference between insight and judgement

Answer 28

insight: level of understanding judgement: determine whether something is inappropriate or not

Question 29

stupor

Answer 29

no psychomotor activity | motionless

Question 30

mutism

Answer 30

no or very little verbal repsonse

Question 31

waxy flexibility

Answer 31

slight, even resistance to positioning by examiner

Question 32

catalepsy

Answer 32

passive induction of posture held against gravity

Question 33

echopraxia

Answer 33

repetition of another person's action

Question 34

echolalia

Answer 34

repetition of another person's speech

Question 35

negativism

Answer 35

opposition or no response to instructions or external stimuli

Question 36

what is the genetics behind Schizophrenia

Answer 36

- genetic - may have multiple risk allele - may arise from de novo mutations

Question 37

what is an illegal drug that is linked to Schizophrenia

Answer 37

cannabis use

Question 38

what antibodies are liked to schizophrenia

Answer 38

toxoplasma gondii

Question 39

what is the most common neurodevelopment and degeneration for Schizophrenia

Answer 39

``` decreased size of hippocampus superior temporal lobe prefrontal cortex thalamus - larger ventricles ```

Question 40

what part of the brain has decreased brain activity

Answer 40

pyramidal neurons of prefrontal cortex have decreased density of dendrite spines

Question 41

what neurotransmitter systems get messed up with Schixophrenia

Answer 41

dopamine glutamate GABA

Question 42

what are 4 complications of Schizophrenia

Answer 42

suicide substance abuse depression violence

Question 43

are a majority of Schizophrenia patients violent

Answer 43

no

Question 44

what are physical complication that occur when a Schizophrenic patient is put on medications

Answer 44

cardiovascular disease galactorrhea amenorrhea

Question 45

who is someone who is likely to have better prognosis with Schizophrenia

Answer 45

``` later onset good social support postive symptoms mood symptoms acute onset female few relapses good premorbid functioning ```

Question 46

who is someone who is likely to have worse prognosis with Schizophrenia

Answer 46

``` early onset poor social support negative symptoms family history gradual onset male many relapses poor premorbid functioning ```

Question 47

what is the difference between the DMS5 A classification for Schizophreniform form Schizophrenia

Answer 47

nothing

Question 48

what is a difference between Schizophreniform form Schizophrenia

Answer 48

Schizophreniform must last at least one month but less than 6 months

Question 49

how long must someone have delusional disorder to be diagnosed wit hit

Answer 49

1 month or longer

Question 50

in order to diagnose someone with delusional disorder, what criteria should they have not met

Answer 50

criterion A for schizophrenia

Question 51

what defines psychotic disorder

Answer 51

duration of episode of disturbance as at least 1 day but less than one month

Question 52

DMS 05 criteria for Schizoeffective

Answer 52

delusions and hallucinations for 2 or more weeks in the absence of major mood episode (depressive or manic)during the lifetime duration of the illness

Question 53

what are the stages of Schizophrenia

Answer 53

premorbid Prodomal!!!!! progression chornic