Schizophrenia- Derreberry Flashcards

1
Q

what are the most prominent characteristics of schizophrenia

A

hallucinations
delusions
diorganizaiton

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2
Q

what is the onset of Schizophrenia

A

late adolescence or early adulthood

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3
Q

what is the worldwide prevalence of schizophrenia

A

1%

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4
Q

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

A

psychosis

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5
Q

disorders of thought content

A

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

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6
Q

disorders of thought process

A

manner in which patient links ideas and words together

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7
Q

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

A

delusions

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8
Q

paranoid delusion

A

irrational belief that one is being persecuted

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9
Q

ideas of reference

A

belief that some event is uniquely related to the individual

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10
Q

delusions of grandeur

A

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

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11
Q

delusions of guilt

A

false belief that one is guilty or responsible for something

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12
Q

sensory perception without an actual external stimulus

A

hallucination

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13
Q

what is the most common hallucination seen in schizophrenia

A

auditory

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14
Q

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

A

illusion

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15
Q

what are positive symptoms for Schizophrenia

A

add to something that is normal

hallucinations

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16
Q

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

A

disorganization

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17
Q

what is the correlation between IQ and Schizophrenia

A

lower IQ with schizophrenia

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18
Q

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

A

at least 1 month

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19
Q

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

A
delusions
hallucinations
disorganized speech
grossly disorganized or catatonic behavior
negative symptoms
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20
Q

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

A

6 months

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21
Q

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

A

poverty of thought

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22
Q

Nihilism - Cotard’s syndrome delusion

A

patient believes that he/she is already dead

23
Q

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

A

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

24
Q

Fregoli’s syndrome Deluison

A

persecutor is believed to take other identities

25
Q

folie a duex delusion

A

2 people share delusion

26
Q

hypnogogic hallucination

A

hallucinate as you go to sleep

27
Q

hypnopompic hallucination

A

hallucinate as you wake up

28
Q

what is the difference between insight and judgement

A

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

29
Q

stupor

A

no psychomotor activity

motionless

30
Q

mutism

A

no or very little verbal repsonse

31
Q

waxy flexibility

A

slight, even resistance to positioning by examiner

32
Q

catalepsy

A

passive induction of posture held against gravity

33
Q

echopraxia

A

repetition of another person’s action

34
Q

echolalia

A

repetition of another person’s speech

35
Q

negativism

A

opposition or no response to instructions or external stimuli

36
Q

what is the genetics behind Schizophrenia

A
  • genetic
  • may have multiple risk allele
  • may arise from de novo mutations
37
Q

what is an illegal drug that is linked to Schizophrenia

A

cannabis use

38
Q

what antibodies are liked to schizophrenia

A

toxoplasma gondii

39
Q

what is the most common neurodevelopment and degeneration for Schizophrenia

A
decreased size of hippocampus 
superior temporal lobe
prefrontal cortex
thalamus 
- larger ventricles
40
Q

what part of the brain has decreased brain activity

A

pyramidal neurons of prefrontal cortex have decreased density of dendrite spines

41
Q

what neurotransmitter systems get messed up with Schixophrenia

A

dopamine
glutamate
GABA

42
Q

what are 4 complications of Schizophrenia

A

suicide
substance abuse
depression
violence

43
Q

are a majority of Schizophrenia patients violent

A

no

44
Q

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

A

cardiovascular disease
galactorrhea
amenorrhea

45
Q

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

A
later onset
good social support
postive symptoms
mood symptoms
acute onset
female
few relapses
good premorbid functioning
46
Q

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

A
early onset
poor social support
negative symptoms
family history
gradual onset
male
many relapses
poor premorbid functioning
47
Q

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

A

nothing

48
Q

what is a difference between Schizophreniform form Schizophrenia

A

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

49
Q

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

A

1 month or longer

50
Q

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

A

criterion A for schizophrenia

51
Q

what defines psychotic disorder

A

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

52
Q

DMS 05 criteria for Schizoeffective

A

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

53
Q

what are the stages of Schizophrenia

A

premorbid
Prodomal!!!!!
progression
chornic