Schizophrenia / psychotic disorders

Question 1

What is a positive psychotic symptom

Answer 1

Something new to the patient baseline

Question 2

What is a negative psychotic symptom

Answer 2

Something that is taken away from the patients baseline

Question 3

What is a delusion

Answer 3

Fixed beliefs that may be false or irrational
-false belief that persists despite evidence of the contrary

Question 4

What is a persecutory delusion

Answer 4

being threatened, mistreated, or harmed. Form of paranoia

Question 5

What is a paranoid delusion

Answer 5

Someone or something is out to get them

Question 6

What is a reference delusion

Answer 6

Message to the person embedded in media

Question 7

What is a control delusion

Answer 7

Others are trying to control thoughts and behaviors

Question 8

What is a somatic delusion

Answer 8

Belief that there is something wrong with body (bugs or odors)

Question 9

What is a grandiose delusion

Answer 9

Special powers, wealth, mission, identity

Question 10

What is Nihilistic delusions

Answer 10

Delusion of being dead, not existing, losing body or organs

Question 11

What is a delusion of doubles

Answer 11

Capgras syndrome
Someone that is important to them is replaced by an identical imposter (can apply to inanimate objects or animals)

Question 12

What is a hallucination

Answer 12

Perceptions in the absence of external stimuli

Question 13

What are the different catagories of hallucinations

Answer 13

auditory -> more common in functional psychosis

Visual and tactile -> more common in secondary psychosis

Question 14

What are the types of hallucinations

Answer 14

auditory
visual
olfactory
gustatory
tactile
somatic

Question 15

What are negative symptoms of thought disorders

Answer 15

Emotional and behavioral deficits

Question 16

What are examples of negative symptoms in thought disorders

Answer 16

Apathy
diminished affect
social withdrawal

Question 17

What are examples of a change in cognitive function

Answer 17

Executive disfunction problems
memory and attention problems

Question 18

What are the first line antipsychotics

Answer 18

Chlorpromazine
Haloperidol
*Deal with both positive symptoms

Question 19

What are the second line antipsychotics

Answer 19

Clozapine
Risperidone
Olanzapine
Aripiprazole
Quetiapine
*Used for both positive and negative symptoms

Question 20

What are some medication adverse effects

Answer 20

Anticholinergic effects
Autonomic side effects
ECG changes
EPS
Metabolic and endocrine effects

Question 21

What are some other treatment options besides antipsychotics for those with psychosis

Answer 21

Antidepressants
Antimanics
Anticonvulsants
benzos
ECT

Question 22

What is schizophrenia

Answer 22

Loss of contact with reality

Question 23

What are the types of schizophrenia

Answer 23

Brief psychotic disorder
Schizophreniform disorder
Schizophrenia
Schizoeffective disorder
Delusional disorder

Question 24

What is the most common and serious chronic psychotic disorder

Answer 24

Schizophrenia

Question 25

What are the possible pathophys of schizophrenia

Answer 25

Abnormalities in neurotransmission
neurochemical imbalance
abnormalities of brain tissue or structure

Question 26

What is the dopamine hypothesis with schizophrenia

Answer 26

Abnormalities at the dopamine receptor sites leading to decreased dopamine in the prefrontal cortex

Question 27

What structural changes will be seen in the brain in those with schizophrenia

Answer 27

Reduction in total brain size
Loss of gray matter
Enlarged lateral and third ventricle
Left hemisphere dysfunction

Question 28

What are positive symptoms of schizophrenia

Answer 28

Hallucinations
delusions
disorganized speech

Question 29

What are negative symptoms of schizophrenia

Answer 29

Diminished sociability
restricted affect
poverty of speech

Question 30

What is the goal of schizophrenic treatment

Answer 30

Optimize function
prevent suicide
manage complication
-psychosocial treatment
-Antipsychotic medications

Question 31

What will you see in children who present with schizophrenia

Answer 31

Trouble telling dreams from reality
extreme moodiness
social withdrawal
lack of emotional expression
*12 years or older

Question 32

Which gender is more effected by schizophrenia in childhood

Answer 32

Males

Question 33

What is schizoaffective disorder

Answer 33

Patient is schizophrenic with the addition of affective symptoms

*affective symptoms are present prior to or during psychosis

Question 34

How do you differentiate between mood disorders and schizoaffective disorder

Answer 34

Having 2 weeks of psychotic symptoms without mood symptoms

Question 35

What is the only FDA approves schizoaffective disorder treatment

Answer 35

Paliperidone

Question 36

What is schizophreniform disorder

Answer 36

Patient meets schizophrenia criteria but the duration has been less than 6 months
“short term schizophrenic disorder”

Question 37

What is used as treatment of schizophreniform disorder

Answer 37

Second generation antipsychotics

Question 38

What is delusional disorder

Answer 38

Delusions are present for at least a month in the absence of schizophrenia

-daily function is minimally impaired

Question 39

What is delusional disorder

Answer 39

Delusions are present for at least a month in the absence of schizophrenia

-daily function is minimally impaired