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Psych EOR (billie) > SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS > Flashcards

SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC DISORDERS Flashcards

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1
Q

what is the diagnostic criteria for schizophrenia

A

characterized symptoms + social/occupational dysfuntion + at least 6 months!

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2
Q

What is the difference between hallucinations, illusions and delusions

A

hallucinations: sensory perception with NO stimuli
illusions: sensory misperceptions of actual stimuli
delusions: fixed false beliefs persisting even with evidence of contrary

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3
Q

what are positive schizophrenia symptoms

A

exagerations of normal processes:
* hallucinations
* delusions
* disorganized speech
* disorganized behavior
* increased movement

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4
Q

what are negative symptoms in schizophrenia

A

decreased/absent normal processes:
* deceased movement
* social withdrawal
* anhedonia
* flat affect
* bad hygeine

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5
Q

what is the most common type of hallucination in schizophrenia

A

auditory

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6
Q

what is delusions of persecution

A

“someone is out to get me”
“someones judging me”

being poisoned, harrased, stalked, conspired against ect.

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7
Q

what are delusions of grandeur

A

exaggerations of ones own abilities and importance

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8
Q

what are cotard delusions?

A

the belief that one does not exist or is dead

aka nihilistic delusion

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9
Q

what is erotomania

A

delusion that someone is in love with te patient

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10
Q

what are delusions of reference

A

belief that insignificant remarks/objects have personal meaning

personal messages from TV, newspaper, radio, ect.

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11
Q

what are delusions of control

A

belief that someone or an external force is controlling your thoughts feelings or behaviour.

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12
Q

what are somatic delusions

A

belief that ones body is diseased/infested

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13
Q

what is tangentiality

A

consistent off topic speech where answers are never reached

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14
Q

what is circumstantiality

A

getting to answers in a roudabout way with uneeded detail

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15
Q

what is derailment

A

shifting rapidly between topics

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16
Q

what are neologisms

A

nonsensical words

17
Q

what is incoherence

A

word salad

18
Q

what is clanging

A

speaking with rhyming or alliteration

19
Q

what is concrete speech

A

inability to use abstract thinking

20
Q

what is preservation of ideas

A

consistently returning to one topic

21
Q

what causes the symptoms in schizophrenia

A

dopamine abnormality (+ symtpoms its increased and - symptoms its decreased)

22
Q

why do antipsychotics work on schizophrenic patients

A

because antipsychotics block dopaminergic receptors

23
Q

what is the major side effect of antipsychotics

A
  • neuroleptic malignant syndrome
  • hyperprolactinemia
  • anticholinergic SE
  • sedation
  • extrapyramidal SE
24
Q

what is the presentation of NMS

A
  • rigidity, fever, AMS, autonomic instability
  • HTN crisis
25
Q

what is the treatment of neuroleptic malignant syndrome

A
  • cooling measures
  • supportive
  • dopaminergic meds (bromocriptine, dantrolene, amantadine)
26
Q

what is the diagnostic criteria for brief psychotic disorder

A

1+ positive psychotic symptoms that is acute onset and lasts 1 day to 1 month

27
Q

what is the cause of brief psychotic disorder

A

acute stresor

28
Q

what is the treatment for brief psychotic disorder

A

antipsychotics

29
Q

what is the diagnostic criteria for schizophreniform disorder

A
  • 2+ psychotic symtpoms
  • lasts >1 month but <6 months
30
Q

what is the treatment for schizophreniform disorder

A

antipsychotics

31
Q

what is the diagnostic criteria for schizoaffective disorder

A
  • schizophrenia + major mood disorder
  • at least a 2 week period where hallucinations and/or delusions are present in the absence of a mood episode.
32
Q

what is the treatment for schizoaffective disorder

A

antipsychotics

33
Q

what is the diagnostic criteria for delusional disorder

A
  • delusions for at least 1 month
  • delusions are typically non-bizarre
34
Q

treatment of delusional disorder

A

antipsychotics

Psych EOR (billie) (10 decks)

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