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Terms > Terms- Schizophrenia > Flashcards

Terms- Schizophrenia Flashcards

1
Q

Psychosis

A

refers to a total inability to recognize reality (e.g., delusions and hallucinations). is not a diagnosis but a symptom.

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2
Q

Schizophrenia Etiology

A

Combination: Genetics and extreme nongenetic factors.

  1. Brain structure abnormalities (neuroanatomical)
  2. Neurochemical (brain chemistry) theories
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3
Q

Prodromal

A

Pre-psychotic phase

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4
Q

Acute Phase

A

Florid positive and negative symptoms; cognitive symptoms

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5
Q

Stabilization

A

Decrease in severity

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6
Q

Maintenance Phase

A

Symptoms in remission, with possible presence of milder, persistent residual symptoms.

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7
Q

Positive symptoms

A

Above normal: Hallucinations, Delusions, Bizarre behavior, Catatonia, Formal thought disorder.

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8
Q

Negative symptoms

A

Below normal: Apathy, Lack of motivation, Anhedonia, Blunted or flat affect, Poverty and speech (aphasia)

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9
Q

Cognitive symptoms

A

Impairment in memory; disruption in social learning, Inability to reason, Inability to solve problems, Lack focus attention

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10
Q

Mood symptoms

A

Depression, Anxiety, Demoralization, Dysphoria, Suicidality

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11
Q

Delusions

A 
False fixed beliefs not corrected by reasoning:
Thought broadcasting
Thought insertion
Thought withdrawal
Delusion of being controlled
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12
Q

Thought broadcasting

A

the belief that others can hear or are aware of an individual’s thoughts

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13
Q

Concrete thinking

A

Impaired ability to think abstractly, focused on the facts

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14
Q

Loose association

A

jumbled thoughts incoherently expressed to the listener

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15
Q

Neologisms

A

words that the patient makes up

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16
Q

Clang association

A

rhyming

17
Q

Word salad

A

take the sentence and cut it up first work that comes to mind is what they say

18
Q

Echolalia

A

Pathologic repeating of another’s words

19
Q

Echopraxia

A

Mimicking the movements of another (Echolalia and echopraxia are common in catatonia.)

20
Q

Catatonia

A

A behavioral syndrome marked by an inability to move normally

21
Q

Waxy flexibility

A

when the patient holds a distorted posture for extended periods, as though the patient were molded in wax

22
Q

Depersonalization

A

refers to a feeling stated as feeling not as a person

23
Q

Conventional/ First generation Antipsychotics

A 
Target + symptoms
trifluoperazine
(generic only)
thiothixene (Navane)	
fluphenazine (Prolixin)	
haloperidol (Haldol)	
pimozide (Orap)
chlorpromazine
(thorazine)
thioridazine (Mellaril)
loxapine (Loxitane)
molidone (Moban)
perphenazine (Trilafon)
24
Q

Unconventional/ Second generation Antipsychotics

A

Treat + & - symptoms: aripiprazole (Abilify), clozapine (Clozaril), olanzapine (Zyprexa), paliperidone (Invega)- can be an injection, quetiapine (Seroquel), risperidone (Risperdal), ziprasidone (Geodon), Latuda

25
Q

Extrapyramidal
Symptoms

A

Akathisia, Acute dystonia , Pseudoparkinsonism: pill rolling, shuffling gait, masklike facial expression, and drooling

26
Q

Treatment for EPS

A

trihexyphenidyl (Artane), benztropine mesylate (Cogentin), diphenhydramine hydrochloride (Benadryl), biperiden (Akineton), amantadine hydrochloride (Symmetrel)

27
Q

Dystonia

A

Stiff position, jaw thrust forward, tongue, face, neck, and back opisthotonos, drooling, oculogyric crisis

28
Q

Tardive dyskinesia

A

involuntary spasmodic muscular contractions that involve the tongue, smacking lips, licking, blowing, irregular movements of the arms, neck and shoulder, rocking hip jerks, pelvic thrusts are observed. movement of face, fingers toes neck, trunk or pelvis, it appears after prolonged treatment. The symptoms are frequently not reversible, even when the drug is discontinued

29
Q

Akathisia

A

evidence by internal and external restlessness, pacing and fidgeting

30
Q

Anticholinergic effects

A

Can’t see, Can’t pee, Can’t poop

31
Q

ziprasidone (Geodon)

A

may prolong the QT interval, making it a poor choice for a patient with cardiac disease

32
Q

olanzapine (Zyprexa)

A

fosters weight gain

33
Q

Latuda

A

can cause weight gain, not good for diabetes, and cholesterol can be elevated but it does not cause as much tardive dyskinesia

34
Q

clozapine (Clozaril)

A

Clozapine may produce agranulocytosis, making it a poor choice as a first-line agent

35
Q

aripiprazole (Abilify)

A

Used for patients who have ^ glucose and hypertension

36
Q

paliperidone (Invega)

A

can be an injection, last 2-3 months

Terms (2 decks)

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