Schizophrenia and Other Topics

Question 1

Is psychosis acute or chronic?

Answer 1

Can be either

Question 2

How is psychosis defined?

Answer 2

Sustained impaired contact with reality due to psychiatric or medical illness

Question 3

What are positive symptoms in regards to psychosis?

Answer 3

New symptoms to the patient, while negative symptoms are symptoms being taken away from the patient

Question 4

What are the stages of psychotic disorders?

Answer 4

Prodromal (often not recognized)
Acute (most visible stage)
Residual (recovery)

Question 5

How is persecutory delusions defined?

Answer 5

being threatened, mistreated, or harmed. A form of paranoia

Question 6

How is paranoid delusions defined?

Answer 6

someone or something is out to get the person

Question 7

How is reference delusions defined?

Answer 7

Messages to the person embedded in media

Question 8

How is control delusions defined?

Answer 8

Others are trying to control thoughts and behaviors

Question 9

How is somatic delusions defined?

Answer 9

Belief that there is something wrong with the body (bugs, odor, ugly)

Question 10

How is grandiose delusions defined?

Answer 10

Special powers, wealth, mission, identity

Question 11

How is nihilistic delusions defined?

Answer 11

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

Question 12

How is romantic delusions defined?

Answer 12

AKA erotomania - belief that they are loved from afar

Question 13

How is jealous delusions defined?

Answer 13

Certain that partners have been unfaithful

Question 14

How is delusions of doubles defined?

Answer 14

AKA capgras syndrome - someone important to the patient has been replaced by an identical duplicate/imposter

Question 15

What type of hallucination is more common in functional psychoses?

Answer 15

Auditory

Question 16

What type of hallucinations are more common in secondary psychosis?

Answer 16

Visual and tactile types

Question 17

How are hallucinations defined?

Answer 17

Perceptions in the absence of external stimuli

Question 18

Antipsychotics can be used to treat

Answer 18

Schizophrenia
Drug-induced psychoses
Psychotic depression
Augmentation of unipolar depression
Acute mania
Prevention of mood cycles in bipolar disorder

Question 19

Antipsychotics can aid in improving signs and symptoms of

Answer 19

Hostility
Aggression
Delusions
Hallucinations
Irritability
Poor Sleep

Question 20

What generation of antipsychotics are efficacious in positive symptom treatment?

Answer 20

First generation

Phenothiazines
Thioxanthenes
Butyrophenones

Question 21

What generation of antipsychotics are efficacious in positive and negative symptom treatment

Answer 21

Second Generation

Question 22

What are the side effects of antipsychotics?

Answer 22

Anticholinergic side effects
Autonomic side effects
Electrocardiographic changes
Involuntary movement disorders (EPS)
Metabolic and endocrine effects

Question 23

What are some positive symptoms commonly seen in Schizophrenia?

Answer 23

Hallucinations, delusions, disorganized speech

Question 24

What are some of the negative symptoms commonly seen in Schizophrenia?

Answer 24

Diminished sociability, restricted affect, poverty of speech

Question 25

According to the DSM-5 Criteria for Schizophrenia at least one of the following symptoms need to be present for at least 6 months in order to meet diagnosis criteria?

Answer 25

Delusions
Hallucinations
Disorganized Speech

Question 26

What is the goal of treatment of Schizophrenia?

Answer 26

Optimize function, prevent suicide, and manage complications

Question 27

Is there an antipsychotic of choice in the treatment of Schizophrenia?

Answer 27

No

Question 28

What is the only FDA approved antipsychotic medication approved to treat Schizoaffective Disorder?

Answer 28

Paliperidone (Invega)