Psych prep

Question 1

Positive symptoms of schizophrenia

Answer 1

Hallucinations, delusions, catatonia, inappropriate affect, disorganized thinking/speech/behavior

Question 2

Negative symptoms of schizophrenia

Answer 2

Alogia, anhedonia, avolition, flat affect, lack of insight

Question 3

Loose associations

Answer 3

rapid shifts from one topic to another

Question 4

Neologisms

Answer 4

made up words

Question 5

Perseveration

Answer 5

repeating words or phrases

Question 6

Clang

Answer 6

rhyming words

Question 7

Dx of schizophrenia

Answer 7

A) 2 of: delusions, hallucinations, disorganized speech, catatonia/disorganized, negative symptoms
B) Decreased level of functioning
C) Persists for 6 months

Question 8

Dx of schizophreniform

Answer 8

Same as schizophrenia but the condition has lasted more than 1 month and less than 6

Question 9

Dx of schizoaffective

Answer 9

Meets criteria A of schizophrenia during a major mood episode.
Delusions/hallucinations for 2 weeks in the absence of a MME

Question 10

Dx of Delusional disorder

Answer 10

A) 1 or more delusions for >1month
B) never met criteria A for schizophrenia
C) Functioning not impaired, behavior not bizarre

Question 11

Brief psychotic disorder

Answer 11

lasts 1 day to 1 moth with a full return to baseline

Question 12

Is schizophrenia more prevalent in men or women?

Answer 12

Men

Question 13

Is schizoaffective more prevalent in men or women?

Answer 13

Women

Question 14

Cluster A personality disorders

Answer 14

Odd/eccentric: Paranoid, schizoid, schizotypal

Question 15

Cluster B personality disorders

Answer 15

Dramatic/emotional: Antisocial, borderline, histrionic, narcissistic

Question 16

Cluster C personality disorders

Answer 16

Anxious/fearful: avoidant, dependent, obsessive-compulsive

Question 17

Cause of Wernicke-Korsakoff syndrome

Answer 17

Thiamine (B1) deficiency, most commonly from chronic alcoholism.

Question 18

S/S of Wernicke encephalopathy

Answer 18

Confusion and loss of mental activity, ataxia and leg tremor, diplopia, nystagmus, ptosis and alcohol withdrawal.

Question 19

S/S of Korsakoff syndrome

Answer 19

Inability to form new memories, memory loss, confabulation, hallucinations

Question 20

Tx for Wernicke-Korsekoff syndrome

Answer 20

Thiamine, folate, B12 and GIVING UP ALCOHOL

Question 21

Paranoid personality d/o

Answer 21

Pervasive distrust or suspicion of others in a variety of contexts. Suspects others are exploiting/harming/deceiving them, doubts loyalty/trustworthiness, reluctant to confide in others, holds grudges, suspicion of partner cheating, perceives attacks

Question 22

Schizoid personality d/o

Answer 22

Detached from social relationships, restrictive emotions.
Doesn’t desire relationships, chooses solitary activities, no interest in sex, indifferent to criticism or praise, no close friends, flattened affect.

Question 23

Schizotypal personality d/o

Answer 23

Discomfort with personal relationships, perceptual distortions and eccentric behaviors. Odd beliefs/magical thinking, odd speech, unusual perceptual experiences, suspicious ideation, constricted affect, excessive social anxiety that does not diminish with familiarity.

Question 24

Antisocial personality d/o

Answer 24

Pervasive pattern of disregard for and violation of others’ rights occurring since age 15 and 3 of: failure to conform to social norms, deceitfulness, impulsivity, irritability and aggressiveness, irresponsibility, reckless disregard for safety, lack of remorse. (must be 18 to diagnose)

Question 25

Borderline personality d/o

Answer 25

Pervasive instability of relationships, self-image, and affect. Marked impulsivity and 5 of: avoid real or imagined abandonment, unstable and intense relationships (alternates between idealization and devaluation), identity disturbance. Impulsive, recurrent suicidal behavior, affective instability, feelings of emptiness, inappropriate anger, stress related paranoid ideation.

Question 26

Histrionic personality d/o

Answer 26

Excessive emotionality and attention seeking. Uncomfortable when not the center of attention, seductive/provocative, shallow expression of emotions, uses appearance to draw attention, exaggerated emotion, considers relationships to be more intimate than they actually are.

Question 27

Narcissistic personality d/o

Answer 27

Pervasive grandiosity, need for admiration and lack of empathy. Self-important, preoccupied with unlimited success, believes they are special or unique. Requires excessive admiration, sense of entitlement, envious, arrogant.

Question 28

Avoidant personality d/o

Answer 28

Social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation. Avoids occupational activities, unwilling to get involved with people, fear of being shamed/criticized/rejected, socially inept, reluctant to take risks