Adult Psychopathology Wrong Answers

Question 1

Schizophrenia twin concordance:

Answer 1

50%

Question 2

Cotard Syndrome =

Answer 2

Extreme nihilistic delusions

• Patients believe heart, blood, intestines, etc have been removed.
• The world is nothing

Question 3

Capras Syndrome =

Answer 3

Delusion that people have been replaced by identical impostors / robots

Question 4

Folie a deux =

Answer 4

Delusion shared between 2 people who are closely associated with each other

Question 5

Fregoli Delusion =

Answer 5

Delusion that different people are actually the same person in different disguises

Question 6

Most likely diagnosis in a woman with severe postpartum psychosis:

Answer 6

Bipolar Disorder (will ultimately manifest)

Question 7

Most appropriate diagnosis in a patient with several weeks of social withdrawal, severe delusions and auditory symptoms, and urine toxicology with cannabis:

Answer 7

Substance induced psychosis

Since there is drug in the system you CANNOT diagnosis schizophrenia until the drug is out of their system.

Question 8

Length of time symptoms must be present for diagnosis of schizophrenia:

Answer 8

1 month

Question 9

Difference between schizophreniform disorder and schizophrenia:

Answer 9

In schizophrenia ALL symptoms, including prodromal symptoms, have been present for 6 months–including the 1 month of frank symptoms.

In schizophreniform disorder the symptoms have only been present between 1-6 months

Question 10

Defense Mechanisms commonly employed by borderline patents:

Answer 10

Primitive Defensive Mechanisms:

Question 11

The Primitive Defensive Mechanisms =

Answer 11

• Splitting
• Acting Out
• Denial
• Regression
• Projection

Question 12

The Neurotic Defense Mechanisms =

Answer 12

• Undoing
• Controlling
• Displacement
• Intellectualization
• Isolation of Affect
• Rationalization
• Reaction Formation
• Repression

Question 13

Mature Defense Mechanisms =

Answer 13

• Suppression
• Sublimation
• Humor
• Altruism

Question 14

Good Prognostic Factors for Schizophrenia:

Answer 14

• Female gender
• High premorbid functioning
• Acute onset
• Mainly positive symptoms
• Later age of presentation

Question 15

Dx in patient with negativism, psychomotor slowing, echopraxia, slight vital sign fluctuations, feelings of guilt, isolation, anhedonia, decreased appetite, and psychomotor retardation:

Answer 15

MDD, catatonic type

Question 16

Characterize delusional disorder:

Answer 16

Patients have a fixed delusion which is non-bizarre

It has lasted for