Chapter 12 Schizophrenia

Question 1

Glutamate

Answer 1

Neurotransmitter during maturation

Question 2

First generation antipsychotic drug names

Answer 2

Haloperidol
Chlorpromazine

Block dopamine

Question 3

Phases

Answer 3

I- acute
II-stabilization
III- maintenance

Question 4

Positive symptoms

Answer 4

Presence of something that normally isn't 
Hallucinations 
Delusions
Bizarre behavior 
Paranoia

Question 5

Negative symptoms

Answer 5

Absence of something that should be present
Interest in hygiene
Motivation
Experience pleasure

Question 6

Cognitive symptoms

Answer 6

Subtle changes in memory, attention or thinking, excecutive functioning

Question 7

Affective symptoms

Answer 7

Involving emotions and their expression

Question 8

Delusions

Answer 8

False fixed beliefs that cannot be corrected by reasoning

Question 9

Concrete thinking

Answer 9

Impaired ability to think abstractly.

Question 10

Associative looseness

Answer 10

Threads are interrupted or disjointed. Hard to follow

Question 11

Clang association

Answer 11

Choosing words based on their sound. Rhyming

Question 12

Word salad

Answer 12

Jumble of words meaningless to listener

Question 13

Neologisms

Answer 13

Made up words

Question 14

Echolalia

Answer 14

Pathological repeating. Often seen in catatonia

Question 15

Magical thinking

Answer 15

Believing that ones thoughts or actions can affect others

Question 16

Circumstantiality

Answer 16

Including unnecessary details in the conversation

Question 17

Tangentiality

Answer 17

Taking the conversation off topic

Question 18

Cognitive retardation

Answer 18

Slowing in the pace of thinking

Question 19

Alogia, poverty of speech

Answer 19

Less volume and breif responses in speech

Question 20

Thought blocking

Answer 20

Reduction in the amount of thinking or derailed from conversation

Question 21

Thought insertion

Answer 21

Thought maybe are inserted into their mind

Question 22

Thought deletion

Answer 22

Ones thoughts have been taken or are missing

Question 23

Derealization

Answer 23

False perception environment has changed

Question 24

Illusions

Answer 24

Misperceptions of a real experience

Question 25

Gustatory

Answer 25

Experiencing tastes

Question 26

Catatonia

Answer 26

Pronounced increase or decrease in the rate and amount of movement

Question 27

Stereotyped behaviors

Answer 27

Repeated behaviors that do not serve a logical purpose

Question 28

Waxy flexibility

Answer 28

Extended Maintenance of posture. Raises arm and leaves it there

Question 29

Echopraxia

Answer 29

Mimicking of movements of another

Question 30

Negativism

Answer 30

Patient does opposite of what asked

Question 31

Affect

Answer 31

Outward expression of a persons internal emotional state

Question 32

Flat

Answer 32

Immobile or blank facial expression

Question 33

Blunted

Answer 33

Reduced or minimal emotional response

Question 34

Inappropriate

Answer 34

Incongruent with the emotional state or situation

Question 35

Bizarre

Answer 35

Odd, illogical, grossly inappropriate. Giggling, grimacing

Question 36

Anhedonia

Answer 36

Inability to experience pleasure in activities that usually produce it

Question 37

Avolition

Answer 37

Reduced motivation, spontaneous activity ADLs

Question 38

Anosognosia

Answer 38

Inability to realize they are ill

Question 39

Second generation antipsychotic

Answer 39

Serotonin dopamine antagonist

Question 40

Third generation antipsychotic

Answer 40

Increase effectiveness of selected antipsychotics

Question 41

Extrapyramidal side effects

Answer 41

Caused by blockage of dopamine receptors

Question 42

Acute dystonia

Answer 42

Acute sustained contraction of the muscles (head and neck)

Question 43

Akathisia

Answer 43

Pacing, fidgeting

Question 44

Pseudoparkinsonism

Answer 44

Tremor, reduced accessory movements, impaired gait

Question 45

Tardive dyskinesia

Answer 45

Never goes away. Prolonged treatment | Writhing, worm like of the tounge and face

Question 46

Anticholinergic toxicity

Answer 46

Hyperthermia, hot dry skin, reduced vowel sounds, coma, worse psychotic symptoms, tachy

Question 47

Neuroleptic malignant syndrome

Answer 47

First generation antipsychotic-excessive dopamine blockage | Reduced conscious, increased muscle tone

Question 48

Agranulocytosis

Answer 48

Clozapine | Blood dyscrasia that can be fatal

Question 49

Comorbid to schizophrenia

Answer 49

``` Substance abuse Nicotine dependence Anxiety, depression, suicide Physical health issue Polydipsia ```