Clinical- Psychotic Disorders I

Question 1

What are Persistently held beliefs held despite evidence or agreement to the contrary?

Answer 1

delusions

Question 2

What type of delusion?

I’m God, Jesus, I have cured cancer

Answer 2

grandiose delusions

Question 3

What type of delusion:

Special meaning to things in the environment (neutral event or thing)

Answer 3

ideas of reference

Question 4

What type of delusion?

Belief that one’s body fxns are abnormal

pseudocyesis= think you are pregnant when you are not

Answer 4

somatic delusion

Question 5

What type of delusion?

Other people can hear my thoughts

Answer 5

though broadcasting

Question 6

What are the 3 key features of schizophrenia?

Answer 6

delusions

hallucinations

thought disorganization

Question 7

What is perception of a nonexistent object or event?

Answer 7

hallucination

Question 8

What is the most common type of hallucination in Schizophrenia?

Answer 8

auditory hallucination

Question 9

Visual hallucinations occur with schizophrenia but most often with .

Answer 9

toxidrome

toxicity usually from drugs

Question 10

Tactile hallucinations can occur with Schizophrenia and is also common in which 2 condtions?

Answer 10

alcohol withdrawal and stimulant-induced psychosis.

Question 11

Olfactory hallucinations can occur from aura of temporal lobe or brain

Answer 11

epilepsy; tumor

Question 12

Gustatory hallucinations – rare but can occur with or CNS lesion

Answer 12

epilepsy

Question 13

–Vivid dreamlike hallucinations occur at transition from wakefulness to sleep – normal variant – up to 30% of people, also common in Narcolepsy

Answer 13

Hypnagogic / hypnopompic

Question 14

Which key feature of Schizophrenia is hard to fake?

Answer 14

thought disorganization

Question 15

What type of thought disorganization is being described:

excess details around stuff

Answer 15

circumstantiality

Question 16

What type of thought disorganization is being described:

go off on tangents

doesn’t reach the essential point

Answer 16

tangentiality

Question 17

What type of thought disorganization is being described:

nonsensical transitions between thoughts

Answer 17

loose associations / derailment

Question 18

What type of thought disorganization is being described:

made up words that make sense to the person speaking

Answer 18

neoligisms

Question 19

What type of thought disorganization is being described:

pt. blanks out for a minute

Answer 19

thought blocking

Question 20

What type of thought disorganization is being described:

rhyming words in discussion, grouping of words (usually rhyming)

Answer 20

clang associations

Question 21

What are the primary psychotic disorders (6)?

Answer 21

• Schizophrenia (most prevalent)
• Schizoaffective Disorder
• Schizophreniform Disorder
• Delusional Disorder
• Brief Psychotic Disorder
• Other Schizophrenia Spectrum Disorders

Question 22

What is the most prevalent primary psychotic disorder?

Answer 22

Schizophrenia

Question 23

What is a combo of schizophrenia and a mood disorder (depression or bipolar)?

Answer 23

schizoafffective disorder

Question 24

Schizophrenia that lasts more than a month and less than 6 months?

Answer 24

schizophreniform

Question 25

What is schizophrenia that lasts less than a month?

Answer 25

brief psychotic disorder

Question 26

• Mood Disorders with Psychotic Features • Substance-induced Psychotic Disorders • Dementia-related psychoses • Other Neurological D/O (e.g. stroke, TBI, multiple sclerosis, brain tumor) • Psychotic Disorder due to other medical conditions (e.g. thyrotoxicosis or other endocrine, systemic lupus erythematosus or other autoimmune) • Trauma-related Disorders • Some Personality Disorders (Borderline, Cluster A) are considered what type of psychotic disorder?

Answer 26

secondary psychotic disorders

Question 27

Substance-induced Psychotic Disorders is most commonly caused by which type of drug?

Answer 27

stimulants

Question 28

in criterion A of Schizophrenia in the DSM, what must be included in order to be diagnosed with the disease?

Answer 28

A. Two (or more) of the following five (At least one from 1-3) 1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic behavior 5. Negative symptoms (i.e. diminished emotional expression or avolition)

Question 29

What are the 5 criteria in DSM-5 Criterion A for schizophrenia?

Answer 29

1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic behavior 5. Negative symptoms (i.e. diminished emotional expression or avolition)

Question 30

List some other criteria that are considered for a diagnosis for schizophrenia other than 1. Delusions 2. Hallucinations 3. Disorganized Speech 4. Grossly disorganized or catatonic behavior 5. Negative symptoms (i.e. diminished emotional expression or avolition)

Answer 30

Question 31

What type of behavior is marked decrease in reactivity to environment

Answer 31

catatonic behavior

Question 32

– opposition or no response to instructions or internal stimuli

Answer 32

negativism

Question 33

No, or very little, verbal response

Answer 33

mutism

Question 34

– No psychomotor activity; not relating to environment, near unconciousness

Answer 34

stupor

Question 35

– Maintaining a rigid, inappropriate, or bizarre posture

Answer 35

posturing

Question 36

– repeated non-goal directed movements

Answer 36

stereotypy

Question 37

– mimicking another’s speech

Answer 37

echolalia

Question 38

– mimicking another’s movements

Answer 38

echopraxia

Question 39

Catatonic excitement = excessive, motor activity

Answer 39

purposeless

Question 40

What is a decreased level of facial expression and decreased spontaneous movements?

Answer 40

affective flattening

Question 41

As concerning schizophrenia: impaired grooming and physical anergia

Answer 41

avolition

Question 42

As concerning negative symptoms of schizophrenia: poverty of speech and content

Answer 42

alogia

Question 43

As concerning negative symptoms of schizophrenia: Few interests: 95% • Few relationships: 96% • Impaired intimacy: 84%

Answer 43

anhendonia and social withdrawal

Question 44

**Positive/negative** symptoms: characterized by the presence or exaggeration of behaviors

Answer 44

positive

Question 45

**Positive/negative** symptoms: characterized by the absence or insufficiency of normal behaviors

Answer 45

negative

Question 46

Alogia = poverty of avolition = loss of anhedonia= lack of

Answer 46

speech motivation pleasure

Question 47

Describe the • Two-hit hypothesis of schizophrenia:

Answer 47

both due to genetics and enviromment

Question 48

Environment: * Obstetric Complications or in utero insults * Child abuse / Head injury * Cannabis or Methamphetamine Use are all considered possible causes of along with genetics

Answer 48

Schizophrenia

Question 49

Schizophrenia is ranked among top illnesses contributing to global burden of disease

Answer 49

ten

Question 50

What is the typical age of onset for both men and women for schizophrenia?

Answer 50

18-25 for men, 25-30 for women

Question 51

Those diagnosed with schizophrenia **do/do not** have higher rates of substance abuse and co-morbid medical conditions

Answer 51

do

Question 52

**Good/Poor** prognosis?

Answer 52

good prognosis

Question 53

**Good/poor** prognosis?

Answer 53

poor prognosis