Psychiatry: Psychotic Disorders

Question 1

What is Psychosis

Answer 1

Loss of Perception of Reality

Question 2

What are the 3 main manifestations of Psychosis

Answer 2

Delusions

Disorganized Thought

Hallucinations

Question 3

What are Delusions

Answer 3

Strongly held beliefs that conflict with reality

Question 4

What is an example of Persecutory Delusions

Answer 4

Someone is after me

Question 5

What is an example of Grandiose Delusions

Answer 5

I am a millionaire

Question 6

What is an example of an Erotomanic Delusions

Answer 6

Celebrity is in love with me

Question 7

What is an example of a Somatic Delusion

Answer 7

There are worms in my chest

Question 8

What is an example of Delusions of Reference

Answer 8

The TV news caster is talking about me

Question 9

What is an example of Delusions of Control

Answer 9

My body is controlled by alien

Question 10

How is Disorganized thought shown

Answer 10

Through pattens of speech

Question 11

What speech patterns are seen with disorganized thought

Answer 11

Alogia

Thought Blocking

Loosening of Association

Tangentiality

Clanging

Word Salad

Perseveration

Question 12

What is Alogia

Answer 12

Speech poverty

Question 13

What is thought blocking

Answer 13

sudden, abrupt stop while talking

Question 14

What is Loosening of association

Answer 14

Ideas discussed do not follow each other

Question 15

What is Tangientiality

Answer 15

Diverging from one topic being discussed to another

Question 16

What is clanging

Answer 16

Using words that rhyme but make no sense

Question 17

What is word salad

Answer 17

Incoherent words that do not make sense

Question 18

What is Perseveration

Answer 18

repeating words or ideas persistently

Question 19

What are Hallucinations

Answer 19

Sensory Perceptions without external stimuli

Question 20

What are the 2 major classifications of Hallucinations

Answer 20

Visual

Auditory

Question 21

What is Schizophrenia

Answer 21

Chronic Psychiatric Syndrome with recurrent episodes of Psychosis, cognitive dysfunction and Negative symptoms

Question 22

What is the Pathology of Schizophrenia

Answer 22

Excess Dopamine with hypofunction of the NMDA-Glutamate receptor

Question 23

What imaging studies can be used in Schizophrenia

Answer 23

MRI/CT

PET scan

Question 24

What is seen on MRI/CT in Schizophrenia

Answer 24

Enlargement of the Lateral Ventricles

Question 25

What is seen on PET scan in Schizophrenia

Answer 25

Hypoactivity of the Frontal Lobe Hyperactivity of the Basal Ganglia

Question 26

Is Schizophrenia more common in Men or Women

Answer 26

Men

Question 27

What are Risk Factors for Schizophrenia

Answer 27

Living in urban areas (Cities) Immigration (10x) Obstetric Complications Cannabais Use

Question 28

What is the main type of hallucination present in Schizophrenia

Answer 28

Auditory Hallucinations

Question 29

Does Schizophrenia have Delusions

Answer 29

Yes

Question 30

What are the most common presentations of disorganized speech in Schizophrenia

Answer 30

Tangential Speech Circumstantial Speech

Question 31

What is Tangential Speech

Answer 31

Changes topic frequently and may not answer the question

Question 32

What is Circumstantial Speech

Answer 32

long, round-about answer to questions

Question 33

How does Cognitive Impairment present in Schizophrenia

Answer 33

Difficulty processing Information Poor attention Poor learning and memory

Question 34

What is meant by positive symptoms in Schizophrenia

Answer 34

Features that are present in a patient with Schizophrenia that are not present in non-schizophrenic patients

Question 35

What are the Positive Symptoms of Schizophrenia

Answer 35

Abnormal Behaviors -Hallucinations -Delusions -Disorganized thought

Question 36

What Neurotransmitter is related to the Positive Symptoms of Schizophrenia

Answer 36

Dopamine

Question 37

What do the positive symptoms of schizophrenia respond to

Answer 37

Antipsychotics

Question 38

What is meant by negative symptoms in Schizophrenia

Answer 38

Things normal patients have that are missing in Schizophrenic patients

Question 39

What are the negative symptoms of Schizophrenia

Answer 39

Flat affect poverty of speech (alogia) Cannot engage in social interactions Lack of motivation Cannot complete tasks Cannot feel pleasure

Question 40

What is the most common complication of Schizophrenia

Answer 40

Suicide -5% of schizophrenics -10% of all suicides

Question 41

What are the 3 diagnostic criteria to Diagnose Schizophrenia

Answer 41

>1 month with 2 or more -delusions -hallucinations -disorganized speech -disorganized/catatonic behavior -Negative symptoms Must have either -delusions -hallucinations -disorganized speech Continuous for at least 6 months

Question 42

How long must symptoms be continuous to diagnose Schizophrenia

Answer 42

At least 6 months

Question 43

What are the treatment options for Schizophrenia

Answer 43

Antipsychotic Drugs Psychotherapy

Question 44

What is Schizophreniform Disorder

Answer 44

Meets criteria for Schizophrenia but the duration is 1-6 months

Question 45

What is the duration of symptoms to diagnose Schizophreniform disorder

Answer 45

1 to 6 months

Question 46

What is a Brief Psychotic Disorder

Answer 46

Sudden onset psychotic symptoms that resolves within 1 month

Question 47

Within what timeline must symptoms resolve to be a Brief Psychotic Disorder

Answer 47

1 month

Question 48

What does a Brief Psychotic Disorder usually follow

Answer 48

Stressful life events -death in family -loss of job

Question 49

What is another name for Schizoaffective Disorder

Answer 49

Schizophrenia with mania/depression

Question 50

What is Schizoaffective Disorder

Answer 50

Schizophrenia with mania or depression must have some episodes of psychosis alone DSM-V: 2 or more weeks of psychosis alone

Question 51

What is a Delusional Disorder

Answer 51

1 or more delusions lasting 1 month or more Otherwise no abnormal behavior

Question 52

How long must a delusion last to be diagnosed with Delusional Disorder

Answer 52

1 month or more

Question 53

What other feature is seen in Delusional Disorder

Answer 53

Folie a deux

Question 54

What is Folie a Deux

Answer 54

"Madness of two" a close friend shares the delusions

Question 55

Schizophrenia Features and Time frame

Answer 55

Psychosis Learning Disability Negative Symtoms >6 months

Question 56

Schizophreniform Features and time frame

Answer 56

Psychosis Learning disability Negative symptoms 1 to 6 months

Question 57

Brief Psychotic Disorder features and time frame

Answer 57

Psychosis <1 month

Question 58

Delusional Disorder Features and time frame

Answer 58

Delusions only >1 month

Question 59

Schizoaffective Features and time frame

Answer 59

Psychosis alone with mood symptoms no set time frame

Question 60

Mood with Psychosis Features and time frame

Answer 60

Psychosis only with mood symptoms no set time frame