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Y3 Pyschiatry > Psychosis & SZ > Flashcards

Psychosis & SZ Flashcards

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1
Q

Brian believes that his parents are trying to poison him because the government are controlling them, which psychopathology term is most appropriate?

A

Persecutory paranoid delusion

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2
Q

Brian believes that news articles on the television about world leaders’ phones being tapped are actually talking about him as he holds important government information?

A

Ideas of reference

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3
Q

“My guts have rotted, I can’t eat because I have no bowels” is an example of a ______

A

Nihilistic delusion

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4
Q

When Brian listens to the radio he can hear voices from elsewhere in the room telling him he must not think about the military information he has been given?

A

Functional hallucination

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5
Q

Brian believes he must not think about the military information as everyone else has access to his thoughts?

A

Thought broadcasting

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6
Q

Out of amphetamines, cocaine, cannabis and heroin, which is LEAST likely to cause drug induced psychosis?

A

Heroin

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7
Q

“Inability to distinguish subjective experience from reality” is the definition of ____

A

psychosis

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8
Q

Is insight present in psychosis?

A

nope

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9
Q

What is dementia praecox?

A

old term for schizophrenia

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10
Q

Can unipolar depression cause psychosis?

A

yes

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11
Q

What type of psychosis is most likely to occur in unipolar depression?

A

2nd person auditory hallucinations, mood congruent eg “you’re worthless”

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12
Q

What type of psychosis is most likely to occur in bipolar disorder?

A

2nd person auditory hallucinations, mood congruent eg. “you’re Christ”, “you’ve got a superpower”

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13
Q

“A fixed falsely held belief with no logical evidence” is the definition of ____

A

delusion

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14
Q

What is grandoise?

A

delusion of inflated self-worth

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15
Q

Give examples of drugs more likely to cause psychosis?

A

dopamine agonists, CCS

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16
Q

“A perception in the absence of of a stimulus” is the definition of _____

A

hallucination

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17
Q

When do physiological hallucinations occur?

A

hypnogogic or hypnopompic (upon wakening/ falling asleep)

also in sensory deprivation tank

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18
Q

“Giving innocuous events meaning” is the definition of _____, an example is thinking there is a message in newspaper for them

A

“giving innocuous events meaning” is the definition of IDEAS OF REFERENCE, an example is thinking there is a message in newspaper for them

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19
Q

Neologisms, tangentiality, Knight’s move thinking, clanging and verbigeration are all examples of _____

A

form of thought disorder

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20
Q

What is a neologism?

A

creating new words

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21
Q

What is tangentiality?

A

speaking about a topic unrelated to the discussion

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22
Q

What is Knight’s move thinking?

A

rapidly changes topic of conversation with unrelated ideas

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23
Q

What is clanging?

A

associating words by sound not meaning

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24
Q

What is verbigeration?

A

word salad

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25
Thought insertion, thought withdrawal, thought broadcasting and thought blocking are all examples of _______
thought interference
26
What is thought insertion?
thinking thoughts are put into your head that aren't yours
27
What is thought withdrawal?
thinking thoughts are being taken out of your head
28
What is thought broadcasting?
thinking everyone knows your thoughts
29
What is thought blocking?
a mind blank
30
What is passivity phenomenon
uncontrollable emotion/motor example: people making your arm move, people controlling your emotions
31
Thinking external events relate to you is ______, an example of this would be ______
self referential thinking | the TV is messaging me
32
How long postpartum does puerperal psychosis occur?
2-4wk
33
Puerperal psychosis is a medical emergency. T or F
true
34
Puerperal psychosis occurs in patient's with a history of mental illness. T or F
false, 50% of patients have no history of mental illness
35
What is the 1st line drug management of psychosis?
PO lorazepam
36
If PO lorazepam is unsuccessful after ____ minutes in the management of psychosis, the next line is ____
30 minutes | IM lorazepam
37
What is the 1st line management of psychosis in a PTx is currently or previously was on a typical antipsychotic?
PO lorazepam + PO haloperidol
38
What sedating drugs are options in the Mx of psychosis?
BDZ or sedating antipsychotic
39
What gender is SZ more common in?
M
40
What age range is SZ more common in in males?
15-25yr
41
What age range is SZ more common in in females?
25-35yr
42
What drug can trigger SZ onset (in a genetically susceptible individual)?
cannabis
43
What medical risk factors for SZ are established by birth?
birth complication, 2nd trimester virus, prenatal maternal stress
44
What is the % risk of developing SZ if you have a monozygotic twin with SZ?
45%
45
What % heritability is SZ?
78%
46
There is a SZ gene. T or F
false, many low penetrance mutations increase likeliness of developing condition
47
What brain changes are individuals with SZ born with?
large lateral ventricles and less well developed neurons
48
There is a loss of [grey/white] matter in PTx with SZ?
grey matter
49
What pathway is overactive in SZ?
dopamine
50
There is evidence of gliosis in SZ. T or F?
false
51
What areas of the brain have a loss of grey matter in SZ?
superior temporal gyrus, parietal, hippocampus, basal ganglia, orbitofrontal cortex
52
What is the commonest type of SZ?
paranoid
53
Excitement, stupor, mutism and wavy flexibility are all seen in _____ type SZ
catatonic
54
Can you Dx SZ in a child?
no
55
What types of psychosis are seen in SZ?
3rd person auditory hallucination, delusions, form of thought disorder and thought interference (less commonly 2nd person hallucinations can also occur)
56
At what age are premorbid signs of SZ seen? Give an example
childhood, delay talking
57
At what age are prodromal signs of SZ seen? What would these be observed as?
teenager, odd eccentric behaviour
58
Slow/lack of speech, decreased motivation, loss of interests/pleasure, blunted affect, isolation and lack of energy are all examples of _______ in SZ
negative syndrome
59
Hallucinations, delusions, passivity phenomena and form of thought disorders are all examples of ______ in SZ
positive syndrome
60
How long must S+S must have bene present for a Dx of SZ?
>1mth
61
What is the management of negative symptoms in SZ?
antidepressant
62
What is the 1st line drug management of SZ?
atypical antipsychotic
63
What is the drug Mx in SZ for a PTx who has already tried 2 atypical antipsychotics?
clozapine
64
What structural change is a predictor of a worse outcome in SZ?
large ventricles
65
Is insidious or rapid onset a predictor of a worse outcome in SZ?
insidious
66
Is onset in a younger or older PTx with SZ a predictor of a worse outcome in SZ?
younger
67
What % of people with SZ commit suicide?
10-15%
68
What is schizoaffective disorder?
Schizophrenia with a mood disorder
69
What types of delusions could be seen in a PTx with SZ?
grandoise, persecutory

Y3 Pyschiatry (15 decks)

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