Psychotic Disorders

Question 1

DSM 5 defines schizophrenia spectrum and other psychotic disorders are defined by abnormalities in one or more of which five domains?

Answer 1

Delusions
Hallucinations
Disorganized thought/speech
Disorganized/Abnormal Behavior
Negative Symptoms

Question 2

________ are fixed ideas or beliefs that are not amenable to change in light of clear and conflicting evidence to the contrary.

Answer 2

Delusions

Question 3

_________ are perception-like experiences that occur without an external stimulus. They are vivid and clear, full force and impact of normal perceptions, they are not under voluntary control.

Answer 3

Hallucinations

Question 4

What are some examples of delusions?

Answer 4

Persecutory
Grandiose
Erotomanic
Nihilistic
Somatic

Question 5

What are examples of hallucinations?

Answer 5

Auditory
Visual
Somatic/tactile
Olfactory

Question 6

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are being heard by others, perhaps over radio, perhaps out loud in the room. Voices outside their head.

Answer 6

Thought Broadcasting

Question 7

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes their thoughts are not their own, they have been inserted into their mind by another person or entity

Answer 7

Thought Insertion

Question 8

Thought __________ (Broadcasting/Insertion/Withdrawal) is when the patient believes thoughts are being taken from their mind by another, thoughts are initiated but cannot be completed because it was removed by an outside force

Answer 8

Thought Withdrawal

Question 9

Variation between extremes of emotions such as happiness, crying, and explosive anger would be considered what type of affect?

Answer 9

Labile Affect

Question 10

Unchanging facial expression, paucity of gestures, and poor eye contact would indicate what type of affect?

Answer 10

Affect Flattening

Question 11

Alogia is defined as what?

Answer 11

Impoverished thinking and cognition. (Can only be inferred from patient’s speech.) May have a poverty of speech versus poverty of content

Question 12

_________ is defined as apathy, lack of energy or drive, cannot manage simple, every day tasks, often are unkempt, poor hygiene, poor performance at school or work.

Answer 12

Avolition

Question 13

What is Anhendonia/Asociality?

Answer 13

Lack of interest of pleasure
Decreases activity
No Interest in Sex
Inability to feel intimate

Question 14

A patient exhibiting purposeless motor activity and agitation would be considered to have what type of motor behavior?

Answer 14

Catatonic Motor Behavior

Question 15

How may a patient exhibit attention impairment?

Answer 15

Difficulty focusing
Sporadic Attention Capabilities
Wander away in the middle of Conversations
Lack of identifying social ques

Question 16

Flight of ideas would be indicative of _________ (Mania/Depression)

Answer 16

Mania

Question 17

Change in weight either direction would be indicative of _________ (Mania/Depression)

Answer 17

Depression

Question 18

Insomnia would be indicative of _________ (Mania/Depression)

Answer 18

Depression

Question 19

Decreased need for sleep would be indicative of _________ (Mania/Depression)

Answer 19

Mania

Question 20

Poor Judgement would be indicative of _________ (Mania/Depression)

Answer 20

Mania

Question 21

Poor Concentration would be indicative of _________ (Mania/Depression)

Answer 21

Depression

Question 22

Are the following positive or negative symptoms…..

Delusions
Hallucinations
Thought Disorders
Movement Disorders

Answer 22

Positive Symptoms

Question 23

Diagnosis of schizophrenia requires that two or more positive, negative and/or disorganized symptoms be present for at least how long?

The patient must also have at least one of what three symptoms to be diagnosed with Schizophrenia?

Answer 23

1 month

Must have one of the following…..

Delusions
Hallucinations
Disorganized Speech

Question 24

If a patient has a first-degree relative with schizophrenia, they have about a __% chance of developing schizophrenia as well.

Answer 24

10%

Question 25

T/F: To be diagnosed with schizophrenia, a patient's symptoms must interfere significantly with ADLs (work, school, relationships)

Answer 25

True

Question 26

T/F: Childhood trauma is not associated with schizophrenia later in life

Answer 26

False It is

Question 27

What age range is schizophrenia more likely to onset?

Answer 27

16 - 30 y.o.

Question 28

50% of schizophrenic patients will complain or exhibit symptoms of what?

Answer 28

Depression

Question 29

Exhibition of negative symptoms in schizophrenia are associated with a _______ (Better/Poorer) prognosis

Answer 29

Poorer Prognosis with negative symptoms

Question 30

T/F: One potential cause of schizophrenia may be the dopamine system being overly active If true, what medication class may be used to treat this?

Answer 30

True Consider Dopamine Antagonist

Question 31

A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia

Answer 31

Viral Infection

Question 32

A _____ (viral/fungal/bacterial) infection in the SECOND trimester of pregnancy is also a theorized cause of schizophrenia

Answer 32

Viral Infection

Question 33

If a schizophrenic patient has a loss of daily function then what treatment should be considered?

Answer 33

Hospitalization

Question 34

What are examples of low potency neuroleptics used in schizophrenia treatment?

Answer 34

Chlorpromazine Thioridazine Mesoridazine

Question 35

What are examples of high potency neuroleptics used in schizophrenia treatment?

Answer 35

Haloperidol Fluphenazine Thiothixene Loxapine

Question 36

_________ symptoms are drug-induced movement disorders that include acute and tardive symptoms. What are examples of these?

Answer 36

Extrapyramidal Sx ``` Dystonia Akathasia Parkinsonism Bradykinesia Tremor Tardive Dyskinesia ```

Question 37

T/F: Extrapyramidal Sx are NOT side effects of neuroleptics

Answer 37

False They are side effects

Question 38

Which high potency neuroleptic is most closely associated with extrapyramidal Sx?

Answer 38

Haloperidol (Haldol)

Question 39

Is benadryl (PO, IM, or IV) a good choice in treating neuroleptic side effects?

Answer 39

Yes!

Question 40

Which pyschotic disorder would be best described as..... Symptoms of schizophrenia for at least 1 month BUT less than 6 months

Answer 40

Schizophreniform Disorder

Question 41

Which psychotic disorder would be best described as..... Symptoms of schizophrenia and major mood disorders for 2 weeks without prominent mood symptoms, but OTHERWISE the mood symptoms predominate the duration of illness

Answer 41

Schizoaffective Disorder

Question 42

Which psychotic disorder would be best described as..... Persistent, brief, contrary to reality without other symptoms of schizophrenia for 1 month of longer

Answer 42

Delusional Disorder

Question 43

Which psychotic disorder would be best described as..... Delusions, Halucinations, and Disorganized speech that lasts for 1 day BUT less than 1 month and the patient often returns to their usual level of function

Answer 43

Brief Psychotic Disorder

Question 44

Which psychotic disorder would be best described as..... Symptoms of psychosis developed during or after substance intoxication OR often as a part of a withdrawal syndrome

Answer 44

Substance/Medication-induced Psychotic Disorder