Schizoprenia, MacIntyre Flashcards Preview

Year 2 Psych exam I > Schizoprenia, MacIntyre > Flashcards

Flashcards in Schizoprenia, MacIntyre Deck (31):
1

delusion

fixed, false belief non consistent w/ cultural or religious background
bizarre or non bizarre

2

hallucination

false sensory perception not assoc with real external stimuli
olfactory common!

3

do personality disorders have hallucinations

no

4

DDX psychosis

SLE, acute intermittent porphyria, major depressive disorder, bipolar disorder, seizures, schizophrenia, substance intoxication, delirium, dementia, adverse drug reaction

5

4 As of schizophrenia

Associations
Autism
Ambivalence
Affect

6

demopgraphics schizophrenia

men=women
onset late teens to late 20s
men earlier than women

7

signs schizophrenia

wide range mental disturbances
increased suicide risk
more likely to be victim of violence
Dx of exclusion

8

what is prodromal period schizo

first break can be mild to severe

9

dx of schizophrenia

>2 for >1 mo
delusions
hallucinations
disorganized speech
grossly disorganized or catatonic behavior
negative Sx
Signs persits for at least 6 mo

10

what must be ruled out to Dx schizophrenia

schizoaffective, mood disorders, substances, general medical conditions, autism spectrum

11

positive Sx of schizo

hallucinations and delusions
usually auditory hallucinations!!!
disorganized speech/behavior

12

negative Sx schizo

lack of motivation
affective blunting
cognitive blunting
impaired social funcitnoing and social withdrawal

13

reason for genetic consideration schizo

inc in monozygotic twins

14

imaging in schizo

enlarged 3rd and lateral ventricles

15

which area of brain affected in schizophrenia

prefrontal Cx connections (last cortical area to develop)

16

NT thought to be involved in schizophrenia

DA
serotonin
glutamate

17

1st line Tx in schizophrenia

antipsychotics

18

monitor what if on antipsychotic

movement disorders, dystonia, akathisia, tremor, rigidity, tardive dyskinesias
neuroleptic malignant syndrome
anticholinergic effects
sedation
metabolic consequences (DM, weight gain, dyslipidemia)

19

what is akathisia

inability to sit still

20

risks with clozapine

agranulocytosis-- restricted use
can dec suicidality!!!!!!!

21

what occurs with noncompliance to meds in schizo

decompensation, brain tissue may be lost with each relapse

22

schizophreniform disorfer

Sx of schizophrenia but only last

23

schizoaffective disorder

both schizophrenia and depression or bipolar illness

24

Dx schizoaffective disorder

2 weeks schizophrenia Sx in absence of mood Sx
AND
presence of mood Sx for substantial part of lifetime illness course

25

Tx schizoaffective disorder

psychosis with antipsychotics
mania with mood stabilizers
depression with antidepressants

26

brief psychotic disorder

psychosis > 1 day but

27

Tx brief psychotic disorder

antipsychotics

28

what is a type of brief psychotic disorders

post partum psychosis

29

postpartum psychosis

emergency!!!
keep mother and baby safe
mother may have bipolar Hx

30

delusional disorder

> 1 mo of delusion
behavior and function usually not affected
W>M mid late life

31

Tx delusional disorder

psychotherapy, poor response to antipsychotics