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50 Multiple choice questions

  1. - Less EPS symptoms
    - More sedation
    - More anticholinergic
  2. Some stressful event
  3. Occurs with long term treatment with antipsychotics (IRREVERSIBLE)
  4. - Anticholinergic agents (Cogentin, Benadryl)
    Diphenhydramine IM or Benztropine IM or slow IV
  5. Increase in 7% of weight from baseline.
  6. Restlessness with anxiety and an inability to remain still
  7. - Anhedonia
    - Avolition
    - Social withdrawal
    - Decreased facial expression (blunted)
    - Apathy
  8. A trial of a second generation antipsychotic (SGA)
  9. Individuals with mania or depression
  10. - Benztropine
    - Trihexyphenidyl
    - Diphenhydramine
    - Amantadine
    - Propranolol (in patients resistant to anticholinergics or amantadine)
  11. Belief that all happenings revolve around oneself and/or one is always the center of attention
  12. Clozapine
    Olanzapine
    Quetiapine
  13. Sensory experiences in the absence of any stimulation from the environment
  14. From about 12 months to lifetime
  15. - More EPS symptoms
    - Less sedation
    - Less anticholinergic
  16. Men
  17. - Schizoaffective disorder
    - Mood disorders
    - Medical disorders
    - Substance use
  18. Orthostatic hypotension
  19. 1st generation
    (Also high dose risperodone)
  20. Belief that one is a target of others' mistreatment, evil plots, and/or murderous intent
  21. - Decrease dose or change antipsychotic drug
    - Propranolol
    - BZDs
  22. - Discontinue antipsychotics
    - Switch to clozapine
  23. - Galactorrhea
    - Amenorrhea
    - Infertility
    - Increased bone demineralization in post-menopausal women
    - Sexual dysfunction
    - Weight gain
  24. - Brief Psychiatric Rating Scale (BPRS)
    - Scales for Assessment of Negative Symptoms (SANS)
  25. False; often times negative symptoms go unnoticed.
  26. > 6 months
  27. True
  28. Sedation
  29. Auditory hallucinations
  30. Switch to a different agent
  31. - Aripiprazole
    - Ziprasidone
    - Olanzapine
    - Haloperidol
    - Lorazepam
    (HALOZ)
  32. Belief that one's thoughts are being broadcast or transmitted to others
  33. False beliefs that are firmly and consistently held despite disconfirming evidence, culture or logic
  34. - Attention span
    - Anxiety
    - Socialization
    - Positive symptoms
  35. Late adolescents to early adulthood
  36. - Hallucinations
    - Delusions (non fixed)
    - Associative disturbances
  37. Monotherapy
  38. - Poor concentration
    - Memory disturbances
    - Odd language
    - Impaired attention
  39. - Delusions
    - Hallucinations
    - Disorganized speech
    - Disorganized or catatonic behavior
    - Negative symptoms
  40. Multi-factorial
  41. Clozapine
  42. False; they only work to reduce symptoms
  43. Involuntary sustained spasm of muscles, notably head and neck
  44. True (Downward drift)
  45. True
  46. Belief that one's thoughts are being removed from one's mind
  47. - Agression
    - Hostility
  48. Occurs within the 1st month after initiation of antipsychotic therapy
    - Mask-like faces
    - Muscle rigidity
    - Shuffling gait
  49. IQ (by about 30 points)
  50. - Hallucinations
    - Delusions
    - Disorganized speech
    - Catatonia