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50 True/False questions

  1. How long is schizophrenia treatment continued?From about 12 months to lifetime

          

  2. What are some examples of cognitive symptoms?- Anhedonia
    - Avolition
    - Social withdrawal
    - Decreased facial expression (blunted)
    - Apathy

          

  3. What are some examples of negative symptoms?- Hallucinations
    - Delusions
    - Disorganized speech
    - Catatonia

          

  4. EPS is mostly seen with which generation of antipsychotics?1st generation
    (Also high dose risperodone)

          

  5. DystoniasInvoluntary sustained spasm of muscles, notably head and neck

          

  6. For the 1st episode of a psychotic event what pharmacologic treatment is recommended by the treatment guidelines?Monotherapy

          

  7. Blocking alpha-1 receptors causes _____.Orthostatic hypotension

          

  8. Thought broadcastingBelief that one's thoughts are being removed from one's mind

          

  9. The etiology of schizophrenia is _____.Orthostatic hypotension

          

  10. Which agents can be given to help treat EPS dystonias?- Aripiprazole
    - Ziprasidone
    - Olanzapine
    - Haloperidol
    - Lorazepam
    (HALOZ)

          

  11. Which symptoms improve around 2-3 weeks of treatment?- Attention span
    - Anxiety
    - Socialization
    - Positive symptoms

          

  12. T/F: Psychosocial treatment is not often effective as a sole treatment.False; they only work to reduce symptoms

          

  13. Tardive dyskinesiaRestlessness with anxiety and an inability to remain still

          

  14. Schizophrenia is more prominent in men or women?- Hallucinations
    - Delusions
    - Disorganized speech
    - Catatonia

          

  15. T/F: Negative symptoms are the most prominent and noticeable in schizophrenia.False; often times negative symptoms go unnoticed.

          

  16. T/F: Pharmacological agents for schizophrenia will cure the disease?Multi-factorial

          

  17. T/F: It is believed there is a high genetic component to schizophrenia?True

          

  18. Which symptoms improve around 6-8 weeks of treatment?- Attention span
    - Anxiety
    - Socialization
    - Positive symptoms

          

  19. Which drugs are used for acute agitation?- Aripiprazole
    - Ziprasidone
    - Olanzapine
    - Haloperidol
    - Lorazepam
    (HALOZ)

          

  20. Delusions of referenceBelief that one is a target of others' mistreatment, evil plots, and/or murderous intent

          

  21. For a diagnosis of schizophrenia you must be able to exclude:- Schizoaffective disorder
    - Mood disorders
    - Medical disorders
    - Substance use

          

  22. PseudoparkinsonismRestlessness with anxiety and an inability to remain still

          

  23. The first schizophrenic psychotic event is usually triggered by _____.IQ (by about 30 points)

          

  24. What are the most common type of hallucinations in schizophrenia?- Discontinue antipsychotics
    - Switch to clozapine

          

  25. What side effects are associated with Low Potency antipsychotics?- Less EPS symptoms
    - More sedation
    - More anticholinergic

          

  26. How long must the signs and symptoms of schizophrenia be present for diagnosis?> 6 months

          

  27. Per DSM-V, two or more of the following are required for a diagnosis of schizophrenia:Auditory hallucinations

          

  28. Significant weight gain is defined by the FDA as:Increase in 7% of weight from baseline.

          

  29. What are hallucinations?False beliefs that are firmly and consistently held despite disconfirming evidence, culture or logic

          

  30. A lot of times in schizophrenia there will be a drop in _____.From about 12 months to lifetime

          

  31. _____ is reserved for the treatment of refractory patients.Clozapine

          

  32. What are some effects of having increased plasma prolactin levels?- Galactorrhea
    - Amenorrhea
    - Infertility
    - Increased bone demineralization in post-menopausal women
    - Sexual dysfunction
    - Weight gain

          

  33. Examples of positive symptoms:- Hallucinations
    - Delusions
    - Disorganized speech
    - Catatonia

          

  34. Delusions of persecutionBelief that one is a target of others' mistreatment, evil plots, and/or murderous intent

          

  35. Which 3 antipsychotics cause the most metabolic side effects?- Agression
    - Hostility

          

  36. What side effects are associated with High Potency antipsychotics?- More EPS symptoms
    - Less sedation
    - Less anticholinergic

          

  37. What are treatment options for akathisia?- Discontinue antipsychotics
    - Switch to clozapine

          

  38. What are some treatment options for pseudoparkinsonism?- Decrease dose or change antipsychotic drug
    - Propranolol
    - BZDs

          

  39. What is a delusion?False beliefs that are firmly and consistently held despite disconfirming evidence, culture or logic

          

  40. What are treatment options of tardive dyskinesia?- Discontinue antipsychotics
    - Switch to clozapine

          

  41. T/F: Schizophrenia is associated with a lower socioeconomic statusTrue (Downward drift)

          

  42. If there is no improvement of symptoms after 3-4 weeks of a therapeutic dose, what should you do?- Hallucinations
    - Delusions (non fixed)
    - Associative disturbances

          

  43. What other individuals may experience delusions?Individuals with mania or depression

          

  44. Two standardized rating scales for schizophrenia?- Brief Psychiatric Rating Scale (BPRS)
    - Scales for Assessment of Negative Symptoms (SANS)

          

  45. AkathisiaRestlessness with anxiety and an inability to remain still

          

  46. Blocking alpha-2 receptors causes ____.Orthostatic hypotension

          

  47. Which symptoms usually improve first?- Agression
    - Hostility

          

  48. Monotherapy or poly therapy is preferred in pharmacologic treatment?- Hallucinations
    - Delusions (non fixed)
    - Associative disturbances

          

  49. Though withdrawalBelief that one's thoughts are being broadcast or transmitted to others

          

  50. What is generally the age onset for schizophrenia?Late adolescents to early adulthood