KAPLAN AND SADOCK’S SYNOPSIS OF PSYCHIATRY BY ROBERT BOLAND 2026 PRACTICE QUESTIONS AND ANSWERS TOP REVIEW A+

KAPLAN AND SADOCK’S SYNOPSIS OF
PSYCHIATRY BY ROBERT BOLAND 2026
PRACTICE QUESTIONS AND ANSWERS TOP
REVIEW A+

◉ Schizophrenia Spectrum and other Psychotic Disorders (8)
Answer: Grouping in which psychotic symptoms are prominent
feature of clinical picture.
Include:
-Schizophrenia
-Delusional Disorder
-Brief Psychotic Disorder
-Schizophreniform Disorder
-Schizoaffective Disorder
-Substance/Medication-Induced Psychotic Disorder
-Psychotic Disorder Due to Another Medical Condition
-Catatonia


◉ Schizotypal personality disorder Answer: Not a psychotic
disorder but under heading of Schizophrenia Spectrum/Psychotic
Disorders because it sometimes precedes full-blown schizophrenia

,◉ Schizophrenia Answer: Schizophrenia Spectrum/Psychotic
Disorders
-ill for at least 6 months (not actively psychotic)


3 Phases:
-Prodrome phase: deterioration in function before onset of active
psychotic phase
-Active phase: symptoms (delusions, hallucinations, disorganized
speech, grossly disorganized behavior, or negative symptoms like
flat affect, avolition, alogia) present for at lease 1 month
-Residual phase: follows active phase; residual & prodromal phases
include functional impairment & abnormalities of affect, cognition,
communication


◉ Subtypes of Schizophrenia Answer: Not in DSM-5 but useful for
practitioner communication
-according to most prominent symptoms at time of eval (paranoid,
disorganized, catatonic, undifferentiated, residual)


◉ Delusional Disorder Answer: Schizophrenia Spectrum/Psychotic
Disorder
-persistent delusions (erotomanic, grandiose, jealous, persecutory,
somatic, mixed, unspecified)
-generally about things that could occur in real life (infidelity, being
followed, having illness) categorized as nonbizarre beliefs

,◉ Shared Delusional Disorder Answer: Under Delusional Disorder
category
-a.k.a. folie a deux
-renamed delusional symptoms in partner with delusional disorder
-delusional belief develops in person w/ close relationship to person
w/ delusion, content similar


◉ Paranoia Answer: Not in DSM-5
rare
gradual development of elaborate delusional system, usually with
grandiose ideas
Chronic course, rest of personality intact


◉ Brief Psychotic Disorder Answer: Schizophrenia
Spectrum/Psychotic Disorder
-delusions, hallucinations, disorganized speech, grossly disorganized
behavior, catatonic behavior for at least 1 day but <1 month
-may be precipitated by external life stress
-returns to usual functioning after episode


◉ Schizophreniform Disorder Answer: Schizophrenia
Spectrum/Psychotic Disorder

, -same active phase symptoms of schizophrenia (delusions,
hallucination, disorganized speech/behavior, negative symptoms)
-LASTS 1-6 months
-NO prodromal or residual phase features of social or occupational
impairment


◉ Schizoaffective Disorder Answer: Schizophrenia
Spectrum/Psychotic Disorder
-same as active phase symptoms of schizophrenia (delusions,
hallucinations, disorganized speech/behavior, neg symptoms)
-ALSO manic or depressive syndrome that is not brief relative to
duration of psychosis
-CONTRASTs to mood disorder w/ psychotic features because
symptoms last at least 2 weeks w/o coexisting prominent mood
symptoms


◉ Substance/Medication-Induced Psychotic Disorder Answer:
Schizophrenia Spectrum/Psychotic Disorders
-symptoms of psychosis caused by psychoactive or other substances
(ex. hallucinogens, cocaine)


◉ Psychotic Disorder Due to Another Medical Condition Answer:
Schizophrenia Spectrum/Psychotic Disorders
-hallucinations or delusions that result from medical illness (ex.
temporal lobe epilepsy, avitaminosis, meningitis)