Psychosis Practice Questions with 100%
Correct Answers
Psychosis involves abnormalities in one or more of the following 5 domains: Correct
Answer 1. Delusions
2. Hallucinations
3. Disorganized thinking
4. Altered cognition
5. Altered perception
Causes of psychosis Correct Answer 1. Functional (e.g. schizophrenia, bipolar, etc).
2. ORGANIC (without psychotic diagnosis)
- Trauma: brain injury
- Autoimmune: HIV/AIDS
- Neurological: Parkinson
- Infection: Meningitis
- Metabolic: Hypoxia
- Endocrine: Hypothyroidism
- Altered Nutrition: B1 thiamine deficiency
3. Substance Induced (ketamine, PCP, cannabis, alcohol, LSD, etc.)
4. Contextual (trauma)
DSM-V Correct Answer Diagnostic and Statistical Manual of Mental Disorders
Schizophrenia Correct Answer - Have delusions, hallucinations or disorganized speech
(e..g frequent derailment or incoherence)
- Additional symptoms: grossly disorganized or catatonic behaviour; negative symptoms
(e.g. diminished emotional expression or avolition)
- Continuous signs of the disturbance for at least 6 months.
- Level of functioning in one or more major areas (work, interpersonal relations, or self-
care) is lower than before onset.
- After rulling out schizoaffective disorder, depressive or bipolar disorder with psychotic
features.
- Disturbance not attributed to a substance or medical condition.
Schizophreniform disorder Correct Answer - Have delusions, hallucination or
disorganized speech
(e..g frequent derailment or incoherence)
- Additional symptoms: grossly disorganized or catatonic behaviour; negative symptoms
(e.g. diminished emotional expression or avolition)
- Lasts 1 month but less than 6 months.
, - After rulling out schizoaffective disorder, depressive or bipolar disorder with psychotic
features.
- Disturbance not attributed to a substance or medical condition.
Brief Psychotic disorder Correct Answer - Thought disorder in which a person will
experience short term, gross deficits in reality testing, manifested with at least ONE of
the following symptoms:
1. delusions
2. hallucinations
3. disorganized speech
4. disorganized or catatonic behaviour
- Symptoms must persist for at least ONE DAY, but resolve in less than ONE MONTH.
- Psychotic episodes cannot be attributed to a substance or medical condition.
- Does not fit criteria for major depressive disorder with psychotic features, bipolar
disorder switch psychotic features or schizophrenia.
Schizoaffective disorder Correct Answer - An uninterrupted period of illness during
which there is a major mood episode (major depressive or manic).
- Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a
major mood episode (depressive or manic) during the lifetime duration of the illness.
- Symptoms that meet criteria for a major mood episode are present for the majority of
the total duration of the active and residual portions of the illness.
- The disturbance is not attributable to the effects of a substance or another medical
condition.
- Specify whether: Bipolar type, depressive type, or with catatonia
Delusional disorder Correct Answer - The presence of one (or more) delusions with a
duration of 1 month or longer.
- Does not meet criteria for schizophrenia.
- Hallucinations if present, are not prominent and are related to the delusional theme.
- Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly
impaired, and behaviour is not obviously bizarre or odd.
- If manic or major depressive episodes occur, they've been brief relative to the duration
of the delusional period.
- The disturbance is not attributable to the effects of a substance or another medical
condition.
Bipolar I Correct Answer - A distinct period of abnormal and persistently elevated,
expansive, or irritable mood and abnormally and persistently increased goal-directed
activity or energy, lasting at least 1 week and present most of the day, nearly every day.
- 3 or more of the following symptoms:
--> Inflated self-esteem or grandiosity
--> Decreased need for sleep (restless)
--> More talkative than usually or pressure to keep talking
--> Flight of ideas or subjective experience that thoughts are racing
--> Distractibility
Correct Answers
Psychosis involves abnormalities in one or more of the following 5 domains: Correct
Answer 1. Delusions
2. Hallucinations
3. Disorganized thinking
4. Altered cognition
5. Altered perception
Causes of psychosis Correct Answer 1. Functional (e.g. schizophrenia, bipolar, etc).
2. ORGANIC (without psychotic diagnosis)
- Trauma: brain injury
- Autoimmune: HIV/AIDS
- Neurological: Parkinson
- Infection: Meningitis
- Metabolic: Hypoxia
- Endocrine: Hypothyroidism
- Altered Nutrition: B1 thiamine deficiency
3. Substance Induced (ketamine, PCP, cannabis, alcohol, LSD, etc.)
4. Contextual (trauma)
DSM-V Correct Answer Diagnostic and Statistical Manual of Mental Disorders
Schizophrenia Correct Answer - Have delusions, hallucinations or disorganized speech
(e..g frequent derailment or incoherence)
- Additional symptoms: grossly disorganized or catatonic behaviour; negative symptoms
(e.g. diminished emotional expression or avolition)
- Continuous signs of the disturbance for at least 6 months.
- Level of functioning in one or more major areas (work, interpersonal relations, or self-
care) is lower than before onset.
- After rulling out schizoaffective disorder, depressive or bipolar disorder with psychotic
features.
- Disturbance not attributed to a substance or medical condition.
Schizophreniform disorder Correct Answer - Have delusions, hallucination or
disorganized speech
(e..g frequent derailment or incoherence)
- Additional symptoms: grossly disorganized or catatonic behaviour; negative symptoms
(e.g. diminished emotional expression or avolition)
- Lasts 1 month but less than 6 months.
, - After rulling out schizoaffective disorder, depressive or bipolar disorder with psychotic
features.
- Disturbance not attributed to a substance or medical condition.
Brief Psychotic disorder Correct Answer - Thought disorder in which a person will
experience short term, gross deficits in reality testing, manifested with at least ONE of
the following symptoms:
1. delusions
2. hallucinations
3. disorganized speech
4. disorganized or catatonic behaviour
- Symptoms must persist for at least ONE DAY, but resolve in less than ONE MONTH.
- Psychotic episodes cannot be attributed to a substance or medical condition.
- Does not fit criteria for major depressive disorder with psychotic features, bipolar
disorder switch psychotic features or schizophrenia.
Schizoaffective disorder Correct Answer - An uninterrupted period of illness during
which there is a major mood episode (major depressive or manic).
- Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a
major mood episode (depressive or manic) during the lifetime duration of the illness.
- Symptoms that meet criteria for a major mood episode are present for the majority of
the total duration of the active and residual portions of the illness.
- The disturbance is not attributable to the effects of a substance or another medical
condition.
- Specify whether: Bipolar type, depressive type, or with catatonia
Delusional disorder Correct Answer - The presence of one (or more) delusions with a
duration of 1 month or longer.
- Does not meet criteria for schizophrenia.
- Hallucinations if present, are not prominent and are related to the delusional theme.
- Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly
impaired, and behaviour is not obviously bizarre or odd.
- If manic or major depressive episodes occur, they've been brief relative to the duration
of the delusional period.
- The disturbance is not attributable to the effects of a substance or another medical
condition.
Bipolar I Correct Answer - A distinct period of abnormal and persistently elevated,
expansive, or irritable mood and abnormally and persistently increased goal-directed
activity or energy, lasting at least 1 week and present most of the day, nearly every day.
- 3 or more of the following symptoms:
--> Inflated self-esteem or grandiosity
--> Decreased need for sleep (restless)
--> More talkative than usually or pressure to keep talking
--> Flight of ideas or subjective experience that thoughts are racing
--> Distractibility
