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Which of the following is considered a positive symptom of
schizophrenia?
A) Flat affect
B) Auditory hallucinations
C) Avolition
D) Anhedonia -ANSWER-B) Auditory hallucinations
Which DSM-5 criteria duration is required for a diagnosis of
schizophrenia?
A) At least 1 month of active symptoms
B) At least 3 months total disturbance
C) At least 6 months continuous disturbance with 1 month of active
symptoms
D) Exactly 2 weeks of prodromal symptoms -ANSWER-C) At least 6
months continuous disturbance with 1 month of active symptoms
Which of the following is a negative symptom of schizophrenia?
A) Delusions of grandeur
,B) Bizarre behavior
C) Alogia (poverty of speech)
D) Tangential speech -ANSWER-C) Alogia (poverty of speech)
A patient believes that pop songs on the radio contain secret hidden
messages specifically directed at them. This is an example of:
A) Delusion of reference
B) Somatic delusion
C) Delusion of persecution
D) Nihilistic delusion -ANSWER-A) Delusion of reference
Which neurotransmitter theory is most classically associated with the
pathophysiology of schizophrenia?
A) Decreased serotonin
B) Excess dopamine activity in the mesolimbic pathway
C) Increased GABA in the prefrontal cortex
D) Deficient acetylcholine in the basal ganglia -ANSWER-B) Excess
dopamine activity in the mesolimbic pathway
Negative symptoms of schizophrenia are primarily linked to dysfunction
in which brain pathway?
A) Mesolimbic pathway
B) Mesocortical pathway
,C) Nigrostriatal pathway
D) Tuberoinfundibular pathway -ANSWER-B) Mesocortical pathway
A patient abruptly shifts from one unrelated topic to another when
speaking. This speech pattern is known as:
A) Clang association
B) Flight of ideas
C) Loose associations
D) Neologism -ANSWER-C) Loose associations
The creation of new, idiosyncratic words by a patient with
schizophrenia is called:
A) Echolalia
B) Neologism
C) Echopraxia
D) Word salad -ANSWER-B) Neologism
A patient repeats every phrase or question spoken by the nurse. This is
termed:
A) Echopraxia
B) Catalepsy
C) Echolalia
D) Perseveration -ANSWER-C) Echolalia
, A patient maintains a rigid, bizarre posture for hours despite attempts
by staff to move them. This motor sign is:
A) Waxy flexibility
B) Catatonic stupor
C) Psychomotor agitation
D) Stereotypy -ANSWER-A) Waxy flexibility
Which symptom domain includes deficits in working memory,
attention, and executive functioning?
A) Positive symptoms
B) Negative symptoms
C) Cognitive symptoms
D) Affective symptoms -ANSWER-C) Cognitive symptoms
What is the primary diagnostic differentiator between
schizophreniform disorder and schizophrenia?
A) Presence of mood symptoms
B) Duration of illness (1 to 6 months for schizophreniform)
C) Response to typical antipsychotics
D) Age of onset -ANSWER-B) Duration of illness (1 to 6 months for
schizophreniform)