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Most Tested Questions (2025 Edition)
1. Select the development time of symptoms in neuroleptic malignant syndrome.
A. 12-24 hours
B. 24-72 hours
C. 4-7 days
D.10-14 days - B. 24-72 hours
If untreated syndrome lasts 10 to 14 days
Treat with dantrolene or bromocriptine
Select the brain region that shows the greatest anatomical abnormalities in
schizophrenic patients.
A. Hippocampus
B. Amygdala
C. Prefrontal cortex
D. Basal ganglia - C. Prefrontal cortex has anatomical abnormalities
hippocampus and amygdala have size decrease
basal ganglia theoretical due to odd movements
D. per some answers
Select the mental function that is most affected in mild cognitive impairment.
A. General cognition
B. Activities of daily living
C. Geographic orientation
D. Recent memory - D. Recent memory
Select the time frame for symptoms of schizophreniform disorder.
A. 2 to 6 weeks
B. 1 to 5 months
C. 6 to 8 months
D. 1 year - Symptoms are short term lasting at least 1 month but less than 6 months. p.
342
Select two comorbid factors common in schizophrenic patients - obesity, DM, substance
use disorders, complex partial epilepsy, cardiovascular disease, HIV, COPD
,Select the medical condition that occurs less frequently in schizophrenic patients than in
the general population - rheumatoid arthritis
Select the percentage of remission that results from correct antipsychotic drug therapy
of schizophrenic patients
A. 15
B. 30
C. 45
D. 70 - p. 354 Approximately 60% will improve to the extent that they will achieve
remission or only mild symptoms
Select the most distinguishing feature in the course and prognosis of schizophrenia -
worsening after each relapse
Select the two behaviors of schizophrenic patients that occur more frequently than in
the general population. - p.339 little impulse control, decreased social sensitivity,
impulsive behavior, suicide, violent behavior
Select the characteristic that is greater in childhood than adult onset schizophrenia -
Social withdrawal p. 349 typically quiet introverted, no close friends, may have sudden
onset of ocd
Select the most reliable method to make a diagnosis of schizophrenia - a patient's
history is essential for the diagnosis of schizophrenia; clinicians cannot diagnose
schizophrenia simply by results of a mental status examination, which may vary.
Select the dysfunction that is common to 50% to 85% of schizophrenic patients. -
Various studies have reported abnormal eye movements in 50 to 85 percent of patients
with schizophrenia compared with about 25 percent in psychiatric patients without
schizophrenia and fewer than 10 percent in nonpsychiatrically ill control participant. p.
359
Select two of the "Four A's" symptoms of schizophrenia described by Bleuler
A.
autism
B.
ambivalence
C.
anhedonia
D.
abstract - the four As: associations, affect, autism, and ambivalence
Select the age range for 90% of patients treated for schizophrenia - p. 358 90% of
patients in treatment for schizophrenia are between 15 and 55 years old. (peak age of
onset women - 25 to 35, men 10-25). Late onset refers to over 45. cannabis raises risk
by 40%
, The most common type of hallucination in schizophrenia - Auditory
Cognition of patient's with schizophrenia - Usually oriented to person, time, and place.
they do have cognitive deficiencies in attention, executive function, working memory,
and episodic memory
leading cause of premature death in schizphrenia? - Suicide
Positive and negative syndrome scale (PANNS)
Brief psychiatric rating scale (BPRS)
EPS symptoms - Simpson angus scale (SAS), Abnormal involuntary movement scale
(AIMS), Barnes akathisia rating scale (BARS) - diagnostic and rating scales for
schizophrenia
What percentage of schizophrenia patients have substance use disorder throughout
lifetime? - 74%
neurotransmitters involved in schziophrenia - excessive dopamine = positive symptoms
increased glutamate = overexcites brain
decreased gaba = reduces neuron excitability
decreased muscarinic and nicotinic receptors = dec cognition
Select the negative symptom of schizophrenia - Affective flattening or blunting
Alogia (poverty of speech, blocking)
avolition (apathy)
anhedonia
Attention (inattentiveness)
Positive symptoms of schizophrenia - hallucinations and delusions, bizarre behavior,
formal thought disorder
Select the disorder that is often comorbid with brief psychotic disorder - p. 344 Common
in patients with personality disorders lasts one day and not more than one month
By definition, patients with delusional disorders do not have what? - prominent or
sustained hallucinations. Persecutory and jealous are most common delusional
disorders
Select the diagnostic criterion for catatonia resulting from a medical condition. - waxy
flexibility
Select the two factors that are not applicable to diagnosing schizoaffective disorder -
Medical condition, Substance abuse
As with most psychiatric diagnoses, schizoaffective disorder should not be used if the
symptoms are caused by substance abuse or a secondary medical condition