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1. Select the development time of symp-
toms in neuroleptic malignant syndrome.
B. 24-72 hours
A. 12-24 hours
If untreated syndrome lasts 10 to 14 days
B. 24-72 hours
Treat with dantrolene or bromocriptine
C. 4-7 days
D.10-14 days
Select the brain region that shows the C. Prefrontal cortex has anatomical ab-
greatest anatomical abnormalities in normalities
schizophrenic patients. hippocampus and amygdala have size
A. Hippocampus decrease
B. Amygdala basal ganglia theoretical due to odd
C. Prefrontal cortex movements
D. Basal ganglia D. per some answers
Select the mental function that is most
affected in mild cognitive impairment.
A. General cognition
D. Recent memory
B. Activities of daily living
C. Geographic orientation
D. Recent memory
Select the time frame for symptoms of
schizophreniform disorder.
A. 2 to 6 weeks Symptoms are short term lasting at least
B. 1 to 5 months 1 month but less than 6 months. p. 342
C. 6 to 8 months
D. 1 year
obesity, DM, substance use disorders,
Select two comorbid factors common in
complex partial epilepsy, cardiovascular
schizophrenic patients
disease, HIV, COPD
Select the medical condition that occurs
less frequently in schizophrenic patients rheumatoid arthritis
than in the general population
Select the percentage of remission that
results from correct antipsychotic drug
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therapy of schizophrenic patients
A. 15 p. 354 Approximately 60% will improve
B. 30 to the extent that they will achieve remis-
C. 45 sion or only mild symptoms
D. 70
Select the most distinguishing feature in
the course and prognosis of schizophre- worsening after each relapse
nia
Select the two behaviors of schizo- p.339 little impulse control, decreased
phrenic patients that occur more fre- social sensitivity, impulsive behavior, sui-
quently than in the general population. cide, violent behavior
Select the characteristic that is greater in Social withdrawal p. 349 typically quiet
childhood than adult onset schizophre- introverted, no close friends, may have
nia sudden onset of ocd
a patient's history is essential for the di-
agnosis of schizophrenia; clinicians can-
Select the most reliable method to make
not diagnose schizophrenia simply by
a diagnosis of schizophrenia
results of a mental status examination,
which may vary.
Various studies have reported abnormal
eye movements in 50 to 85 percent of pa-
tients with schizophrenia compared with
Select the dysfunction that is common to
about 25 percent in psychiatric patients
50% to 85% of schizophrenic 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 the four As: associations, affect, autism,
B. and ambivalence
ambivalence
C.
anhedonia
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D.
abstract
p. 358 90% of patients in treatment for
schizophrenia are between 15 and 55
Select the age range for 90% of patients
years old. (peak age of onset women -
treated for schizophrenia
25 to 35, men 10-25). Late onset refers
to over 45. cannabis raises risk by 40%
The most common type of hallucination
Auditory
in schizophrenia
Usually oriented to person, time, and
place. they do have cognitive deficien-
Cognition of patient's with schizophrenia
cies in attention, executive function,
working memory, and episodic memory
leading cause of premature death in
Suicide
schizphrenia?
Positive and negative syndrome scale
(PANNS)
Brief psychiatric rating scale (BPRS)
diagnostic and rating scales for schizo-
EPS symptoms - Simpson angus scale
phrenia
(SAS), Abnormal involuntary movement
scale (AIMS), Barnes akathisia rating
scale (BARS)
What percentage of schizophrenia pa-
tients have substance use disorder 74%
throughout lifetime?
excessive dopamine = positive symp-
toms
increased glutamate = overexcites brain
neurotransmitters involved in schzio-
decreased gaba = reduces neuron ex-
phrenia
citability
decreased muscarinic and nicotinic re-
ceptors = dec cognition
Affective flattening or blunting
Alogia (poverty of speech, blocking)