Revision of psychotic disorder (MCQ)

MUHAMAD NOR SAIFULLAH BIN BAHARI1000923029Revision of psychotic disorder (MCQ)1)Antipsychotics can be given to: Patient locked herself at home, believes there are aliens outside wanting to catch her, and tells her through the television, insert chip in her brain. Girl seeing her dead mother every night before going to bed Boy with visual hallucinations for 1 day after ingestion of cannabis Patient in the ward presenting with acute mania

TTFT2.Hallucinations Unreal in quality No sensory stimulation Hypnologic hallucinations are pathological Auditory hallucinations include noise and music Thought echo is a hallucination

TTFTF3.Poor prognosis for schizophrenia Female Old age Acute onset Enlarged lateral ventricles unemployed

FFFTT4. Atypical antipsychotic better than typical antipsychotic less weight gain effective control ve symptoms less extrapyramidal side effect more available in depot preparationless likely to cause diabetes mellitus FTTFF 5.Delusional theme Sexual delusion is more common in men Nihilistic delusion seen commonly in extreme depressed patient Delusion of thought insertion more common in schizophrenic patient compare to other disorder Patient who obeys the hallucination command is example of delusional of control Patient who is schizophrenic mostly has persecutory delusion compare to other disorder FTTTT 6. Prognosis schizophrenia high risk of suicide men better than women many patients have repeated psychotic episodes early onset is worse negative symptoms easy to treat TFTTF 7. Following antipsychotics do not cause hypertension risperidone olanzapine quetiapine amisulpride clozapine

TTFTF 8.Late onset psychosis can be associated with blindness visual hallucinations a characteristic feature associated with larger cerebral ventricles commonly associated with lower social classes family history of schizophrenia is often seen

TFTFF 9.Mental state examination facial appearance provides information about mood social behaviour of the patient is not important the cooperation of the patient is essential visual hallucinations cannot be assessed should always be carried out after completing history taking

FFTFT 10.Haloperidol produces following side effects cholestatic jaundice tardive dyskinesia akathesia postural hypotension impotence

FTTTT 11.Recognised feature of catatonia motor blocking cataplexy Stereotypies psychological pillow stupor

TFTTT 12.Primary delusions may be secondary to auditory hallucinations frequently systematised to secondary delusions characteristically persecutory are frequently preceded by delusional mood can occur in normal people

FTFTF 13.Visual illusions may occur in normal people may be influenced by the prevailing emotional tone occur in those totally blind from birth occur in those suffering sudden blindness in middle age are more common in dim light than in bright conditions TTFFT 14.Schizophrenia (epidemiology)High incidence, low prevalence Male more than female Age of onset after 15-45 yearsStrong genetic predispositionMen tend to have more negative symptom and more impaired social functioning compared to women.

FTF TT15.Changes in schizophrenia Small ventricle Small hippocampus Reduced brain mass Gliosis Increased cerebral grey matter FTTTF 16.Hallucination Hypnopompic hallucination is normal Unreal in quality No sensory stimulation Thought echo is a hallucination Auditory hallucination include noise and music TTTFT 17.Factors associated with relapse in schizophrenia: noncompliance with maintenance medication history of sudden social or psychological trauma exposure to critical emotions previous relapse high expressed emotions

TTTTT 18.The typical presentation of schizophreniform insidious onset psychosis poor premorbid functioning blunted affect hallucinations delusion

FFTTT 19.True statements about pharmacodynamics include haloperidol is less potent than chlorpromazine haloperidol is more clinically effective than chlorpromazine therapeutic index for haloperidol is high therapeutic index for lithium is high haloperidol act faster than lithium

FFTFT20.True statements about neuroleptic malignant syndrome include Mortality rates in 2-5% evidence implicates particular typical agents as more likely than others to cause the syndrome the syndrome is rare with clozapine the syndrome is less likely to develop using parenteral route rechallenge with a neuroleptic should not be until at least 2 months after resolution

FTTFT 21. Which of the following is most common S/E of olanzapine constipation orthostatic hypotension sedation tardive dyskinesia weight gain

FFTFT