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WorksheetsSchizophrenia
Total questions: 20
Worksheet time: 15mins
Which of the following is considered a poor prognostic factor in Schizophrenia?
Late onset
No precipitating factors
Positive symptoms
Depressive symptoms
Which of the following is true regarding the modern fertility rate of people with Schizophrenia?
The fertility rate is much lower than the general population
The fertility rate is much higher than the general population
The fertility rate is never affected by the illness
The fertility rate is close to the general population
A patient with a chronic mental illness on long-term treatment presents to the clinic with repetitive and persistent perioral movement and tongue protrusion, which of these medications is the likely cause?
Clozapine
Perphenazine
Phenobarbital
Diazepam
The lifetime risk of suicide in schizophrenia is approximately:
20-30%
1%
5-10%
50-60%
Which of the following has been found in neuroimaging studies of patients with schizophrenia?
Decreased size of lateral and third ventricles
Increased neocortical volume
Decreased basal ganglia volume
Decrease volume in the hippocampus
Which of the following psychosocial interventions has been shown to reduce relapse rates in patients with schizophrenia?
Social skills training
Family psychoeducation
Supported employment
Personal therapy
A 19-year-old patient begins treatment following his first episode of psychosis. His parents ask about their son’s long-term prognosis. Which of the following statements would be most accurate?
Most patients achieve sustained recovery
Two-thirds of patients have good outcome and only mild symptoms
One in five patients achieve sustained recovery
Half of patients achieve sustained recovery
Which of the following pharmacological strategies increases the likelihood of sustained recovery in schizophrenia?
Give medication only during periods of symptoms exacerbation
Give medication as close to the onset of psychosis as possible
Give two or more medications at the same time
Give benzodiazepines with approved drugs for schizophrenia
Which of the following symptoms is associated with worse prognosis in schizophrenia?
Hallucinations
Disorganization
Bizarre delusions
Mood lability
Which of the following clinical features would be helpful in identifying co-morbid depression in a patient with prominent negative symptoms?
Anhedonia
Social withdrawal
Affecting blunting
Guilty feelings
Which of the following represents the current order of stages of illness in schizophrenia?
Premorbid, prodromal, progressive, and chronic-residual
Prodromal, chronic-residual, and progressive
Premorbid, prodromal, involutional, and senile
Progressive, prodromal, and resistant
The use of dopamine antagonists is most likely to improve which of the following symptoms of schizophrenia?
Social withdrawal
Stereotypes thinking
Muscular rigidity
Disorganization
Which of the following risk factors would increase the likelihood of drug-induced hyperprolactinemia?
Low potency D2 antagonism
Male sex
Increased age
Use of aripiprazole
What is the proposed mechanism for the parkinsonian side effects seen with medications used for schizophrenia?
Muscurinic cholinergic receptor blockade
Nigrostriatal dopamine receptor blockade
Alpha1 receptor antagonism
Hypothalamic histaminergic H1 receptor blockade
Cognitive symptoms in schizophrenia account for much of the disability associated with the illness. Which of the following comprises two of the cognitive faculties impaired in schizophrenia?
Attention, working memory
Long-term memory, visuospatial construction
Color perception, sensory integration
Motor coordination, pain sensation
Following the administration of a medication to treat agitation, a patient develops rigidity, confusion, and autonomic instability.
Which of the following agents is most likely to have caused these symptoms?
Diphenhydramine
Clozapine
Haloperidol
Valproate
A patient with schizophrenia reports that he can hear his own thoughts spoken out loud, what is the name of this psychopathology?
Passivity of thought
1st person auditory hallucination
Thought echo
Thought broadcast
Which of the following medications is less likely to prolong the QTc interval?
Haloperidol
Ziprasidone
Droperidol
Aripiprazole
Which of the following is a true statement about the eye movement dysfunction in schizophrenia?
Abnormal eye movements occur more often in patients with schizophrenia than in normal controls
Eye movement dysfunction is independent of drug treatment
Eye movement dysfunction is seen in first degree probands
All of the above
Which of the following is NOT typically associated with catatonia?
Mannerisms
Mutism
Stereotypies
Verbigeration
