While interviewing a Schizophrenic patient, you notice that they only reply with "yes" "no" or "Dunno". What thought PROCESS is this?
a) Perseveration
b) Thought blocking
c) Poor abstraction ability
d) Poverty of thought content
Answer: D
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Behavioral
- Although delusional disorders are difficult to treat because patient's are resistant to seek care, what is the treatment of choice?
- Patient is convinced that he is somehow related to the Kardashians. He believes it's the only way to explain his good looks, power and knowledge. Although he told you that he's "practically the CEO of a startup company", you decide to investigate and find that he's just a mid level office worker. How would you classify his delusional disorder?
- Patient's mother is in the best nursing home that money can buy. Every time she goes to visit her mother, her mother seems extremely happy, but the patient is convinced this is a facade and that the nursing home staff are actually neglecting her mother and treating her poorly. How would you classify her delusional disorder?
- Patient states that she's convinced her husband is cheating on her. Even though they're together every night, she's convinced that his infidelities occur at some point during his work hours. She recently put a tracking device on his phone so that she can see if he leaves his office. How would you classify her delusional disorder?
- Patient states that he believes he has cancer in spite of the fact that no blood test, CT scan or other diagnostic studies have demonstrated that he's anything but healthy. How would you classify his delusional disorder?
- Patient states that she thinks her boss is in love with her and wants to leave his wife for her. How would you classify her delusional disorder?
- Seemingly normal patient presents to your office with the chief complaint of "I think my ex boyfriend is stalking me". She said she's been thinking this for the last 2 months after he liked one of her most recent Facebook photos. A substance being the source of her thoughts has been ruled out. What's your DDx?
- What 2 major drug classes are used for the treatment of brief psychotic disorder?
- Which psychotic disorder is often seen in patients with Histrionic, Narcissistic, Paranoid, Schizotypal and Borderline personality disorders?
- Patient states that she was hearing voices for 4 days last week, but they have since disappeared. Her symptoms cannot be better explained by a mood disorder with psychotic features or substances. What's your DDx?
- Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that she never finishes for the last 4 weeks. She states that two weeks prior to this she was "seeing ghosts" in her house. What's the most appropriate treatment for this patient?
- Patient presents with complaints of hyperactivity characterized by beginning a number of household and work projects that aren't finished for the last 4 weeks. She states that two weeks prior to this she was "seeing ghosts" in her house. Her labs come back negative for psychotropic drug use. What's your DDx?
- An extremely confused Schizophreniform patient presents with hallucinations, catatonic behavior and disorganized speech. She states that these began about 4 weeks after she noticed a change in her behavior. She was a college professor prior to the onset of these symptoms and does not have a blunted affect. How would you describe her prognosis?
- Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder and the effects of a substance have been ruled out as causes of their symptoms. What would be the MOST appropriate treatment for this patient?
- Patient presents with hallucinations and disorganized speech that were present for a month, but have not recurred since. Schizoaffective mood disorder and the effects of a substance have been ruled out as causes of their symptoms. What's your DDx?
- Which of the following best describes 2nd generation/atypical anti-psychotics?
- Which of the following is NOT a 1st generation anti-psychotic?
- Which of the following is NOT a side effect of 1st generation anti-psychotics?
- Which of the following is NOT part of the treatment of ACUTE Schizophrenia?
- Which of the following would not be considered a negative symptom cluster in a Schizophrenic patient?
- Schizophrenic patient appears with speech that has no fluidity, movements with no apparent purpose and a flat affect. How would you classify their Schizophrenia?
- Schizophrenic patient admits to hallucinations and ambivalence/mixed feelings or contradictory ideas about something for the past 3 months, but denies hallucinations or delusions. There is an absence of disorganized thoughts or behavior and no echolalia, extreme negativism, stupor or excess motor activity. How would you classify their Schizophrenia?
- Schizophrenic patient presents to your office. She denies seeing or hearing things that aren't there. Although her affect is flat, her speech is fluid and organized and her behavior is not catatonic or unorganized. She states that she continuously lacks motivation, is socially detached and doesn't feel pleasure. How would you classify her Schizophrenia?
- Schizophrenic patient presents with complaints of transient losses of consciousness. You notice that he's continuously fidgeting in order to assume a bizarre posture. He repeats all questions you ask and is extremely resistant to all instructions. How would you classify their Schizophrenia?
- Schizophrenic patient states they hear voices several times a day that interfere with their thoughts. He articulates these symptoms well and at an appropriate pace. His affect is not flat and is appropriate for the situation. How would you classify their Schizophrenia?
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