Questions
1- Delusions belong in the group of :
– Perceptual disorders.
– Behavioral disorders.
– Thought content disorders.
– Thought process disorders
2- which one of the following statements isn’t true of the
treatment of schizophrenic disorders:
– The best results can be obtained by combination
of psychotherapy & drug theraby.
– Neuroleptics speed up the process of recovery.
– Neuroleptics reduce the risk of relapse.
– Addition of Lithium augments the efficacy of
neuroleptics.
3- the following are characteristics of paranoid
schizophrenia except:
– Disorganized speech.
– Delusions of grandeur.
– Auditory hallucinations.
– Later age of onset.
4- of the different types of delusions that may occur in
schizophrenia, the least likely to occur:
– Delusions of infidelity.
– Somatic delusions.
– Delusions of control.
– Bizzare delusions.
– Persecutory delusions.
5- the subtypes of schizophrenia include all of the following
except :
– Paranoid.
– Catatonic.
– Disorganized.
– Simple.
– Depressive.
6- positive symptoms of schizophrenia , not responsive to
antipsychotic medication :
– Delusions of persecution.
– Hallucinations.
– Apathy.
– Bizzare behavior.
– Delusions of grandeur.
7- which is the least likely to be considered a prom dromal
sign of schizophrenia :
– Complaining of headache.
– Unusual speech.
– Thought blocking.
– Decline in social functions.
8- Of schizophrenia 40% attempt suicide and about 10%
succeed.
Potential risk factors include all of the following except :
– College education.
– Depression.
– Chronic symptomatology.
– Command hallucinations.
– Young age.
"A" started to be anxious , irritable wandering all the day
and broke his web camera, speakers and microphone .
Lately they noticed that he is talking to non existing person
while he is alone and started to search every where at home
for "hidden objects".
He started to talk about his conviction that Israeli tried to
assign him as agent for them.
He said that he used to hear voices commenting on him
telling that he became a "spy".
1- what is the type of delusion not present in this patient
a) Delusion of persecution .
b) Delusion of reference .
c) Delusion of grandiosity .
d) Delusion of sin and guilt
2-what are other symptoms suffered by Mr. "A"
- Isolation
- Neglect self hygiene .
- Auditory hallucinations.
- Irritability and anxiety.
- Lack of insight .
- All of the above.
3-What he medication can be prescribed for this patient?
The patient was prescribed haloperidol 15mg/day on which
he improved completely and became insightful.
what are the side effect, expected for this patient on
haloperidol
- Extra ∆ side-effects are the most common side- effects.
- Postural hypotension
- Cardiac Effects.
However, he experienced severe extra-pyramidal symptoms.
How to manage this side-effect.
a) Intra-ocular pressure.
b) Difficulty in urination.
c) Dry mouth.
d) Cognitive disturbance.
e) Delirium.
What are drugs with low extra side-effects?
Olanzapine
- Abilify
- Serdlect
- Clozapine
- Respridone
He asked to stop these medications and to be shifted to
another drugs . He was prescribed respridon 6 mg/ day
What are the side-effects that can affect the patient ?
Sexual dysfunction
- Gynecomastia
- Extra ∆ symptoms
- All of the above
So the patient had been shifted to Olanzapine 20mg/day.
He was responding and discharged from hospital .
After discharge the patient was not able to resume his life
and studies He was over sedated and gained weight
What we can do for this patient?