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Wednesday, December 03, 2003

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Schizophrenia

1. Perseveration tends weight to the diagnosis of schizophrenia F
2. Autoscopy tends weight to the diagnosis of schizophrenia F
3. Asyndetic thinking tends weight to the diagnosis of schizophrenia T
4. Olfactory hallucinations tend weight to the diagnosis of schizophrenia F
5. Visual hallucinations tend weight to the diagnosis of schizophrenia F
6. The incidence of schizophrenia in increased in those born in winter & early spring T
7. Viral infection during pregnancy is a well known cause for schizophrenia F
8. Old parental age increases the risk of developing schizophrenia T
9. Peri-natal complications increase the risk of developing schizophrenia T
10. Concordance rate for schizophrenia is higher in MZ twins T
11. Pathological abnormalities in the brain of schizophrenic patients include widening of sulci T
12. Pathological abnormalities in the brain of schizophrenic patients include thickening of corpus callosum T
13. Pathological abnormalities in the brain of schizophrenic patients include ventricular enlargement T
14. Pathological abnormalities in the brain of schizophrenic patients include degeneration of substantia nigra F
15. Pathological abnormalities in the brain of schizophrenic patients include increased Dopamine activity in caudate nucleus F
16. Schneider’s first rank symptoms are primary pathological phenomena from which all others are derived F
17. Schneider’s first rank symptoms are found in psychosis associated with Epilepsy T
18. Schneider’s first rank symptoms occur in most autistic children F
19. Schneider’s first rank symptoms predict decline in social functioning F
20. Schneider’s first rank symptoms may lead to secondary delusions T
21. Reduced dopamine activity in the limbic system is thought to be involved in the patho-aetiology of schizophrenia F
22. Double bind hypothesis in schizophrenia has been repeatedly confirmed by research F
23. There is an increase in the frequency of stressful events in the 6 months prior to the onset of schizophrenia T
24. Brain ventricular enlargement in schizophrenia correlates with the severity of symptoms F
25. Being an identical twin will increase the risk of developing schizophrenia F
26. dopamine is decreased in the limbic system in schizophrenia F
27. brain ventricular enlargement in schizophrenia is proportional to the duration of symptoms F
28. There is increased incidence of life events 3 weeks prior to the onset of schizophrenia T
29. Single status is a good prognostic indicator in schizophrenia F
30. Old age at onset is a good prognostic indicator in schizophrenia T
31. Prominent affective symptoms is a good prognostic indicator in schizophrenia T
32. Having negative symptoms is a good prognostic indicator in schizophrenia
33. Insidious onset of illness is a good prognostic indicator in schizophrenia F
34. Social withdrawal is common in chronic schizophrenia T
35. Sexually unusual behaviour is common in chronic schizophrenia F
36. Socially embarrassing behaviour is common in chronic schizophrenia F
37. Under activity is common in chronic schizophrenia T
38. Suicidal attempt is common in chronic schizophrenia F
39. Poor pre morbid adjustment is a poor prognostic indicator T
40. Sudden onset is a poor prognostic indicator F
41. A family history of affective disorder is a poor prognostic indicator F
42. Blunted affect is a poor prognostic indicator T
43. A family history of schizophrenia is a poor prognostic indicator T
44. Thought withdrawal is a first rank symptom of schizophrenia T
45. Thought block is a first rank symptom of schizophrenia F
46. Delusional perception is a first rank symptom of schizophrenia T
47. Thought broadcast is a first rank symptom of schizophrenia T
48. Morbid jealousy is a first rank symptom of schizophrenia F
49. Thought echo is a first rank symptom of schizophrenia T
50. Delusional mood is a first rank symptom of schizophrenia F
51. Somatic passivity is a first rank symptom of schizophrenia T
52. Catalepsy is found in chronic schizophrenia T
53. Cataplexy is found in chronic schizophrenia F
54. Mitgehen is found in chronic schizophrenia T
55. Hypotonia is found in chronic schizophrenia F
56. Ambitendency is found in chronic schizophrenia T
57. Type one schizophrenia is characterised by acute onset T
58. Type one schizophrenia is characterised by a change in dopaminergic activity transmission T
59. Type one schizophrenia is characterised by structural changes in the brain F
60. Type one schizophrenia is characterised by poor prognosis F
61. Type one schizophrenia is characterised by Intellectual impairment F
62. Simple schizophrenia is characterised by florid psychotic symptoms F
63. Simple schizophrenia is characterised by personality deterioration T
64. Simple schizophrenia is characterised by catatonia F
65. Simple schizophrenia is characterised by hyper-kinesis F
66. Simple schizophrenia is characterised by word salad F
67. Follow up studies of schizophrenia showed a suicide rate of about 20% F
68. Follow up studies of schizophrenia showed that compliance with treatment in the long term has little effect F
69. Follow up studies of schizophrenia showed that about 2/3 will have a good social outcome in 30 years F
70. Follow up studies of schizophrenia showed that younger age of onset correlates with poor prognosis T
71. Follow up studies of schizophrenia showed mental state to be a more powerful predictor of outcome than social factors F
72. High expressed emotions among residential carers increase incidence of relapse in schizophrenia T
73. Incidence of schizophrenia in learning disabled people is 3 times higher than general population T
74. Auditory hallucination Is a characteristic features of schizophrenia but not of depressive psychosis F
75. Stupor Is a characteristic features of schizophrenia but not of depressive psychosis F
76. Delusion of control Is a characteristic features of schizophrenia but not of depressive psychosis T
77. Depersonalisation Is a characteristic features of schizophrenia but not of depressive psychosis F
78. Delusional mood Is a characteristic features of schizophrenia but not of depressive psychosis F
79. Anhedonia can be a prominent symptom following an acute episode of schizophrenia T
80. The age of onset of delusional disorders is typically late adolescence F
81. In schizophrenia high Pre-morbid attainment protects against suicide F
82. Prevalence of schizophrenia is higher for men than it is for women F
83. In schizophrenia suicide occurs most frequently in the early stages of illness
84. Manic type schizo-affective disorder has a better outcome than depressive type T
85. Bleuler’s primary symptoms of schizophrenia include auditory hallucinations F
86. Bleuler’s primary symptoms of schizophrenia include autism T
87. Paranoia may be differentiated from schizophrenia on the bases of phenomenological differences T
88. The presence of echopraxia is suggestive of schizophrenia T
89. Grandiose delusions are suggestive of schizophrenia rather than mania F
90. Echolalia is suggestive of schizophrenia rather than mania T
91. Clouding of consciousness is suggestive of schizophrenia rather than mania F
92. Visual hallucinations are common in schizophrenia F
93. Persecutory delusions are specific to schizophrenia F
94. The ICD 10 requires that symptoms to be present for a month to make a diagnosis of schizophrenia T
95. Catatonic symptoms are rarely seen now in clinical practice.
96. Delusions & hallucinations are elaborate & organised in hebephrenic schizophrenia F
97. MZ twins have a 50% risk of developing schizophrenia if a co-twin is affected T
98. People with schizophrenia have a higher mortality than general population T
99. The incidence of schizophrenia has doubled in the last 100 years F
100. Reproductive rates in people with schizophrenia have increased in the past few decades T
101. A voice giving a running commentary is a first rank symptoms
102. All passivity symptoms are first rank symptoms T
103. Loosening of association is a characteristic symptom of schizophrenia F
104. To diagnose schizophrenia according to ICD 10 the illness must have an onset before the age of 45 F
105. The prevalence of schizophrenia differs between countries F
106. Auditory hallucinations are the most common symptoms in schizophrenia
107. According to Bleuler hallucinations & delusions are primary symptoms of schizophrenia F
108. According to DSM IV continuous signs of disturbance must be present for 6 months to diagnose schizophrenia T
109. Schizophrenoform psychosis is a term used to describe a psychotic episode which has lasted < 1 month T
110. If both parents are schizophrenic the children have more than 40% risk of developing the illness T
111. Enlargement of the lateral ventricles in the brain is a consistent finding reported in people with schizophrenia T
112. In schizophrenia prominent affective symptoms & a sudden onset predict a good prognosis T
113. There is a rapid deterioration of personality in late onset schizophrenia F
114. The prevalence of schizophrenia is raised in people with learning disabilities T
115. PSE uses first rank symptoms to diagnose schizophrenia T
116. Most patients with schizophrenia demonstrate over inclusive thinking F
117. Schizophrenia is the most common diagnosis in people persons who experience symptoms of depersonalisation F
118. People with schizophrenia are classically described as having difficulty in interpreting proverbs T
119. Social withdrawal is the most commonly seen feature in chronic schizophrenia T
120. In schizophrenia paranoid symptoms are more common in middle age than in young adults T
121. Auditory hallucinations & delusions are first rank symptoms of schizophrenia F
122. DSM IV criteria for diagnosis of schizophrenia is based on Schneider’s first rank symptoms F
123. Relatives of people with schizoaffective disorder are at increased risk of schizophrenia but not mood disorders F
124. The risk of BPAD is increased in relatives of schizophrenics F
125. Crow described the concept of type I & type II schizophrenia T
126. Patients with schizophrenia living with their families generally have a lower rate of relapse than those living in hostels F





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