Behavioral Medicine EOR Exam
Questions and Answers30
Length minimum for delusional disorder - ANSWERS-1+ month
Delusional disorder - ANSWERS-1+ delusion WITHOUT psychotic symptoms
Length for brief psychotic disorder - ANSWERS-<1 month
length for schizophreniform - ANSWERS-<6 months
Length for schizophrenia - ANSWERS-6+ months with 1 month of acute symptoms and
functional decline
Must have at least one of what three things in criteria A for Schizophrenia - ANSWERS-1.
Hallucinations
2. Delusions
3. Disorganized speech
what is schizoaffective disorder - ANSWERS-schizophrenia + mood disturbance (MDD or manic)
Delusions: Persecutory - ANSWERS-Person/force is interfering with them, observing or wishing
harm on them
Delusions: Reference - ANSWERS-Random events take on a personal significance (directed at
them)
,Red STOP sign and red shirt on wife = connected and going to kill him
Delusions: Control - ANSWERS-Some agency takes control of patient's thoughts, feeling and
behavior
Delusions: Grandiose - ANSWERS-Unrealistic beliefs in one's powers and abilities
Delusions: Nihilism - ANSWERS-Exaggerated belief in the futility of everything and catastrophic
events
Delusions: Erotomanic - ANSWERS-Believes another person is in love with them
Delusions: Jealousy - ANSWERS-Somebody is suspected of being unfaithful
Delusions: Doubles - ANSWERS-Believes a family member or close person has been replaced by
an identical double
Positive symptoms in schizophrenia is thought to be caused by... - ANSWERS-excess DA
receptors in the mesolimbic pathway
Negative symptoms in schizophrenia is thought to be caused by - ANSWERS-Dopamine
dysfunction in mesocortical pathway; +/- serotonin
Some features of negative symptoms in schizophrenia - ANSWERS-Flat emotional affect
Avolition (lack of self-motivation)
poor eye contact
1st line treatment for schizophrenia - ANSWERS-Atypical antisychotics
, last line atypical antipsychotic (refractory cases = no sign improv. in 2-6 weeks) - ANSWERS-
Clozapine
MOA for Typical antipsychotics - ANSWERS-Dopamine antagonists
4 common manifestations of EPS - ANSWERS-1. rigidity
2. Bradykinesia
3. Tremor
4. Akathisia (restlessness)
3 EPS syndrome with Typical antipsychotics - ANSWERS-1. Dystonic RXN (Dyskinesia)
2. Tardive Dyskinesia (repetitive involuntary movements mostly in the face and extremities)
3. Parkinsonism (rigidity, tremor)
what is tardive dyskinesia - ANSWERS-repetitive involuntary movements mostly involving
extremities and face (lip smacking, teeth grinding, rolling of tongue)
what is dystonic RXN (Dyskinesia) - ANSWERS-intermittent, spasms, sustained involuntary
muscle contractions (trismus, protrusions of tongue, facial grimacing, torticollis, difficulty
speaking)
Treatment for dystonic RXN (Dyskinesia) - ANSWERS-Anticholinergic agents because
overcompensate of decreasing Da and increasing Ach
1. IV Diphenhydramine
2. Benztropine (Cogentin)
What causes Neuroleptic Malignant Syndrome (NMS) - ANSWERS-Too much D(2) inhibition
Questions and Answers30
Length minimum for delusional disorder - ANSWERS-1+ month
Delusional disorder - ANSWERS-1+ delusion WITHOUT psychotic symptoms
Length for brief psychotic disorder - ANSWERS-<1 month
length for schizophreniform - ANSWERS-<6 months
Length for schizophrenia - ANSWERS-6+ months with 1 month of acute symptoms and
functional decline
Must have at least one of what three things in criteria A for Schizophrenia - ANSWERS-1.
Hallucinations
2. Delusions
3. Disorganized speech
what is schizoaffective disorder - ANSWERS-schizophrenia + mood disturbance (MDD or manic)
Delusions: Persecutory - ANSWERS-Person/force is interfering with them, observing or wishing
harm on them
Delusions: Reference - ANSWERS-Random events take on a personal significance (directed at
them)
,Red STOP sign and red shirt on wife = connected and going to kill him
Delusions: Control - ANSWERS-Some agency takes control of patient's thoughts, feeling and
behavior
Delusions: Grandiose - ANSWERS-Unrealistic beliefs in one's powers and abilities
Delusions: Nihilism - ANSWERS-Exaggerated belief in the futility of everything and catastrophic
events
Delusions: Erotomanic - ANSWERS-Believes another person is in love with them
Delusions: Jealousy - ANSWERS-Somebody is suspected of being unfaithful
Delusions: Doubles - ANSWERS-Believes a family member or close person has been replaced by
an identical double
Positive symptoms in schizophrenia is thought to be caused by... - ANSWERS-excess DA
receptors in the mesolimbic pathway
Negative symptoms in schizophrenia is thought to be caused by - ANSWERS-Dopamine
dysfunction in mesocortical pathway; +/- serotonin
Some features of negative symptoms in schizophrenia - ANSWERS-Flat emotional affect
Avolition (lack of self-motivation)
poor eye contact
1st line treatment for schizophrenia - ANSWERS-Atypical antisychotics
, last line atypical antipsychotic (refractory cases = no sign improv. in 2-6 weeks) - ANSWERS-
Clozapine
MOA for Typical antipsychotics - ANSWERS-Dopamine antagonists
4 common manifestations of EPS - ANSWERS-1. rigidity
2. Bradykinesia
3. Tremor
4. Akathisia (restlessness)
3 EPS syndrome with Typical antipsychotics - ANSWERS-1. Dystonic RXN (Dyskinesia)
2. Tardive Dyskinesia (repetitive involuntary movements mostly in the face and extremities)
3. Parkinsonism (rigidity, tremor)
what is tardive dyskinesia - ANSWERS-repetitive involuntary movements mostly involving
extremities and face (lip smacking, teeth grinding, rolling of tongue)
what is dystonic RXN (Dyskinesia) - ANSWERS-intermittent, spasms, sustained involuntary
muscle contractions (trismus, protrusions of tongue, facial grimacing, torticollis, difficulty
speaking)
Treatment for dystonic RXN (Dyskinesia) - ANSWERS-Anticholinergic agents because
overcompensate of decreasing Da and increasing Ach
1. IV Diphenhydramine
2. Benztropine (Cogentin)
What causes Neuroleptic Malignant Syndrome (NMS) - ANSWERS-Too much D(2) inhibition
