MH 709 MODULE 9 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Factors for Differential Dx of Psychotic disorders MH
Associated with primary psychiatric (psychotic) disorders:
•Family history often present
•Insidious onset
•Onset in teens to mid-thirties
•Variable presentation
•Auditory hallucinations
Factors for Differential Dx of Psychotic disorders
Medical Conditions
Associated with primary medical condition:
•Family history variably present
•Acute onset
•Onset in forties or older
•Presents in general medical or intensive care settings
•Non-auditory hallucinations (eg, visual, tactile, olfactory)
Psychotic Differentials
Bipolar Disorder- The disorganization of thought in mania can resemble psychosis,
, Major Depression
Substance Use Disorder- Possible detox
Obsessive-Compulsive Disorder- Extreme obsessions can present like psychosis
Schizophrenia (positive symptoms)
Delusions of reference: (ex. person believes characters in a TV show are talking to
him directly)
Delusions of persecution: (ex. person believes he is being deliberately interfered with,
discriminated against, plotted against, threatened)
Delusions of grandeur: (person is remarkable in some significant way such as being a
historical figure or religious icon)
Thought broadcasting: believe one's thoughts are broadcast directly from one's head
to external world
Thought insertion: belief that thoughts are being placed in one's head)
Hallucinations: hearing voices
Disorganized thought: loosening of associations; ideas shift from one thought to
another; word salad; schizophrenics invent new words (neologisms)
Disorganized behavior: inability to carry out activities of daily living; patient will either
spontaneously move or remain rigid (catatonia)
Schizophrenia timeframe
a prodromal phase occurs when patients report peculiar perceptual experiences (1st
break late adolescence /early adulthood -symptoms 6 months)
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Factors for Differential Dx of Psychotic disorders MH
Associated with primary psychiatric (psychotic) disorders:
•Family history often present
•Insidious onset
•Onset in teens to mid-thirties
•Variable presentation
•Auditory hallucinations
Factors for Differential Dx of Psychotic disorders
Medical Conditions
Associated with primary medical condition:
•Family history variably present
•Acute onset
•Onset in forties or older
•Presents in general medical or intensive care settings
•Non-auditory hallucinations (eg, visual, tactile, olfactory)
Psychotic Differentials
Bipolar Disorder- The disorganization of thought in mania can resemble psychosis,
, Major Depression
Substance Use Disorder- Possible detox
Obsessive-Compulsive Disorder- Extreme obsessions can present like psychosis
Schizophrenia (positive symptoms)
Delusions of reference: (ex. person believes characters in a TV show are talking to
him directly)
Delusions of persecution: (ex. person believes he is being deliberately interfered with,
discriminated against, plotted against, threatened)
Delusions of grandeur: (person is remarkable in some significant way such as being a
historical figure or religious icon)
Thought broadcasting: believe one's thoughts are broadcast directly from one's head
to external world
Thought insertion: belief that thoughts are being placed in one's head)
Hallucinations: hearing voices
Disorganized thought: loosening of associations; ideas shift from one thought to
another; word salad; schizophrenics invent new words (neologisms)
Disorganized behavior: inability to carry out activities of daily living; patient will either
spontaneously move or remain rigid (catatonia)
Schizophrenia timeframe
a prodromal phase occurs when patients report peculiar perceptual experiences (1st
break late adolescence /early adulthood -symptoms 6 months)
