Question 1

The "social drift" phenomenon refers to where most schizophrenics end up living as a result of occupational/financial loss.

Accepted Answer

Social drift is a phenomenon in which individuals with schizophrenia experience a decline in occupational or financial status that leads them to drift downward in the social hierarchy to lower socio-economic conditions. This can be due to a number of factors such as cognitive deficits that make it difficult for individuals to hold a job, stigma surrounding mental illness, and limited access to mental health services.

Question 2

For patients with multiple-episodes, Risperdol or Invega are the drugs of choice.

Accepted Answer

Risperdol and Invega are both atypical antipsychotic medications that are commonly used to treat multiple-episode patients with conditions such as schizophrenia and bipolar disorder. They have been shown to be effective in reducing symptoms such as hallucinations, delusions, and disordered thinking, and are generally well-tolerated by patients with few side effects.

Question 3

Clozaril is the only atypical antipsychotic medication with no real extra-pyramidal risk.

Accepted Answer

Clozaril (clozapine) is known to have a lower risk of extra-pyramidal symptoms compared to other antipsychotic medications.

Question 4

Which medication does not belong with the others?

Accepted Answer

The answer of Which medication does not belong with the...

Question 5

Schizophrenia can be detected on brain scans.

Accepted Answer

Research has shown that brain scans can detect differences in the structure and activity of the brains of people with schizophrenia compared to those without it. However, brain scans alone are not enough to diagnose schizophrenia and a thorough evaluation by a mental health professional is still necessary.

Question 6

Schizophrenia is typically caused by environmental trauma.

Accepted Answer

While environmental factors such as stress and trauma can contribute to the development of schizophrenia, the exact causes of the disorder are not yet fully understood and likely involve a complex interplay of genetic, environmental, and brain chemistry factors.

Question 7

Which of the following is most associated with weight gain?

Accepted Answer

The answer of Which of the following is most associated...

Question 8

All of the following are atypical antipsychotics except:

Accepted Answer

Navane is a typical antipsychotic, while the other options are all atypical antipsychotics.

Question 9

Symbyax is a new medication that consists of both Zyprexa and Prozac.

Accepted Answer

Symbyax is a combination medication that includes olanzapine (Zyprexa) and fluoxetine (Prozac), used to treat depressive episodes associated with bipolar disorder.

Question 10

Seroquel has been studied to determine if it is a popular drug of abuse.

Accepted Answer

Seroquel, an antipsychotic medication, has been studied for its potential misuse and abuse due to its sedative effects.

Question 11

Schizophrenia affects nearly 3% of the general population.

Accepted Answer

Schizophrenia affects about 1% of the general population, not 3%.

Question 12

The advantages of the newer atypicals include:

Accepted Answer

The newer atypicals have the advantages of minimal EPS, efficacy in reducing positive symptoms, and improving patient cognition. Therefore, all of the above options (A, B, and C) are correct.

Question 13

The treatment of choice for the first episode psychotic patient is:

Accepted Answer

Risperdal (risperidone) is often considered a first-line treatment for first episode psychosis due to its efficacy and relatively favorable side effect profile compared to older antipsychotics like Haldol (haloperidol).

Question 14

Resperidone requires weekly blood monitoring.

Accepted Answer

Risperidone does not require weekly blood monitoring. It is an antipsychotic medication used to treat schizophrenia, bipolar disorder, and irritability associated with autism, but it does not have a requirement for weekly blood tests. Monitoring may be needed for potential side effects, but not on a weekly basis.

Question 15

The best medication for treatment refractory schizophrenia is:

Accepted Answer

Clozaril (generic name: clozapine) is the preferred medication for treatment refractory schizophrenia. It has been shown to be more effective than other antipsychotic medications, particularly in reducing the risk of suicide. However, it is often used as a last resort due to the risk of serious side effects, such as agranulocytosis (a decrease in white blood cells). Patients must undergo regular blood monitoring to detect this condition.

Question 16

Expert consensus suggests that a prescriber wait at least three weeks before switching from one anti-psychotic medication to another.

Accepted Answer

Expert consensus suggests that a prescriber wait at least three weeks before switching from one anti-psychotic medication to another in order to fully assess the effectiveness and any potential side effects of the current medication. However, this may vary depending on the individual case and should be discussed with a healthcare professional.

Question 17

Concordance rates for monozygotic twins is about 40-50%.

Accepted Answer

Concordance rates for monozygotic twins are relatively high, with estimates ranging from 40-90% depending on the trait or condition being studied.

Quiz 7: Treatment of Anxiety Disorders