Psychotic Disorders pt. 2

Vignette 8 Question 1. Which of the following statements would you include in Steven’s mental status exam given what you know at
this point?

On further interview Steven screams at you that he is “God’s chosen one” and further states that people are trying to poison him to prevent him from revealing his identity to the world. He states that he will be “raised into the heavens on clouds.” You question the veracity of this statement and he insists that it is true. He does not believe that it is a creation of his mind and is certain that those who doubt him are wrong. “I will burn the disbelievers,” he tells you.
2. Where should this new information be included in the mental status exam?

3. During your exam you notice that Steven is malodorous and is wearing dirty clothes. You note a rancid odor in the room and observe brown streaks on his pant legs. On closer inspection it appears to be feces. His family verifies that he has been failing to maintain hygiene since stopping his medication. When asked about this he tells you, “I’m gonna drop to the kimnet and fly with the glaspin.” His response is best characterized as:

4. How would you document this exchange? (Choose two of four)

5. Steven’s belief about being the chosen one would best be described as:

6. The mesocortical pathway, which is responsible for the __________ symptoms of schizophrenia, begins at
the _____________.

Vignette 8 Question 7. Which of the following are correct concerning schizophrenia? (Choose three of four)

8. Which of the following would not be consistent with a diagnosis of schizophrenia? (Choose three of four)

9. Which of the following are common aspects of appearance for schizophrenic patients? (Choose four of five)

10. Which of the following are often found as part of thought form for schizophrenic patients? (Choose three of four)

Vignette 12 Question 1. Which of the following should be considered in Ryan’s differential diagnosis? (Choose four of five)

2. Which of the following would you include in a medical workup for Ryan? (Choose five of six)

3. Which of the following are the most likely side effects Ryan will experience from treatment with ziprasidone? (Choose two
of four)

Vignette 12 Question 4. Ryan’s history includes significant substance abuse. Heavy use of which one of the following drugs before the age of 16 has been correlated with an increased relative risk of schizophrenia?

5. If a patient presents with psychosis for more than 1month but does not meet criterion A for schizophrenia, what diagnoses
are possible? (Choose two of four)

6. Which one of the following medications is not an antagonist at the 5-HT 2A receptor?

7. Which of the following choices are true concerning delusional disorder? (Choose two of four)

8. Which one of the following is correct concerning brief psychotic disorder?

9. Which of the following are true concerning psychotic symptoms? (Choose four of five)

10. A differential diagnosis for new-onset psychosis may include which of the following medical conditions? (Choose four of
five)