Which of the following dopaminergic pathways is responsible o There are 3 phases of schizophrenia.

for the extrapyramidal symptoms and tardive dyskinesia o Approximately 30% of the patients commit
schizophrenic patients experience? suicide.
o Negative symptoms are considered as the
o Infundibulolimbic core and are difficult to treat.
o Tuberoinfundibular o Eugen Bleuler coined the term
o Nigrostriatal schizophrenia.
o Mesocortical o Head CT scan can show ventricular
o Mesolimbic enlargement and cortical atrophy.

Which of the following is NOT criteria for diagnosing

The ventromedial prefrontal cortex, part of the mesocortical schizophrenia?
pathway, is responsible for which of the following in
schizophrenia? o An underlying medical condition that
justifies psychotic behavior must be present.
o Cognitive and executive functions o If the patient has a history of pervasive
o Positive symptoms developmental disorder, the additional
o Motor planning diagnosis of schizophrenia is made only if
o Motivation prominent delusions or hallucinations are
o Emotion and affect present for at least a month (or less if
successfully treated).
o The disorder affects domains of like
including social and occupational
PCP/Angel dust produces a clinical syndrome similar to functioning.
schizophrenia. Which of the following neurotransmitters is o Schizoaffective disorder and mood disorder
involved in this process? with psychotic features have been ruled out.
o Not due to substances or a general medical
o GABA condition.
o Norepinephrine
o Glutamate
o Epinephrine All the following are good prognostic factors for
o Serotonin schizophrenia, EXCEPT:

o Female sex
Which phase of schizophrenia is marked by flat affect, social o Good premorbid functioning
withdrawal and odd thinking or behavior? o Family support
o Early onset
o Prodromal phase o Presence of hallucinations
o Convalescence phase
o Psychotic phase
o Residual phase Regarding schizophrenia, which syndrome is characterized by
o Intermittent phase delusions of a persecutor taking on a variety of faces like an
actor?

All the following are risk factors for suicide in the patient with o Cotard syndrome
schizophrenia, EXCEPT: o Folie a deux
o Lycanthropy
o Living alone o Capgras syndrome
o Recent hospital discharge o Fregoli’s syndrome
o Comorbid substance abuse
o Female gender
o Age under 30 Which of the following drugs is better at treating positive
symptoms in a psychotic disorder?

Which of the following sentences about schizophrenia is NOT o Ziprasidone

true?
 o Haloperidol o Hallucination
o Aripiprazole o Delusion of grandeur
o Risperidone o Ideas of reference
o Olanzapine o Thought broadcasting
o Paranoid delusion

A patient presented to the clinic with acute onset of muscle

spasms, stiffness and upward deviation of the eyes 6 hours
after initiating treatment for psychosis. Which of the following Mr. Smith irrationally believes that he is being followed and
drugs is the most probable cause for his presentation? harassed by the FBI. Which of the following type of
Delusional disorder does Mr. Smith have?
o Olanzapine
o Trifluoperazine o Delusion of grandeur.
o Bromocriptine o Delusion of guilt.
o Quetiapine o Paranoid delusion
o Risperidone o Somatic delusion.
o Persecutory delusion

Which of the following pathways is responsible for the

extrapyramidal side effects of antipsychotic drugs? Which type of hallucination is experienced by patients with
Lewy body dementia?
o Tuberoinfundibular
o Nigrostriatal o Auditory hallucination
o Mesocortical o Somatic hallucination
o Mesolimbic o Paranoid hallucination
o Cortico-basal o Olfactory hallucination
o Visual hallucination

Which of the following groups are at the highest risk for

developing tardive dyskinesia when treated with an
antipsychotic?
o Young Hispanic men
o Elderly Caucasian women
o Young African American men
o Elderly American Indian women
o Elderly Asian women
Regarding thought disorders, which of the following terms
best defines the "sudden loss of the train of thought exhibited
by the patient as interruption of speech"?
o Loosening the association of thought
o Thought transference
o Thought blocking
o Alogia/poverty of speech
o Thought reference

A patient on haloperidol for the past 4 years presents with

constant lip-smacking and tongue protrusion. You conclude Regarding thought disorders, which of the following terms
that the patient has tardive dyskinesia. Which of the following best describes "the repetition of the same words or ideas by the
is NOT a therapeutic option to treat the patient's current patient, even after the interview topic has changed"?
complaint?
o Alogia
o Lowering the dose of the antipsychotic o Word salad
o Switching to olanzapine o Word interruption
o Switching to ziprasidone o Perseveration
o Adding clozapine o Clanging
o Giving a drug holiday to the patien

Which of the following is a metabolic disorder that can be

Regarding delusions, which of the following terms best associated with psychosis?
defines the "belief that some event is uniquely related to
him/her is"? o Phenylketonuria
o Maple syrup urine
o Fabry disease
o SLE
o Wilson’s disease