55 Schizophrenia
T | F | |
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1. Birth injury affects the age of onset of schizophrenia. | ||
2. Schizophrenia is more common in those of Afro-Caribbean origin. | ||
3. In expressed emotion, hostility is more detrimental than derogatory comments. | ||
4. Both negative and positive symptoms lead to expressed emotion by carers. | ||
5. The Camberwell Family Interview is a semi-structured interview to assess the level of expressed emotion. | ||
6. Neuregulin 1 gene is implicated in the aetiology of schizophrenia. | ||
7. Genes involved in myelination are implicated in the aetiology of schizophrenia. | ||
8. The dysbindin gene is associated with schizophrenia. | ||
9. In schizophrenia the gene for tau protein is abnormal. | ||
10. 5% of elderly schizophrenics have a family history of schizophrenia in their first-degree relatives. | ||
11. Having a relative with the disease is the largest single risk factor for schizophrenia. | ||
12. In monozygotic twins discordant for schizophrenia, the risk of schizophrenia in their offspring is equal. | ||
13. Oneiroid state was described by Mayer-Gross. | ||
14. Somatization is an important factor in persistent delusional disorder. | ||
15. Delusional disorder is associated with passivity phenomena. | ||
16. Persistent delusional disorder is associated with persistent hallucinations. | ||
17. There is no association between late onset schizophrenia and paranoid personality disorder. | ||
18. The hippocampus is smaller in schizophrenia. | ||
19. The information gating process is dysfunctional in schizophrenia. | ||
20. The negative symptoms of schizophrenia are related to hypofunction of the pre-frontal cortex. | ||
21. Schizophreniform psychosis associated with temporal lobe epilepsy occurs most commonly shortly after seizures. | ||
22. In schizophrenia, intensive case management is more effective than standard care in preventing readmissions. | ||
23. Schneiderian first-rank symptoms predict outcome in schizophrenia. | ||
24. The mode of onset predicts prognosis in schizophrenia. | ||
25. Expressed emotion can affect the outcome of most psychiatric disorders. |
ANSWERS
1. Birth injury affects the age of onset of schizophrenia.
True: Perinatal complications have been associated with increased risk, earlier age of onset, negative symptoms and poorer prognosis of schizophrenia. The onset of schizophrenia tends to be earlier in males and in those with a positive family history, obstetric complications in gestation and delivery, especially, those that increase the risk of hypoxia, premorbid cognitive and behavioural deficits, low IQ, cannabis abuse, minor physical anomalies and deviances in brain structure (McKenna 2006, p. 128
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