All are types of schizoaffective disorder except,
Depressed type
Unspecified type
Anxiety type
Bipolar type
The Correct Answer is C
A. Depressed type. Schizoaffective disorder, depressive type, involves schizophrenia symptoms (delusions, hallucinations, disorganized thinking) along with major depressive episodes. There is no history of mania or hypomania, distinguishing it from the bipolar type.
B. Unspecified type. Schizoaffective disorder, unspecified type, is used when the clinician determines that the patient meets criteria for schizoaffective disorder but does not clearly fit into the bipolar or depressive subtypes.
C. Anxiety type. There is no "anxiety type" of schizoaffective disorder. While individuals with schizoaffective disorder may experience anxiety, it is not a defining feature. Anxiety disorders are separate conditions and do not define a subtype of schizoaffective disorder.
D. Bipolar type. Schizoaffective disorder, bipolar type, is diagnosed when schizophrenia symptoms occur alongside manic or mixed episodes, with or without depressive episodes. This distinguishes it from the depressive type, which lacks manic symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Believes thoughts are being transmitted to others. This describes thought broadcasting, where individuals believe that their thoughts are being sent to others or that people can hear them without speaking. This is a distinct delusion seen in psychotic disorders like schizophrenia.
B. Believes thoughts are being controlled. This aligns with delusions of control, where a person believes that an external force is controlling their thoughts, feelings, or actions. This is different from thought withdrawal, which specifically involves thoughts being stolen.
C. Believes thoughts are taken out of someone's mind. Thought withdrawal delusions occur when a person believes that an outside force is removing thoughts from their mind. This delusion is common in schizophrenia and other psychotic disorders, often associated with paranoid themes and cognitive disorganization.
D. Believes aliens are inserting thoughts in someone's brain. This describes thought insertion, where individuals believe that outside entities (e.g., aliens, the government) are implanting thoughts into their mind. While related, this differs from thought withdrawal, which involves the removal of thoughts rather than their insertion.
Correct Answer is A
Explanation
A. Haloperidol (Haldol) is a first-generation (typical) antipsychotic that primarily blocks dopamine (D2) receptors. It is associated with a higher risk of extrapyramidal side effects (EPS), including dystonia, akathisia, and tardive dyskinesia, compared to second-generation antipsychotics.
B. Ziprasidone (Geodon) is a second-generation (atypical) antipsychotic that blocks both dopamine (D2) and serotonin (5-HT2A) receptors. It has a lower risk of EPS but can cause QT prolongation, requiring ECG monitoring in patients with cardiac conditions.
C. Risperidone (Risperdal) is a second-generation antipsychotic with dopamine and serotonin antagonism. It is effective for schizophrenia, bipolar disorder, and irritability in autism but has a higher likelihood of prolactin elevation and EPS at higher doses.
D. Olanzapine (Zyprexa) is a second-generation antipsychotic known for its high risk of metabolic side effects, including weight gain, diabetes, and dyslipidemia. It has a lower risk of EPS compared to first-generation antipsychotics.
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