When talking about manifestations of Schizophrenia, there are positive and negative symptoms. Which of the following are negative symptoms? (Select all that apply)
Hallucinations
Apathy
Absence of normal social and interpersonal behaviors
Sensory overload due to loss of the ability to screen external sensory stimuli
Anhedonia
Incomprehensible speech
Delusions
Correct Answer : B,C,E
Choice A reason: Hallucinations are positive symptoms of schizophrenia, involving sensory experiences not based in reality, like hearing voices. Negative symptoms involve deficits, such as reduced emotional expression or social engagement. Since hallucinations add to experience, they are not negative, making this incorrect for negative symptoms.
Choice B reason: Apathy, a lack of motivation or interest, is a negative symptom of schizophrenia, reflecting diminished emotional and behavioral responses. It aligns with deficits in normal functioning, a hallmark of negative symptoms, making it a correct choice for this category of schizophrenia manifestations.
Choice C reason: Absence of normal social and interpersonal behaviors, such as social withdrawal, is a negative symptom, indicating reduced engagement and interaction. This deficit in typical social functioning is characteristic of negative symptoms in schizophrenia, making it a correct selection for this question.
Choice D reason: Sensory overload from impaired sensory filtering is not a standard negative symptom; it’s more related to cognitive or positive symptoms like hallucinations. Negative symptoms involve reduced behaviors, like apathy, so this is incorrect for the negative symptom category in schizophrenia.
Choice E reason: Anhedonia, the inability to experience pleasure, is a negative symptom, reflecting a deficit in emotional response. It is a core feature of reduced functioning in schizophrenia, aligning with negative symptom criteria, making it a correct choice for this question.
Choice F reason: Incomprehensible speech, such as disorganized speech, is a positive symptom, adding disordered communication to the patient’s experience. Negative symptoms involve reduced behaviors, like social withdrawal, so this is incorrect for the negative symptom category in schizophrenia.
Choice G reason: Delusions, false beliefs, are positive symptoms, adding to the patient’s mental experience. Negative symptoms involve deficits, such as lack of motivation, not added beliefs. This makes delusions incorrect for the negative symptom category in schizophrenia manifestations.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is C
Explanation
Choice A reason: Nasal mucosa is a portal of entry for cold viruses, not the primary source of spread. Sneezing propels virus-laden droplets, infecting others, making it the greatest spread mechanism, so this is incorrect for the source.
Choice B reason: Conjunctival surfaces can be an entry point but are not the main source of spread. Sneezing disperses viruses widely through respiratory droplets, driving transmission, so this is incorrect for the greatest source.
Choice C reason: Sneezing is the greatest source of cold virus spread, as it releases aerosolized droplets containing viruses, infecting others via inhalation or surface contact. This is the primary transmission mode, making it the correct choice.
Choice D reason: Fingers spread viruses via fomites, but sneezing generates more widespread droplet transmission. Hand contact is secondary to respiratory spread, so this is incorrect for the greatest source of cold virus spread.
Correct Answer is B
Explanation
Choice A reason: Weight loss occurs in both DKA and HHNS due to prolonged hyperglycemia and fluid loss. Kussmaul respirations are specific to DKA’s acidosis, so this is incorrect for DKA-only.
Choice B reason: Kussmaul respirations, rapid and deep breathing, are unique to DKA, compensating for metabolic acidosis from ketones. HHNS lacks significant acidosis, making this the correct DKA-specific manifestation.
Choice C reason: Increased serum glucose is common to both DKA and HHNS, as both involve severe hyperglycemia. Kussmaul respirations are DKA-specific, so this is incorrect.
Choice D reason: Fluid loss occurs in both DKA and HHNS due to osmotic diuresis. Kussmaul respirations are exclusive to DKA’s acidotic state, so this is incorrect.
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