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1. What is the recommended treatment method for schizophrenia patients who are non-compliant with oral medications?
A) Daily oral antipsychotics
B) Regular psychotherapy sessions
C) Long-acting injectable antipsychotics every 2-4 weeks
D) Immediate hospitalization
Answer: C) Long-acting injectable antipsychotics every 2-4 weeks
2. Which of the following antipsychotics is commonly used as a long-acting injection for non-compliant patients?
A) Chlorpromazine
B) Haloperidol decanoate
C) Clozapine
D) Quetiapine
B) Haloperidol decanoate
1. For a patient who has experienced their first psychotic episode, what is the recommended maintenance duration on antipsychotic medication?
A) 6 months
B) 1 year
C) 2 years
D) 5 years
Answer: B) 1 year
2. After a third or more psychotic episodes, for how long should antipsychotic maintenance therapy generally continue?
A) 6 months
B) 1 year
C) 2 years
D) 5 years or lifelong
Answer: D) 5 years or lifelong
1. Which of the following is an example of antiadrenergic side effects in antipsychotic treatment?
A) Dry mouth
B) Weight gain
C) Postural hypotension
D) Blurred vision
Answer: C) Postural hypotension
2. What are common anticholinergic side effects of antipsychotics?
A) Sedation and weight gain
B) Dry mouth, urinary retention, constipation
C) Extrapyramidal symptoms
D) Increased blood pressure
Answer: B) Dry mouth, urinary retention, constipation
3. Which of these is a potential antihistaminic side effect of antipsychotic medications?
A) Extrapyramidal symptoms
B) Hyperthermia
C) Weight gain and sedation
D) Tachycardia
Answer: C) Weight gain and sedation
1. What is the primary goal of family-oriented therapy in managing schizophrenia?
A) To help the family avoid involvement in the patient’s care
B) To ensure the family encourages the patient to resume activities too quickly
C) To educate the family on schizophrenia and improve their role in supporting the patient
D) To reduce the dosage of antipsychotic medication
Answer: C) To educate the family on schizophrenia and improve their role in supporting the patient
2. What role does a case manager play in the treatment of schizophrenia?
A) Only administers medication
B) Ensures patient compliance with treatment and coordinates care
C) Avoids interaction with the patient's family
D) Only conducts therapy sessions
Answer: B) Ensures patient compliance with treatment and coordinates care
3. Family-oriented therapy often includes which of the following activities?
A) Isolating the patient from social interactions
B) Educating family members about schizophrenia and encouraging discussions
C) Eliminating the use of antipsychotics
D) Minimizing patient interaction with family
Answer: B) Educating family members about schizophrenia and encouraging discussions
1. Which of the following side effects is associated with Electroconvulsive Therapy (ECT)?
A) Increased psychotic symptoms
B) Painful experience during the procedure
C) Temporary memory loss
D) Increased blood sugar levels
Answer: C) Temporary memory loss
2. What is the purpose of Electroconvulsive Therapy in schizophrenia?
A) First-line treatment for positive symptoms
B) Treatment for patients with catatonia or severe depressive symptoms unresponsive to medication
C) For patients with good medication compliance
D) As a replacement for all other therapies
Answer: B) Treatment for patients with catatonia or severe depressive symptoms unresponsive to medication
3. Which factor does NOT typically justify inpatient care in schizophrenia treatment?
A) Severe symptoms
B) Lack of insight
C) Stable employment
D) No reliable caregiver at home
Answer: C) Stable employment
1. Typical antipsychotics are generally more effective in treating which type of schizophrenia symptoms?
A) Negative symptoms
B) Positive symptoms
C) Cognitive symptoms
D) Mood symptoms
Answer: B) Positive symptoms
2. Which of the following is a characteristic side effect of high-potency typical antipsychotics?
A) Sedation
B) Increased appetite
C) Extrapyramidal symptoms
D) Hyperglycemia
Answer: C) Extrapyramidal symptoms
What distinguishes atypical antipsychotics from typical ones?
A) They are more effective for positive symptoms only
B) They have fewer neurological side effects but can cause metabolic issues
C) They act solely on dopamine receptors
D) They are first-generation drugs
B) They have fewer neurological side effects but can cause metabolic issues
1. According to therapeutic guidelines, how long should an adequate trial of antipsychotic medication last?
A) 1-2 weeks
B) 2-4 weeks
C) 4-6 weeks
D) 6-8 weeks
Answer: C) 4-6 weeks
Which approach is recommended when starting an antipsychotic regimen?
A) Start high, decrease as needed
B) Start low, go slow
C) Begin with multiple medications
D) Only administer injections
Answer: B) Start low, go slow
When should a clinician consider switching to a different antipsychotic medication?
A) If the current one is effective
B) After an adequate trial with no improvement
C) Within the first week of treatment
D) Only if side effects occur
B) After an adequate trial with no improvement
2. What is the most serious and potentially fatal side effect associated with antipsychotic medications?
A) Sedation
B) Neuroleptic Malignant Syndrome (NMS)
C) Weight gain
D) Hyperglycemia
Answer: B) Neuroleptic Malignant Syndrome (NMS
3. Which side effect occurs as a result of dopamine receptor supersensitivity from prolonged antipsychotic use?
A) Akathisia
B) Tardive dyskinesia
C) Sedation
D) Neuroleptic Malignant Syndrome
Answer: B) Tardive dyskinesia
2. What type of monitoring is required for patients taking Clozapine?
A) Liver enzymes
B) Complete blood count, particularly WBC and neutrophils
C) Urine analysis
D) Electrolytes
r: B) Complete blood count, particularly WBC and neutrophils
3. Clozapine is especially effective in which group of schizophrenia patients?
A) First-episode patients
B) Patients with treatment-resistant schizophrenia
C) Elderly patients
D) Patients with negative symptoms only
Patients with treatment-resistant schizophrenia
1. What is the main goal of psychosocial therapy in schizophrenia?
A) To reduce positive symptoms
B) To enable independent living through social and vocational skills
C) To monitor medication compliance
D) To replace pharmacological treatment
B) To enable independent living through social and vocational skills
Which of the following is a type of vocational therapy intervention?
A) Psychotherapy sessions
B) Family support meetings
C) Transitional employment programs
D) Physical rehabilitation
C) Transitional employment programs
1. Which of the following is NOT an indication for Electroconvulsive Therapy in schizophrenia?
A) Catatonia
B) Severe depressive symptoms
C) First line treatment for positive symptoms
D) Failure of drug therapy
Answer: C) First line treatment for positive symptoms
Which of the following statements about ECT is TRUE?
A) It is painful and often avoided by patients
B) It is performed under general anesthesia to avoid pain
C) It is only effective in young patients
D) It has no side effects
Answer: B) It is performed under general anesthesia to avoid pain
1. Neuroleptic Malignant Syndrome (NMS) commonly occurs within which time frame after starting antipsychotic treatment?
A) First 24 hours
B) First 3 days
C) First 10 days
D) First 2 months
Answer: C) First 10 days
2. Which of the following is NOT a characteristic symptom of NMS?
A) Muscle rigidity
B) Fever
C) Hypotension
D) Altered mental status
Answer: C) Hypotension
3. In a patient suspected of having NMS, which lab result would most likely be elevated?
A) White blood cell count
B) Creatine phosphokinase (CPK)
C) Hemoglobin level
D) Potassium level
Answer: B) Creatine phosphokinase (CPK)
1. Tardive dyskinesia is most commonly associated with which type of medication?
A) Antidepressants
B) Atypical antipsychotics
C) Dopamine receptor-blocking agents
D) Benzodiazepines
C) Dopamine receptor-blocking agents
Which of the following symptoms is NOT typical of tardive dyskinesia?
A) Lip-smacking
B) Involuntary grimacing
C) Muscle rigidity
D) Rapid eye blinking
C) Muscle rigidity
Which of the following risk factors increases the likelihood of developing tardive dyskinesia?
A) Short-term antipsychotic use
B) Low-potency antipsychotics
C) Advanced age
D) Use of benzodiazepines
C) Advanced age
Why does Clozapine require regular blood monitoring in patients?
A) Due to risk of liver toxicity
B) Due to potential agranulocytosis
C) To monitor blood glucose levels
D) To assess therapeutic drug
B) Due to potential agranulocytosis
2. Clozapine is particularly effective in treating which type of schizophrenia?
A) Schizophrenia with primarily positive symptoms
B) Treatment-resistant schizophrenia
C) Schizophrenia in elderly patients
D) Schizophrenia with minimal side effects
Answer: B) Treatment-resistant schizophrenia
1. The main goal of vocational therapy for schizophrenia patients is to:
A) Reduce positive symptoms
B) Enhance social skills
C) Help patients regain or develop work skills
D) Prevent the need for medication
C) Help patients regain or develop work skills
. In which of the following settings can psychosocial therapy for schizophrenia take place?
A) Hospitals
B) Day hospitals
C) Home or social clubs
D) All of the above
Answer: D) All of the above
Akathisia, a side effect of antipsychotics, is best described as:
A) Muscle rigidity
B) Severe anxiety
C) Restlessness with a strong desire to move
D) Slowed movements and speech
C) Restlessness with a strong desire to move
2. Which medication may help relieve akathisia caused by antipsychotics?
A) Propranolol
B) Clozapine
C) Fluphenazine
D) Haloperidol
Answer: A) Propranolol
1. What is a common short-term complication of ECT in schizophrenia patients?
A) Permanent memory loss
B) Severe pain during the procedure
C) Temporary jaw dislocation
D) Complete remission of symptoms
Answer: C) Temporary jaw dislocation
2. Why might ECT be performed without general anesthesia in some cases?
A) To ensure the patient remembers the procedure
B) To enhance the therapeutic effect
C) Due to lack of available anesthesia
D) To allow the patient to respond to treatment naturally
Answer: C) Due to lack of available anesthesia (although general anesthesia is preferred for comfort)
C) Due to lack of available anesthesia (although general anesthesia is preferred for comfort)
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