Question 1

The breakdown of associative threads, according to Bleuler, would be evidenced by which of the following examples?

Accepted Answer

A)  Ted, who frequently cannot maintain a train of thought during a conversation. 
B)  Sally, who struggles to maintain her attention to basic activities. 
C)  Jose, who cannot put his thought into words. 
D)  All of the above choices illustrate a breakdown of associative threads.

Question 2

The Program for Assertive Community Treatment in Ontario was set up to

Accepted Answer

A)  respond to crisis situations with regard to mental health patients. 
B)  ease the pressure due to the closing of provincial psychiatric hospitals. 
C)  to make "house calls" to mentally ill people in their homes and workplaces. 
D)  All of the above

Question 3

The most common positive symptom of schizophrenia is visual hallucination.

Accepted Answer

A) True 
 B)False

Question 4

Long-term follow-up of the Genain quadruplets showed that:

Accepted Answer

A)  The outcomes experienced across sisters was quite similar 
B)  None of the sisters ever married 
C)  All of the sisters ended up being incapable of taking care of themselves 
D)  The outcomes experienced across sisters was quite different

Question 5

Remus, who has been diagnosed with schizophrenia, frequently arrives for doctors' appointments with "bed head", stains on his clothes, and strong body odour, and he appears indifferent to this display. This behaviour is best described by:

Accepted Answer

A)  Disorganized thoughts 
B)  Alogia 
C)  Asociality 
D)  Avolition

Question 6

A study by Kring and Neale (1996) found that in comparison to normal participants, clients with schizophrenia

Accepted Answer

A)  were much less facially expressive 
B)  experienced more physiological arousal 
C)  reported the same amount of emotion 
D)  all of the above

Question 7

As compared to positive symptoms in schizophrenia, negative symptoms are characterized by:

Accepted Answer

A)  behavioural deficits 
B)  lethargy, catatonia, inappropriate affect 
C)  difficulty concentrating, low intelligence, poor memory. 
D)  all of the above

Question 8

Several recent studies including one conducted in Montreal of people with schizophrenia suggest that critical comments and emotional over-involvement on the part of their mothers:

Accepted Answer

A)  Are responses to schizophrenia 
B)  Cause schizophrenia by themselves 
C)  Interact with a genetic predisposition to cause schizophrenia 
D)  None of the above

Question 9

A recent review by Liddle indicated that the strongest predictor of schizophrenics' social disability was:

Accepted Answer

A)  Parental substance abuse 
B)  Childhood social dysfunction 
C)  Chronic cognitive impairment 
D)  An antisocial temperament

Question 10

What is a goal of recent family therapy efforts with the families of schizophrenics?

Accepted Answer

A)  To provide insight into family patterns that produced the schizophrenia. 
B)  To relieve guilt and help family shield the schizophrenic from social disgrace. 
C)  To encourage the family to support more independence for the schizophrenic. 
D)  To teach constructive ways of expressing feelings and resolving conflicts.

Question 11

The word 'dementia' in 'dementia praecox' was used by Kraepelin to refer to:

Accepted Answer

A)  Acute amnestic syndrome 
B)  Stroke-like language disorders 
C)  Aging-like dementias 
D)  Mental enfeeblement

Question 12

Flat affect, anhedonia, and alogia are ________ symptoms of schizophrenia

Accepted Answer

A)  positive 
B)  negative 
C)  instrumental 
D)  contradictory

Question 13

If a person with paranoid schizophrenia is described as having ideas of reference, this means that he or she

Accepted Answer

A)  becomes extremely jealous with little provocation. 
B)  views trivial events or actions to be of great personal significance. 
C)  has an exaggerated sense of his or her own importance. 
D)  believes that everything he or she thinks can be heard by others.

Question 14

Catatonic immobility and waxy flexibility are the same thing.

Accepted Answer

A) True 
 B)False

Question 15

Which of the following statements most accurately describes the influence of genetics on the development of schizophrenia?

Accepted Answer

A)  Schizophrenia is almost entirely caused by stressors in the environment. 
B)  Schizophrenia is almost entirely caused by genetic factors. 
C)  Genetic transmission of schizophrenia is only found when the child is also raised by a disturbed parent. 
D)  Schizophrenia is caused by a combination of a genetic predisposition and some environmental stressors.

Question 16

In comparison to the United States, Canada's homeless:

Accepted Answer

A)  Are more likely to have a mental disorder, including schizophrenia. 
B)  Are less likely to have a mental disorder. 
C)  Are equally as likely to have a mental disorder. 
D)  Are less likely to have addictions.

Question 17

Harvey has bizarre ideas, believing, for example, that his arms are decomposing. He has frequent hallucinations in which he sees his arms losing flesh and believes this is punishment for having brushed up against a strange woman in a store several years before. Harvey has completely neglected his personal hygiene, never bathing or putting on clean clothes. He seems unaware of what is going on around him, frequently laughing and giggling for no apparent reason. Which of the following diagnoses would best fit Harvey?

Accepted Answer

A)  Undifferentiated schizophrenia 
B)  Paranoid schizophrenia 
C)  Disorganized schizophrenia 
D)  Catatonic schizophrenia

Question 18

The area of the brain associated with negative symptoms is

Accepted Answer

A)  the mesolimbic system. 
B)  parietal lobe. 
C)  temporal lobe. 
D)  prefrontal cortex.

Question 19

Which of the following diagnosis is the most heterogeneous in terms of symptoms?

Accepted Answer

A)  Depression 
B)  Schizophrenia 
C)  Bipolar disorder 
D)  Brief psychotic disorder

Exam 11: Schizophrenia