1.  Which of the following is a characteristic symptom of schizophrenia?
Profound disruption in cognition and emotion
Constant incoherence
Perpetual psychosis
Split or multiple personalities

2.  If a patient has a history of autism or another developmental disorder, schizophrenia can only be diagnosed if . . .
The effects of drug abuse or a medication have been ruled out.
The patient experiences hallucinations or delusions for at least one month.
The patient experiences hallucinations or delusions for at least six months.
The patient only manifests negative symptoms.

3.  What is the term for the loss of everyday interests or pleasures?
Alogia
Anhedonia
Avolition
Catatonia

4.  Which of the following is REQUIRED for a formal diagnosis of schizophrenia?
Cognitive dysfunction
Disorganized symptoms
Functional impairment
Negative symptoms

5.  Which of the following factors has been shown to lead to possible misdiagnosis and misinterpretation of schizophrenic symptoms in patients?
Age
Ethnic background
Gender
Medical history

6.  Which of the following statements is TRUE regarding the course of schizophrenia?
The course varies over time from person to person and for any one person.
The course varies over time from person to person but remains constant for any one person.
The course does not vary over time from person to person but does vary over time for any one person.
The course neither varies over time from person to person nor for any one person.

7.  According to long-term research, approximately what percent of schizophrenic people recover or significantly improve?
10%
15%–25%
30%–40%
50%–67%

8.  In the course and prognosis of schizophrenia, women are more likely than men to experience
Better prognosis
Earlier onset
Less pronounced mood symptoms
More neuropsychological problems

9.  The diathesis-stress model considers all of the following to be contributing causes of schizophrenia EXCEPT:
Environmental factors
Genetics
Neurodevelopmental disruption
Psychosocial stressors

10.  Which of the following correlations is supported by the research?
Prefrontal lobe dysfunction often results in positive symptoms.
Temporal lobe dysfunction is commonly associated with negative and cognitive symptoms.
Temporal lobe dysfunction is possibly linked to abnormal phospholipid metabolism.
Unusual cortical laterality shows dysfunction localizing in the right hemisphere of the brain.

11.  Which of the following risk factors fall under the heading of “maternal stress?”
Being raised in crowded conditions
Minority social status
Poor nutrition and depression
Viral central nervous system infections

12.  Which of the following is NOT a treatment recommendation from the Schizophrenia Patient Outcomes Research Team?
Antipsychotic medication for an acute symptom episode should be administered in the range of 300–1,000 CPZ equivalents per day for at least six weeks.
Antipsychotic medication should be maintained in the range of 300–600 CPZ equivalents per day.
Antipsychotic medication should continue to be administered for at least one year subsequent to symptom stabilization to persons who experience acute symptom relief.
Patients who have ongoing family contact should be offered a family psychosocial intervention lasting at least twelve months.

13.  According to the recommendations of the Schizophrenia Patient Outcomes Research Team, which of the following medications should be avoided in first-line treatment to reduce psychotic symptoms for persons experiencing an acute symptom episode of schizophrenia?
Clozapine
Olanzapine
Risperidone
Sertindole

14.  All of the following are clinical phases of schizophrenia EXCEPT:
Onset phase
Acute phase
Maintenance phase
Recovery phase

15.  Actual treatment practices typically follow the recommendations of the Schizophrenia PORT study . . .
Less than 25% of the time
Less than 50% of the time
More than 50% of the time
More than 80% of the time

16.  Which of the following is a more recent development in medication for schizophrenia?
Fluphenazine
Haloperidol
Molindone
Quetiapine

17.  According to dosage studies, which of the following methods of dosing has been shown to be most effective in reducing positive symptoms over the long run?
Intermittent
Moderate levels
Rapid loading
Very low

18.  Conventional neuroleptic medications are less favored than the newer medications for schizophrenia for all of the following reasons EXCEPT:
Lower efficacy with many patients
Minimal effects on negative symptoms
Pervasive side effects
The possibility of a potentially fatal blood condition

19.  Which of the following is the prototype of the newer medications for schizophrenia?
Clozapine
Olanzapine
Risperidone
Sertindole

20.  There is little data available to show the effects of newer schizophrenic medications in regards to . . .
Fecundity
Pregnancy and lactation
Sexual dysfunction
Weight gain

21.  Which of the following statements related to ethnopsychopharmacology is false?
Cultural patterns need to be considered in dosing decisions, medication management, risks of side effects, and tardive dyskinesia.
Diet and health behaviors may account for some variation across races and ethnicities.
Response to the same medication and dose can vary by ethnicity.
The underlying biological mechanisms of mental illness are not affected by gender, culture, and ethnic variations.

22.  Which of the following treatment options is not recommended because of the potential harm it might cause?
Family interventions
Psychodynamically oriented therapies
Psychosocial rehabilitation
Vocational rehabilitation

23.  Of the treatment options available for schizophrenia patients, which is considered the most critical?
Pharmacotherapy
Psychosocial rehabilitation and skills development
Psychotherapy
Vocational rehabilitation

24.  Which form of treatment is especially important because early adult onset of schizophrenia often interrupts education and employment history?
Coping and self-monitoring
Pharmacotherapy
Psychosocial rehabilitation
Vocational rehabilitation

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