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  #1  
Old 02-05-2013
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Default psychiatry qn

A 25-year-old woman is diagnosed with schizophrenia when, after the sudden death of her mother, she begins complaining about hearing the voice of the devil and is suddenly afraid that other people are out to hurt her. Her history indicates that she has also experienced a 3-year period of slowly worsening social withdrawal, apathy, and bizarre behavior. Her family history includes major depression in her father. Which of the following details of her history leads the physician to suspect that her outcome may be poor?

(A). She is female (.B.) She was age 25 at diagnosis .(C.) She had an acute precipitating factor before she began hearing voices (D.)She had an insidious onset of her illness (.E). There is a history of affective disorder in her family.
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  #2  
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i would go with option c
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Originally Posted by koyi View Post
A 25-year-old woman is diagnosed with schizophrenia when, after the sudden death of her mother, she begins complaining about hearing the voice of the devil and is suddenly afraid that other people are out to hurt her. Her history indicates that she has also experienced a 3-year period of slowly worsening social withdrawal, apathy, and bizarre behavior. Her family history includes major depression in her father. Which of the following details of her history leads the physician to suspect that her outcome may be poor?

(A). She is female (.B.) She was age 25 at diagnosis .(C.) She had an acute precipitating factor before she began hearing voices (D.)She had an insidious onset of her illness (.E). There is a history of affective disorder in her family.

(D.)[/B]She had an insidious onset of her illness
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predictors of good prognosis:
late onset(female)
quick onset

i am confused between B and D.. D>B
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Originally Posted by MedicalExaminer View Post
(D.)[/B]She had an insidious onset of her illness
can u elaborate it more , or just give list of factors that predict Goodness for these patients or predict worse to these patient ? thanks .
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predictors of good prognosis:
late onset(female)
quick onset

i am confused between B and D.. D>B
well answer is D ....! bt where family history stand , poor predictor or bad ? coz in UW one explanation was No family Hx of schizophrenia is predictor for good prognosis . so i took it in reverse form , bt i see vice versa isnt true here ((
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well answer is D ....! bt where family history stand , poor predictor or bad ? coz in UW one explanation was No family Hx of schizophrenia is predictor for good prognosis . so i took it in reverse form , bt i see vice versa isnt true here ((
it only means that insidious onset is more bad than family history
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Good prognostic factors:
Acute onset, Precipitating event, Being female, rapid (vs. insidious) onset of symptoms, older age of first episode, predominantly positive (rather than negative) symptoms, presence of mood symptoms, good pre-illness functioning, higher level of education

Poor prognostic factors:
Family history of schizophrenia, Organic brain damage
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Good prognostic factors:
Acute onset, Precipitating event, Being female, rapid (vs. insidious) onset of symptoms, older age of first episode, predominantly positive (rather than negative) symptoms, presence of mood symptoms, good pre-illness functioning, higher level of education

Poor prognostic factors:
Family history of schizophrenia, Organic brain damage
thanks britney , and if not out of point again i guess she has family history of mood disorder ( but not family Hx of schizophrenia ) which according to my library here it also good predictor but not bad . i ddnt get question well i guess , everythng is in anotated FA )) thanks guys .
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Well everything is cleared without my intervention

The history gives u progressive disease thats alarming for bad prognosis

History is not suggestive of schizophrenia in father
When there is acute precipitating event in young age is more indicative of benign disease
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