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26 Cards in this Set
- Front
- Back
Among psychiatric illnesses, what is exceptional about schizophrenia?
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It's heterogeneity
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What is one prominent feature of schizophrenia patients brains on CT scan?
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Large ventricles
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What is seen in terms of grey matter in schizophrenia patients?
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Reduced (5-10%) grey matter
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What is seen in terms of white matter tracts in schizophrenia patients?
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White matter tracts are disrupted
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Do family members show similiar grey matter losses in schizophrenia?
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Yes
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What is the heritability of schizophrenia?
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60%
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Have distict genetic loci been identified for schizophrenia?
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a few have, but due to heterogeneity not many have been replicated. And those that have only explain a small % of people.
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A reduction of what protein is observed in schizophrenia?
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Dysbindin
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What transported was increased in schizophrenia?
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Presynaptic glutamate transporter
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A decrease in which intracellular signaling molecule is seen in schizophrenia?
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cAMP
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What types of odors can schizophrenia patients smell (and not smell)?
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When odorarant is high cAMP inducer, patients can smell it
When odoroant isn't a high cAMP inducer, patients can't smell it |
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What are the 2 main types of environmental factors?
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1. Pre-natal or peri-natal insults
2. Child / Adolescent Psychosocial stressors |
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In terms of time, what is a risk factor for schizophrenia?
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Season of Birth - winter months give higher rates of schizophrenia
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What are the 2 most important factors in terms of attributable risks?
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1. Place of birth
2. Season of birth |
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What pre-natal infection has been shown to increase the risk of schizophrenia?
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Influenza
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What is seen in schizophrenia in terms of olfactory sulcal development?
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Sulci not formed fully
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What is seen wrt to immigration status and schizophrenia risk?
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First generation has elevated risk due to immigration stresses
Second generation has highest risk due to stresses of integration into new community |
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Many other genes found to be related to schizophrenia are important in what?
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Maintaining the integrity of the synapse
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What NT is thought to be very important in the manifestation of positive symptoms in schizophrenia?
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Dopamine
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What drugs mimic positive psychotic symptoms?
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Psychostimulants (amphetamines and cocaine)
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Which types of schizophrenia patients show the biggest benefits from DA blockers?
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Those with very high DA activity
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What other NT has been implicated in schizophrenia?
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Glutamate
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What receptor antagonists mimic both positive and negative symptoms of an acute schizophrenic break?
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NMDA glutamate receptor
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NMDA receptor blockage can lead to what?
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Glutamatergic hyperactivity in associated pyramidal cells
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Increased glutamate activity can have what effect?
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Neurotoxic effect
Could explain grey matter loss in early stages of schizophrenia |
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Reduction of what type of receptors is seen in schizophrenia patients?
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NMDA glutamate receptors
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