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Review Question - QID 103750

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QID 103750 (Type "103750" in App Search)
A 24-year-old male presents with 6 months of auditory hallucinations, paranoid delusions, and gross disorganization. The patient's head CT is shown in Figure A. Which of the following would favor a good prognosis for this man's condition?

Insidious onset

0%

0/3

Prior psychiatric history

0%

0/3

Negative symptom predominance

0%

0/3

History of a precipitating event

100%

3/3

Family history of mental illness

0%

0/3

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The patient in this vignette presents with schizophrenia, which is associated with a better outcome if there is a history of a precipitating event.

Schizophrenia can be a very disabling disease, often resulting in joblessness, homelessness, or suicide. Good outcomes are associated with a late and quick onset, and no family history of schizophrenia.

Incorrect Answers:
Answer 1: A rapid, not insidious, onset indicates a good prognosis.
Answer 2: No prior psychiatric history indicates a good prognosis.
Answer 3: Predominance of positive, not negative, symptoms indicate a good prognosis.
Answer 5: No family history of mental illness indicates a good prognosis.

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