A patient with no previous psychiatric history develops psychosis after starting high-dose corticosteroids. Which interpretation is most appropriate?
Correct answer: B. The symptoms may be medication-induced
- A. The finding confirms schizophrenia
- B. The symptoms may be medication-induced
- C. The patient is experiencing a negative symptom
- D. The patient has a primary personality disorder
Explanation
Corticosteroids can produce psychiatric effects, including mood changes and psychosis, so the medication history must be reviewed. A new symptom after exposure does not by itself confirm a primary schizophrenia-spectrum disorder.
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About Psychotic Disorders
Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.
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