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Psychiatry · Schizophrenia: residual type
Sample itemIn ICD-10, a man with a 15-year history of schizophrenia now shows blunted affect, poverty of speech and social withdrawal, with no hallucinations or delusions for the past three years. Which subtype applies?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Residual schizophrenia
Residual schizophrenia is a chronic stage following at least one clear psychotic episode, with prominent negative symptoms and no current florid psychosis. Eccentric behaviour and blunted affect are typical. It signals a deteriorating course.
Option by option
A. Residual schizophrenia (correct)
Correct. Persistent negative symptoms after past psychosis define residual schizophrenia.
B. Paranoid schizophrenia
Paranoid type has current delusions and hallucinations.
C. Catatonic schizophrenia
Catatonic type is dominated by motor signs such as stupor or posturing.
D. Brief psychotic disorder
Brief psychotic disorder lasts less than one month and resolves fully.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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