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    Ati mental health rn 400 proctored exam 3

    Which dopamine pathway is responsible for negative symptoms of schizophrenia?

    Explanation & Rationale

    A. Mesolimbic pathway is responsible for reward, motivation, and emotion. In schizophrenia, hyperactivity of this pathway leads to positive symptoms such as hallucinations, delusions, and disorganized thinking. B. Nigrostriatal pathway regulates motor control. Dopamine blockade in this pathway leads to extrapyramidal symptoms (EPS) such as tremors, rigidity, and tardive dyskinesia, which are side effects of first-generation antipsychotics (typical antipsychotics). C. Tuberoinfundibular pathway controls prolactin secretion. Dopamine inhibits prolactin release, so blocking D2 receptors with antipsychotics leads to hyperprolactinemia, causing gynecomastia, galactorrhea, and menstrual irregularities. D. Mesocortical pathway is responsible for cognition, motivation, and emotional regulation. In schizophrenia, hypoactivity of this pathway is linked to negative symptoms such as apathy, anhedonia, social withdrawal, and cognitive impairment. Antipsychotics that block dopamine further worsen these symptoms, making negative symptoms more difficult to treat.

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