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    Ati mental health rn 400 proctored exam 3

    Which dopamine pathway is responsible for the positive symptoms of schizophrenia?

    Explanation & Rationale

    A. Mesolimbic pathway is associated with reward, motivation, and emotions and is hyperactive in schizophrenia, leading to positive symptoms such as hallucinations, delusions, and disorganized thinking. Antipsychotic medications work by blocking dopamine (D2) receptors in this pathway, reducing psychotic symptoms. B. Nigrostriatal pathway controls motor function and coordination. Dopamine blockade in this pathway leads to extrapyramidal symptoms (EPS) such as tremors, rigidity, and tardive dyskinesia, which are common side effects of first-generation antipsychotics (typical antipsychotics). C. Tuberoinfundibular pathway regulates prolactin secretion. Dopamine inhibits prolactin release, so blocking D2 receptors with antipsychotics leads to increased prolactin levels, causing gynecomastia, galactorrhea, and menstrual irregularities. D. Mesocortical pathway is responsible for cognition, motivation, and emotional regulation. In schizophrenia, this pathway is hypoactive, contributing to negative symptoms such as apathy, social withdrawal, and cognitive impairment.

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