Psychiatrie Test

•People with Panic disorder is mostly associated:

•A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the best statement of the pharmacodynamic by using Fluoxetine.

•Some people have a precipitation factor which is triggered by stressful life event. Which is the most statement could be explained?

•A 36 woman comes with the complaint of symptoms such as fatigue, trembling, muscle tension, chest tightness and nausea are associated with psychological problem Which is the statement should be the most explored?

•A 65 years old woman, come with complaint of startle and palpitation even though stimulated by sound ( loudly voice, broke things, shadow of someone..etc).Which is the most of psychological symptoms should be consider?

•The counseling obstacle as is the main consideration:

•Which is the main statement that therapist repeats what the patient said during the interview?

•A 65 years old woman, come with complaint of startle and palpitation even though stimulated by sound ( loudly voice, broke things, shadow of someone..etc).Which diagnosis should be the most consider?

•Panic disorder is characterized by recurring severe panic attacks. Which following is the most medical illness caused a panic attack?

•Choosing the best recommended started dose of tricyclic antidepressant “Amitriptyline”?

•The meaning of one structure in ABC model is should be considered:

•One important issue in therapy for specific phobias is address:

•A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the first choice of medicine should be prescribe for this patient during the 1st visit.

•Which is the main statement that therapist ends communication and hurry up to catch the meaning of the patient said:

•The counseling purpose as is the most effectiveness of helping the mentally ill is:

•Which is the main statement that therapist mention the patient’s problem before ending session?

•An excessive, unreasonable, persistent fear triggered by a remarkable situation.

•A 42 years old woman teacher, comes with symptoms of palpitation, trembling, fearful even though going out and no body stay home with. Which is the most differential diagnosis should be consider?

•Which is the main statement of therapist expectation that the patient will change his/her attitude and thinking before ending interview?

•Which is the main statement that therapist ensures patient will come for the next session before ending interview?

A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. In case we want to know, how much IQ he probably has?

A 2 years old boy still cannot control his own sphincter. He communicates less with his parents and family members. He produces sound as if intended to speak but he cannot. He can walk properly last 6 months. Since he was 1 years old, his both parents has noticed that the boy has something abnormal in development. Therefore they have tried to feed him with more protein, such as eggs and meats. In case we want to know, how much IQ she probably has?

A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). If the children are not able to express their problems in word, the evidence of disturbance is based more on:

A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, which is the best way the clinician use to assess the feeling, thinking and problems of this child? Group therapy can be applied with group of:

A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). Drug treatment in child psychiatry is:

A 2 years old boy still cannot control his own sphincter. He communicates less with his parents and family members. He produces sound as if intended to speak but he cannot. He can walk properly last 6 months. Since he was 1 years old, his both parents has noticed that the boy has something abnormal in development. Therefore they have tried to feed him with more protein, such as eggs and meats. Which of below problems the boy probably has?

A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. Which of below problems the boy probably has?

A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, which is the best way the clinician use to assess the feeling, thinking and problems of this child? The child may need substitute care when:

A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. In order to judge whether any observed emotional, social, or intellectual functioning of a child is abnormal, it has to be compared with:

A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, which is the best way the clinician use to assess the feeling, thinking and problems of this child?

A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. Which of the below explanations describe the reason that the above parents did not bring the child for intervention?

A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. What is the most likely diagnosis?

A 55-year-old man has presented very anxious for past 7 months. He believed that he acquired HIV transmission even though investigations showed that it was contrary. What is the most likely diagnosis?

A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following medications would be the most suitable?

A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. What information do you need to explore?

A 27-year-old man with illness anxiety disorder referred by GP to outpatient department. Which of the following medications would be the most suitable?

A 49-year-old woman with conversion disorder. Which of the following factors will have effect on her prognosis?

A 50-year-old woman with conversion disorder and anxiety symptom referred to psychiatric outpatient department. Which of the following medications would be the most suitable?

A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. What is the most likely differential diagnosis?

A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. Which of the following is the most appropriate intervention for management?

A 39-year-old woman with somatic symptom disorder referred by GP to outpatient department. Which of the following medications would be the most suitable?

A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following interventions belong to cognitive behavioral therapy for this case?

A 55-year-old man has presented very anxious for past 7 months. He believed that he acquired HIV transmission even though investigations showed that it was contrary. Which of the following medications would be the most suitable?

A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. Which of the following medications could be prescribed?

A 40-year-old woman with somatic symptom disorder for past 11 years. Which of the following approaches is not suitable for management?

A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. It is good prognosis for this case because:

A 57-year-old man with illness anxiety disorder for past 3 years. Which of the following factors will have effect on his prognosis?

A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. What is the most likely differential diagnosis?

A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. Which of the following medications could be prescribed?

A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following interventions will be the most suitable if the past somatic symptom arises again?

A 43-year-old man with conversion disorder. Which of the following approaches is not suitable for management?

នៅពេលគេប្រើប្រាស់ថ្នាំ Antipsychotic ( ឧ, ថ្នាំប្រភេទ Dopamine receptor antagonist) មួយឥតជោគជយ័ក្នុងការព្យាបាលជំងឺ​ Schizophrenia គេអាចប្រើរួមផ្សំជាមួយថ្នាំផ្សេងទៀតដូចជា​ Lithium គោលបំនងដើម្បី

The following is a schizophrenia’s first rank symptoms –

Drug of choice for schizophrenic patient with poor oral absorption is ?

អ្នកដែលញៀននឹងថ្នាំប្រភេទ Amphetamine, បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ ( Amphetamine withdrawal) អ្នកជំងឺអាចមានរោគសញ្ញា ៖

An elderly woman suffering from schizophrenia is on antipsychotic medication. she develops purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this effect –

•In recent months, beside his epilepsy, Mr. KH has developed hearing voices that is likely someone talking with him even he is alone. His therapist added haloperidol 5mg oral at evening to stop hearing voices. With anticonvulsants and antipsychotics medication, He is free from convulsions and still not hearing voices. He works well, maintains his social activities in normal.- There is only one anticonvulsant:

•In recent months, beside his epilepsy, Mr. KH has developed hearing voices that is likely someone talking with him even he is alone. His therapist added haloperidol 5mg oral at evening to stop hearing voices. With anticonvulsants and antipsychotics medication, He is free from convulsions and still not hearing voices. He works well, maintains his social activities in normal.- Choose only one untrue answer:

•Mr. KH reports about his convulsion that begins with breathing difficult for 1mn then unconscious, tonic, clonic, saliva secretion, and back to consciousness in 10 to 15mn. Sometime he got wounds by falling on the ground. If the convulsion lasts more than 30mn, he would die, he said.A convulsion lasts longer than 30 minutes is an/a:

•In recent months, beside his epilepsy, Mr. KH has developed hearing voices that is likely someone talking with him even he is alone. His therapist added haloperidol 5mg oral at evening to stop hearing voices. With anticonvulsants and antipsychotics medication, He is free from convulsions and still not hearing voices. He works well, maintains his social activities in normal. 6- Lithium is an/a: