/47 110 Psychiatrie Preparation (Dr. Chhiv Sikheang) 1 / 47 1) 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 investigations revealed no abnormality. She had been very distress for the past 8 months. Which of the followings is the most likely diagnosis? a. Conversion disorder b. Illness anxiety disorder c. Obsessive compulsive disorder d. Delusional disorder e. Somatic symptom disorder 2 / 47 2) Excessive thought, feeling, and behavior to events or activities could be the symptom of: a. Generalized anxiety disorder b. Somatic symptom disorder c. Illness anxiety disorder d. Conversion disorder e. Obsessive compulsive disorder 3 / 47 3) Unexplained physical symptom in Somatic symptom disorder means: a. Physical symptoms do not cause by bodily illness b. Simple physical symptom c. Complex physical symptom d. Physical symptoms of complex physical illness e. Unspecified physical symptom 4 / 47 4) A 28-year-old woman has suffered somatic symptom disorder for past 2 years. She has been living in a family with dysfunctional relationship and in a family that a member with depressive disorder. She works in a stressful business. Which of the followings is the most likely risk factor of her disease? a. work in a stressful business b. be a young adult c. live in a family that a member with depressive disorder d. live in dysfunctional family relationship e. be a female 5 / 47 5) A 37-year-old single woman has conversion disorder. In childhood, she lived with her aunt because her parents worked abroad. There was no one take care her and she studied grade 3 only. Which of the followings is the most likely risk factor of her disease? a. Low educational level b. Be a female c. Be neglected in childhood d. Be poor in childhood e. Be a single 6 / 47 6) Regarding illness anxiety disorder, which of the following statements is most likely correct? a. Common disease in rural area b. Common disease present in psychiatric ward c. Common disease in poor country d. The ratio for M:F may be 1:1 e. The onset is in late adulthood 7 / 47 7) A 31-year-old woman has a long history of dysfunctional uterine bleeding, persistent upper abdominal pain with alternating diarrhea and constipation, urinary frequency and dysuria, or chronic back pain. She has consulted GPs and various specialists but nothing physical causes have been found despite extensive investigation. Which of the followings is the most likely diagnosis? a. Somatic symptom disorder b. Illness anxiety disorder c. Conversion disorder d. Depressive disorder e. Generalized anxiety disorder 8 / 47 8) Individuals with few years of education or low socioeconomic status could be risk factors of: a. Conversion disorder b. Psychotic disorder c. Illness anxiety disorder d. Somatic symptom disorder e. Post traumatic stress disorder 9 / 47 9) Excessive preoccupation with having an undiagnosed medical condition could be the clinical feature of: a. Conversion disorder b. Obsessive compulsive disorder c. Illness anxiety disorder d. Psychotic disorder e. Generalized anxiety disorder 10 / 47 10) A 28-year-old man with somatic symptom disorder has many gastrointestinal symptoms. He believes that he suffers from gastric ulcer, even extensive investigations reveal that no abnormality. Which of the followings is the most likely differential diagnosis? a. Factitious disorder b. Obsessive compulsive disorder c. Psychotic disorder d. Illness anxiety disorder e. Conversion disorder 11 / 47 11) Therapist has to be careful about Malingering for diagnosing: a. Bipolar disorder b. Conversion disorder c. Illness anxiety disorder d. Somatic symptom disorder e. Depressive disorder 12 / 47 12) A 45-year-old man with somatic symptom disorder has excessive thought, felling, and behavior to somatic symptoms for ___ months. Which of the following periods is most correct to diagnose somatic symptom disorder? a. At least 12 months b. Not emphasize period c. At least 9 months d. At least 3 months e. At least 6 months 13 / 47 13) A 30-year-old unemployed man falsely believes that he suffers from AIDS. He needs to go to a hospital for monthly HIV test despite negative results. Which of the followings is the most likely diagnosis? a. Conversion disorder b. Somatic symptom disorder c. Illness anxiety disorder d. Delusional disorder e. Obsessive compulsive disorder 14 / 47 14) Excessive thought, feeling, and behavior to physical complaints could be the symptom of: a. Conversion disorder b. Somatic symptom disorder c. Obsessive compulsive disorder d. Generalized anxiety disorder e. Illness anxiety disorder 15 / 47 15) Individuals with dysfunctional family relationship could be risk factors of: a. Illness anxiety disorder b. Post traumatic stress disorder c. Psychotic disorder d. Conversion disorder e. Somatic symptom disorder 16 / 47 16) A 29-year-old beer promotion woman presents constipation sometime. She believes that her bowel is cut into several pieces and always tells her relatives or friends despite they always confirm that it is impossible. Which of the followings is the most likely diagnosis? a. Somatic symptom disorder b. Obsessive compulsive disorder c. Psychotic disorder d. Conversion disorder e. Illness anxiety disorder 17 / 47 17) A 47-year-old woman has a history of somatic symptom disorder for several months. She persistently worried about her symptoms and her future life. Which of the followings is the most likely differential diagnosis? a. Obsessive compulsive disorder b. Factitious disorder c. Illness anxiety disorder d. Generalized anxiety disorder e. Conversion disorder 18 / 47 18) Which of the following statements best describes the meaning of conversion disorder? a. .A mental disorder characterized by changing from mental conflict into somatic form b. .A mental disorder has many somatic symptoms c. .A mental or physical disorder characterized by altered voluntary motor or sensory function d. .A mental disorder has many somatic and neurological symptoms e. .A physical condition presents altered voluntary motor or sensory function 19 / 47 19) A 42-year-old man has history of somatic symptom disorder for several years. Recently he developed hearing loss after his business met problems. Which of the followings is the most likely differential diagnosis? a. Generalized anxiety disorder b. Conversion disorder c. Depressive disorder d. Obsessive compulsive disorder e. Illness anxiety disorder 20 / 47 20) A 49-year-old man has a history of illness anxiety disorder for past three years. He lives in a family that a member has depressive disorder and in a family that has dysfunctional relationship. In childhood and adulthood, he studied hard and used to suffer a serious illness. Which of the followings is the most likely risk factor of his disease? a. Have a serious illness in childhood b. Be a male c. Study hard in childhood and adulthood d. Live in dysfunctional family relationship e. Live in a family that a member with depressive disorder 21 / 47 21) A 25-year-old man has a history of illness anxiety disorder for past two years. In childhood, he lived in a poor family with abusive father and studied grade 4 only. Which of the followings is the most likely risk factor of his disease? a. Be poor in childhood b. Low educational level c. Be a male d. Be a young adult e. Be abused in childhood 22 / 47 22) Individuals with history of serious childhood bodily disorder could be risk factors of: a. Post traumatic stress disorder b. Somatic symptom disorder c. Psychotic disorder d. Conversion disorder e. Illness anxiety disorder 23 / 47 23) A 31-year-old womanpresents a long history ofdysfunctional uterine bleeding,persistent upper abdominal pain with alternating diarrhea and constipation,urinary frequency and dysuria, or chronic back pain. Shehas consulted GPs and various specialists but nothing physical causes have been found despite extensive investigation. She is farmer and has three children. She divorced two abusive husbands. What is the probable diagnosis? a. Conversion disorder b. Psychotic disorder c. Somatic symptom disorder d. Obsessive compulsive disorder e. Illness anxiety disorder 24 / 47 24) A 47-year-old woman insists that she has brain tumor, even extensive investigations reveal that no tumor. Which of the followings is the most likely diagnosis? a. Psychotic disorder b. Obsessive compulsive disorder c. Somatic symptom disorder d. Conversion disorder e. Illness anxiety disorder 25 / 47 25) A 21-year-old woman with conversion disorder very worries her disease for ___ months. Which of the following periods is most correct to diagnose conversion disorder? a. At least 12 months b. At least 6 months c. At least 3 months d. Not emphasize period e. At least 9 months 26 / 47 26) A 30-year-old unemployed man believes that he suffers from AIDS. He needs to go to a hospital for monthly HIV test despite negative results. What is the probable diagnosis? a. Delusional disorder b. Obsessive compulsive disorder c. Conversion disorder d. Illness anxiety disorder e. Somatic symptom disorder 27 / 47 27) Which of the following statements best describes the meaning of illness anxiety disorder? a. Think that he/she will have a serious illness b. Worry that he/she will have a serious illness c. Think that he/she has a serious illness d. Suspect that he/she has a serious illness e. Worry that he/she has a serious illness 28 / 47 28) A 41-year-old woman has a history of illness anxiety disorder for few months. She is very distress and she persistently worries about her future life. Which of the followings is the most likely differential diagnosis? a. Obsessive compulsive disorder b. Somatic symptom disorder c. Conversion disorder d. Generalized anxiety disorder e. Depressive disorder 29 / 47 29) A 32-year-old woman has a history of somatic symptom disorder for past three years. She seeks consultation with many therapists. Which of the following reasons for changing therapists is most suitable? a. Going to consultation place is difficult b. .A consultation service is not good enough c. .A nature of patient with this disorder d. Family want to change therapist e. .A consultation fee is expensive 30 / 47 30) A 25-year-old woman presents jaw stiff, arm shaking, and do not answer. This problem occurs after conflicting with husband. She is diagnosed as conversion disorder. Which of the followings is the most likely differential diagnosis? a. Anxiety disorder b. Phobic disorder c. Malingering d. Panic disorder e. Depressive disorder 31 / 47 31) A 37-year-old man has a history of hypochondriasis for past 5 years. Which of the following disorders best represents hypochondriasis? a. Illness anxiety disorder b. Anxiety disorder c. Conversion disorder d. Hypomania e. Somatic symptom disorder 32 / 47 32) A 31-year-old woman has history of somatic symptom disorder for past two years. She has presented many somatic symptoms that no physical basis. Which of the following statements best describe the clinical feature of somatic symptom disorder? a. Somatic symptoms have to start before age 30 b. Somatic symptoms are multiple and recurrent c. Somatic symptoms have to associated with stressful event d. Somatic symptoms exist more than 6 months e. Somatic symptoms present most of the day 33 / 47 33) What is conversion disorder? a. Numerous physical complaints b. Preoccupation withdaily activities c. Changing from mental conflict to somatic forms d. Preoccupation with physical defect e. Preoccupation witha serious medical condition 34 / 47 34) Which of the following statements best describes the meaning of somatic symptom disorder? a. Chronic condition with numerous physical complaints b. Chronic condition with numerous mental symptoms c. Chronic mental disorder with numerous symptoms d. Chronic physical illness with numerous complaints e. Numerous chronic physical and mental complaints 35 / 47 35) A 27-year-old beer promotion woman presents constipation sometime. She believes that her bowel was cut into several pieces and always tells her relatives or friends despite they always confirm that it is impossible. What is the probable diagnosis? a. Somatic symptom disorder b. Illness anxiety disorder c. Conversion disorder d. Psychotic disorder e. Obsessive compulsive disorder 36 / 47 36) What is illness anxiety disorder? a. Preoccupation withdaily activities b. Changing from mental conflict to somatic forms c. Preoccupationwith a serious medical condition d. Numerous physical complaints e. Preoccupation with physical defect 37 / 47 37) A 38-year-old woman presents with loss of skin sensory after a conflict with husband. Investigations reveal that no abnormality. Which is the most likely diagnosis? a. Illness anxiety disorder b. Factitious disorder c. Conversion disorder d. Somatic symptom disorder e. Malingering 38 / 47 38) A 30-year-old woman has a history of pain disorder for past 4 years. Which of the following disorders best represents pain disorder? a. Anxiety disorder b. Hypomania c. Somatic symptom disorder d. Conversion disorder e. Illness anxiety disorder 39 / 47 39) Multiple, recurrent physical complaints could be the clinical feature of: a. Obsessive compulsive disorder b. Generalized anxiety disorder c. Somatic symptom disorder d. Illness anxiety disorder e. Conversion disorder 40 / 47 40) A 56-year-old man has a history of illness anxiety disorder for past one year. He very worries that he has a serious illness and often change therapist. Which of the following reasons for changing therapists is most suitable? a. .A consultation service is not good enough b. Going to consultation place is difficult c. It is a personality disorder d. .A consultation fee is expensive e. He thinks therapist cannot find out his disease 41 / 47 41) What is somatic symptom disorder? a. Preoccupationwitha serious medical condition b. Preoccupationwithdaily activities c. Preoccupation with physical defect d. Numerous physical complaints e. Changing from mental conflict to somatic forms 42 / 47 42) Regarding conversion disorder, which of the following statements is most likely correct? a. The ratio for M:F is 1:1 b. Common disease in rural area c. The onset is in all age d. Common disease in poor country e. Common disease present in psychiatric ward 43 / 47 43) A 28-year-old single woman has many physical symptoms such as abdominal pain, diarrhea, urinary frequency, chronic joint pain. She is very distress, even investigations reveal no physical basis. She believes that she suffered from a serious illness that therapists could not find out. Which of the followings is the most likely diagnosis? a. Obsessive compulsive disorder b. Illness anxiety disorder c. Conversion disorder d. Somatic symptom disorder e. Delusional disorder 44 / 47 44) Regarding conversion disorder, which of the following statements is most likely correct? a. Cannot diagnose conversion disorder if no stress or trauma associated with onset of symptom b. The onset of symptom may be associated with stress or trauma c. Altered voluntary motor function is neurological symptom d. Altered voluntary sensory function is neurological symptom e. Assessment for neurological disease is not important 45 / 47 45) A 17-year-olboy insists that his brain is rotten, despite there are reasonable explanations. Which of the followings is the most likely diagnosis? a. Obsessive compulsive disorder b. Psychotic disorder c. Conversion disorder d. Illness anxiety disorder e. Somatic symptom disorder 46 / 47 46) A 33-year-olwoman has excessive preoccupation with chronic physical complaints for which no physical causes have been found despite extensive investigation. She actually develops hearing loss in association with a severed stressful event. Which of the followings is the most likely diagnosis? a. Somatic symptom disorder b. Obsessive compulsive disorder c. Psychotic disorder d. Illness anxiety disorder e. Conversion disorder 47 / 47 47) Regarding somatic symptom disorder, which of the following statements is most likely correct? a. Common disease for individuals live in city b. The ratio for F:M up to 10:1 c. Common disease in poor country d. Common disease present in psychiatric ward e. The onset is in late adulthood Your score isThe average score is 81% Facebook 0% Restart quiz Any comments? Send feedback
