Psychiatrie Test 0% 13 votes, 4.9 avg 24 You will have 60 minutes to complete all the questions. After the timer reaches 60 minutes, the exam will end and be saved automatically. Good luck! *Fingers crossed* The timer has been reached. The exam has now been terminated and saved. Psychiatrie Test 1 / 60 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. Illness anxiety disorder b. Depressive disorder c. Generalized anxiety disorder d. Somatic symptom disorder e. Conversion disorder 2 / 60 Regarding conversion disorder, which of the following statements is most likely correct? a. Assessment for neurological disease is not important b. Altered voluntary sensory function is neurological symptom c. Altered voluntary motor function is neurological symptom d. The onset of symptom may be associated with stress or trauma e. Cannot diagnose conversion disorder if no stress or trauma associated with onset of symptom 3 / 60 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. Psychotic disorder b. Illness anxiety disorder c. Somatic symptom disorder d. Obsessive compulsive disorder e. Conversion disorder 4 / 60 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. Conversion disorder b. Illness anxiety disorder c. Factitious disorder d. Obsessive compulsive disorder e. Generalized anxiety disorder 5 / 60 What is conversion disorder? a. Preoccupation withdaily activities b. Preoccupation witha serious medical condition c. Preoccupation with physical defect d. Changing from mental conflict to somatic forms e. Numerous physical complaints 6 / 60 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. Obsessive compulsive disorder b. Conversion disorder c. Illness anxiety disorder d. Somatic symptom disorder e. Psychotic disorder 7 / 60 Individuals with few years of education or low socioeconomic status could be risk factors of: a. Illness anxiety disorder b. Conversion disorder c. Somatic symptom disorder d. Post traumatic stress disorder e. Psychotic disorder 8 / 60 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. Somatic symptom disorder c. Illness anxiety disorder d. Conversion disorder e. Hypomania 9 / 60 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 3 months c. At least 6 months d. Not emphasize period e. At least 9 months 10 / 60 Therapist has to be careful about Malingering for diagnosing: a. Somatic symptom disorder b. Illness anxiety disorder c. Bipolar disorder d. Depressive disorder e. Conversion disorder 11 / 60 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. Be neglected in childhood b. Be poor in childhood c. Be a single d. Be a female e. Low educational level 12 / 60 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 exist more than 6 months c. Somatic symptoms have to associated with stressful event d. Somatic symptoms are multiple and recurrent e. Somatic symptoms present most of the day 13 / 60 What is somatic symptom disorder? a. Numerous physical complaints b. Preoccupationwithdaily activities c. Preoccupation with physical defect d. Preoccupationwitha serious medical condition e. Changing from mental conflict to somatic forms 14 / 60 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. Live in a family that a member with depressive disorder b. Be a male c. Have a serious illness in childhood d. Study hard in childhood and adulthood e. Live in dysfunctional family relationship 15 / 60 Which of the following statements best describes the meaning of somatic symptom disorder? a. Chronic mental disorder with numerous symptoms b. Chronic condition with numerous mental symptoms c. Numerous chronic physical and mental complaints d. Chronic physical illness with numerous complaints e. Chronic condition with numerous physical complaints 16 / 60 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. Illness anxiety disorder b. Psychotic disorder c. Somatic symptom disorder d. Obsessive compulsive disorder e. Conversion disorder 17 / 60 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. Illness anxiety disorder b. Obsessive compulsive disorder c. Conversion disorder d. Generalized anxiety disorder e. Depressive disorder 18 / 60 A 25-year-old female has four episodes of mood disturbance within a 12-month period that meet criteria for a major depressive, manic, mixed, or hypomanic episode. What is her accurate diagnosis? a. Cyclothymic disorder b. Bipolar affective disorder c. Dysthymic disorder d. Rapid cycling disorder e. Recurrent depressive disorder 19 / 60 Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below? a. Fear of going mad b. Irritable/ angry easily c. Muscle tension d. Fast pulse 20 / 60 A grand mal in Epilepsy is an/a: a. Aura b. Loss of consciousness c. Tonic-clonic convulsions d. Generalized seizure e. Reversible consciousness 21 / 60 Unconscious in generalizedseizures in epilepsy can be reversible: a. by a cardiac massage b. spontaneously c. Oxygen d. by an antiepileptic e. by an electroshock 22 / 60 Only one is a sedatif- hypnotic: a. Diazepam b. Haloperidol c. SSRI (Fluoxetine) d. Amitriptilline e. Carbamazepine 23 / 60 A person may experience when meeting new people in a strange setting. Which is the most probably explain the terms below? a. Fear b. Anxiety c. Hesitate d. Embarrass 24 / 60 A woman named SM, 37 years old reports about her convulsion that begins with breathing difficult for 1 or 2mn then unconscious, generalized convulsion tonic-clonic, saliva secretion, urine passing out and back to consciousness in 10 to 15mn. Sometime she got wounds by falling on the ground. If the convulsion lasts more than 30mn, she would die, she said. She also got an epileptic electrical wave on EEG. In this case, chose the only one right answer in each of the following questions. Mrs MS has a grand mal convulsion sometime longer than 30 minutes, this is an/a: a. Aura b. Grand mal c. Petit mal d. Coma e. Ictus Epilepticus/Etat de mal epileptique 25 / 60 A 18 female patient, student, lives in Phnom- Penh, come to Psychiatric OPD and complains of palpitation, fearful, difficulty falling asleep, trembling and feeling numbness, especially crossing the bridge. What is the probably diagnosis of this patient? a. Generalized anxiety Disorders b. Panic disorders c. Agoraphobia. d. Social phobia. e. Specific phobia 26 / 60 Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most explanation the “ reverses stress response” in the following statement activities? a. Sympathetic nervous system b. Stabilized nervous system c. Both sympathetic and parasympathetic d. Increasing activities of nervous system 27 / 60 Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below? a. Fear of losing control b. Shallow breathing c. Problem with speech d. Fear of dying 28 / 60 Mr. J experiences restlessness, fatigue, feeling on edge, and frightens very easily with everyday stressors in his life. This describes which anxiety disorder? a. Phobia Disorder b. Generalized Anxiety Disorder c. Post-Traumatic Stress Disorder d. Panic Disorder 29 / 60 Which is the best characteristic in the following below that explain a repetitive behavior individuals feeling? a. Compulsion, delusion b. Compulsion, anxiety c. Obsession, compulsion d. Compulsion depression 30 / 60 Which is the main term of anxiety neurosis that Sigmund Freud was coined? a. As a response to a specific situation b. As a response to a dangerous situation c. As a response to a simple situation d. As a response to a trauma situation 31 / 60 Mrs S is 40 years old, married, 2 children, teacher, from Kandal province. She comes to Psychiatric OPD alone and complains of palpitation, chestiness, cold extremities and fear of stay home alone but no symptoms of panic attacks with 6 months onset. BP= 120/75 mmhg, Pouls= 102/mn and Temperature=36.5 C: What is the most important family’s information you need to explore: a. Family history of personality disorders b. Family history of Psychotic disorders c. Family history of an anxiety disorders d. Family history of mood disorders e. Family history of medical condition 32 / 60 A 40 years old lady, house wife, lives in Phnom Penh, comes to Psychiatric OPD with her complaint of difficulty in breathing, cold extremities, difficulty falling asleep and look a bit pale. Her symptoms happened for more than 2 years. Her BP: 125/80mnhg, Pulse: 98/mn, T: 36.5 oC. Which is the main following medical condition could be explore? a. Anemia b. Hypoglycemia c. Thyroid illness d. Hypocalcemia 33 / 60 ពាក្យពេញរបស់ពាក្យ DSM a. Dimension and Statistical Manual b. Diagnosis and Statistical Manual c. Diagnostic and Statistical Manual d. Dimension and Statistical Medicine 34 / 60 រោគសញ្ញានៃ Borderline Personality Disorder a. អ្នកជំងឺមិនអាចគ្រប់គ្រងសំទុះចិត្តខ្លួនឯងបាន និងមានកាយវិការ រឺទំនោរទៅលើការធ្វើបាបខ្លួន (បង្ករបួសស្នាមលើខ្លួនឯង) រឺការសម្លាប់ខ្លួន b. អ្នកជំងឺមិនមានភាពចុះសម្រុងជាមួយមនុស្សក្នុងសង្គម ដូចជាមិត្តរួមអាជីព និងមានការផ្លាស់ប្ដូរការងារញឹកញាប់ c. អ្នកជំងឺមានការសង្ស័យ និងមិនទុកចិត្តអ្នកនៅជុំវិញខ្លួនថាគេមកបៀតបៀនធ្វើបាបខ្លួន ដោយមិនមានមូលដ្ឋានច្បាស់លាស់ រឺមិនសមហេតុផល d. អ្នកជំងឺគេចវេស មិនហ៊ានប្រឈមនឹងស្ថានភាព រឺសកម្មភាពផ្សេងៗដោយសារអ្នកជំងឺខ្លាចត្រូវបានគេរិះគន់ រឺបដិសេធ 35 / 60 រោគសញ្ញានៃ Antisocial Personality Disorder a. អ្នកជំងឺមិនមានភាពចុះសម្រុងជាមួយមនុស្សក្នុងសង្គម ដូចជាមិត្តរួមអាជីព និងមានការផ្លាស់ប្ដូរការងារញឹកញាប់ b. អ្នកជំងឺគេចវេស មិនហ៊ានប្រឈមនឹងស្ថានភាព រឺសកម្មភាពផ្សេងៗដោយសារអ្នកជំងឺខ្លាចត្រូវបានគេរិះគន់ រឺបដិសេធ c. អ្នកជំងឺមានការសង្ស័យ និងមិនទុកចិត្តអ្នកនៅជុំវិញខ្លួនថាគេមកបៀតបៀនធ្វើបាបខ្លួន ដោយមិនមានមូលដ្ឋានច្បាស់លាស់ រឺមិនសមហេតុផល d. អ្នកជំងឺមិនអាចគ្រប់គ្រងសំទុះចិត្តខ្លួនឯងបាន និងមានកាយវិការ រឺទំនោរទៅលើការធ្វើបាបខ្លួន (បង្ករបួសស្នាមលើខ្លួនឯង) រឺការសម្លាប់ខ្លួន 36 / 60 ជំងឺដែលមានទំនាក់ទំនងជាមួយជំងឺ Depression មាន a. Anxiety related Depression b. Physical Disorders with Depression c. Depression related Sexual Disorder d. All correct 37 / 60 Personality Disorders មាន a. តែមួយប្រភេទ b. មិនមានចម្លើយ c. ច្រើនប្រភេទ d. ៤ប្រភេទ 38 / 60 ក្រុម Psychotic Disorders មាន២ប្រភេទ a. Schizophrenia and Delusional Disorder b. Non organic and Organic Psychosis c. Schizoaffective Disorders and Paranoid Schizophrenia d. Hallucination and Delusion 39 / 60 ចំឡើយខាងក្រោមនេះ តើរោគសញ្ញាណាមួយជារោគសញ្ញារបស់ជំងឺ Schizophrenia: a. មានអាក្បកិរិយាចូលចិត្តប្រឆាំងនឹងមនុស្សចាស់ b. អារម្មណ៍ប្រែប្រួលទៅតាមសភាពការណ៍ខាងក្រៅ c. ការទទួលអារម្មណ៍ខុស d. អស់សង្ឃឹមកក្នុងការរស់នៅ e. ឆាប់ខឹង និង មួរម៉ៅច្រើន 40 / 60 Neologism មានន័យថា: a. មានអារម្មណ៍សង្ស័យថាមានគេចង់តាមធ្វើបាបខ្លួន b. អង្គុយសើចម្នាក់ឯងឥតហេតុផល c. ចុះខ្សោយការចងចាំ d. បង្កើតពាក្យថ្មីដាក់ឈ្មោះឱ្យរបស់អ្វីមួយ e. តំរេកផ្លូវភេទកើនល៉ើង 41 / 60 បុរសម្នាក់អាយុ ៤៥ឆ្នាំបានមកពិនិត្យនិងព្យាបាលផ្នែកេជំងឺផ្លូវចិត្តនៅថ្ងៃទី២០ មិថុនា ២០១៦ ដោយមានរោគសញ្ញា ញ័រខ្លួនប្រាណ សំរាន្ដមិនលក់ ក្ដៅខ្លួន ចង្អោរ ស្បែកគាត់ឡើងព៍ណលឿង។ គាត់ធ្លាប់មានប្រវត្តិពិសារស្រាច្រើន រៀងរាល់ថ្ងៃ និងយូរឆ្នាំ។ ចំណោមរោគវិនិច្ឆ័យខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ: a. Alcohol induced psychotic Disorder b. Alcohol withdrawal c. Alcohol induced Anxiety disorder d. Alcohol induced Mood disorder e. Alcohol induced dementia 42 / 60 យុវជនម្នាក់អាយុ ២១ ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកេជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី ១២ ឧសភា ២០១៦ ដោយមានរោគសញ្ញា សំរាន្ដមិនលក់ និយាយ និងសើចម្នាក់ឯងដោយឥតហេតុផល កាចឆាប់ខឹង ជួនគាត់ដើរត្រាចចរដោយគ្មានទិសដៅពិតប្រាកដ។ រោគសញ្ញាទាំនេះកើតមានប្រហែលរយៈពេល ១ ឆ្នាំមកន្លងមកហើយ។ ក្នុងចំណោមរោគវិនិច្ឆ័យខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ: a. Schizophrenia b. Substance induced psychotic Disorder c. Acute Psychosis d. Psychotic Depression e. Personality disorder 43 / 60 អ្នកដែលញៀននឹងថ្នាំប្រភេទ amphetamine បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ (amphetamine withdrawal) អ្នកជំងឺ អាចមានរោគសញ្ញា a. ធ្លាក់ទឹកចិត្ត b. ឈាមច្រមុះ c. ក្អួត ចង្អោរ d. វង្វេងស្មារតី 44 / 60 យុវនារីម្នាក់អាយុ ២៥ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី ២៧ មិថុនា ២០១៦ ដោយមានរោគសញ្ញា រឹងសាច់ដុំ ពិបាកហាមាត់និយាយ ញ័រខ្លួន ហៀរទឹកមាត់ គ្រាប់ភ្នែកចេះតែសំលឹងមើលទៅលើហើយករបស់គាត់ចេះតែកាច់ទៅក្រោយ។ រោគសញ្ញាតាំងនេះកើតមានបន្ទាប់ពីគាត់ប្រើថ្នាំប្រភេទ Neuroleptic។ ក្នុងចំណោមផលវិបាកក្រោមតើផលវិបាកមួយណាដែលត្រឹមត្រូវជាងគេ a. Enuresia b. Akatisia c. Acute dystonia d. Neuroleptic malignant syndrome e. tardive dyskinesia 45 / 60 យុវជនម្នាក់អាយុ ២៦ ឆ្នាំបានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី ១២ កក្កដា ២០១៦ ដោយមានរោគសញ្ញា សំរាន្ដមិនលក់ និយាយ និងសើចម្នាក់ឯងដោយឥតហេតុផល កាច ឆាប់ខឹងជួនគាត់ដើរត្រាច់ចរដោយគ្មានទិសដៅពិតប្រាកដ។ រោគសញ្ញាទាំនេះកើតមានប្រហែលរយៈពេល ៣ ឆ្នាំមកន្លងមកហើយ។ គាត់ធ្លាប់ទទួលការព្យាបាលដោយគ្រូបូរាណតែសភាពជំងឺដូចជាមិនមានលក្ខណះល្អប្រសើរឡើយ។ ក្នុងចំណោមការព្យាបាលខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ: a. Antipsychotic b. Antidepressant c. Conselling d. Rehabilitation e. psychotherapy 46 / 60 A 5 years old girlseems not sensitive to parent’s sound. She rarely gives eye contact and facial expression toward her parents and other family member. She is unable to perceive responses of other around her. These patterns of behavior has been noticing since she was 12 months old. Which below diagnosis should he be considered? a. Mild mental retardation b. Autistic disorder c. Severe mental retardation d. Profound mental retardation e. Moderate mental retardation 47 / 60 Which of below diagnosis is not included in the Pervasive Development Disorders? a. Conduct disorder b. Asperger disorder c. Childhood disintegrative disorder d. Autistic disorder e. Rett disorder 48 / 60 A 7 years old boy cannot control his own sphincter. He cannot communicate effectively with his parents and family members even simple calculation. As a result, his parents do not allow him to go to school. Which below diagnosis should he be considered? a. Autistic disorder b. Mild mental retardation c. Profound mental retardation d. Moderate mental retardation e. Severe mental retardation 49 / 60 The main core component ofmental retardation is: a. Intellectual impairment b. Mathematic skill impairment c. Impairment of all areas d. Motor and coordination impairment e. Social and language impairment 50 / 60 Profound mental retardation has level of intellectual impairment below: a. IQ: 35 – 40 to 50 – 55 b. IQ: 20 – 25 to 35 – 40 c. IQ: 50 – 55 to > 70 d. IQ: 70 – 75 to 90 – 100 e. IQ: < 20 51 / 60 Which method is the most appropriate intervention for mental retardation? a. Dietary modification b. Surgery c. Habilitation d. Rehabilitation e. Improve or advance cerebral function 52 / 60 A 12 years old child has difficulty in eating or dressing, does not learn and develop skills as fast as other children do. The child is said: a. Pervasive development disorder b. Eating disorder c. Conduct disorder d. Autistic disorder e. Mental retardation 53 / 60 Which one below is not belong to the core component of mental retardation? a. Intelligence quotient below 70 b. Deficit and impairment in adaptive behaviors c. Difficulty in developing social reciprocity d. Sub-average general intellectual functioning e. Onset before 18 years old 54 / 60 A 23 year old man, who comes to the OPD because of long-standing suspiciousness and mistrust of people in general. He is often hostile, irritable and angry. He refuses responsibility for his own feeling and assign responsibility to others. The symptoms have been worse since 6 months. What is the tentative diagnosis of the patient? a. Paranoid personality disorder b. Paranoid schizophrenia c. Delusional disorder d. Manic with psychotic symptoms 55 / 60 A 23 year old man, who comes to the OPD because of long-standing suspiciousness and mistrust of people in general. He is often hostile, irritable and angry. He refuses responsibility for his own feeling and assign responsibility to others. The symptoms have been worse since 6 months. What is the essential feature of this man? a. An charming and ingratiating exterior b. An impression of being cold and aloof c. An grandiose sense of self importance d. An pervasive and unwarranted tendency 56 / 60 A girl is 20 years old who comes to psychiatric out patient department with her mother because she almost always appear to be in a state of crisis. She can be argumentative at one moment and depressed at the next and then complain of having no feeling at another time. Her behaviour is highly unpredictable. Her lives is reflected in repetitive self-destructive acts. What is the feeling of the patient? a. Coldness and detachment b. Irritability and aggressiveness c. Chronic feelings of Emptiness d. Lack of remorse 57 / 60 LB is a 18 years old female, single who comes to the psychiatric out patient department because she doesn’t want to participate in team activities and shows an extreme sensitive to rejection. She is shy and needs strong guarantees of uncritical acceptance. These issue have been worse for 1year. What is a pervasive pattern of LB? a. Grandiosity b. Perfectionism c. Social inhibition d. Social detachment 58 / 60 KD is 25 years old, comes to Psychiatric Out Patient department because she subordinate her own needs to those of others, gets others to assume responsibility for major areas in her live. She lacks of self- confidence and may experience intense discomfort when alone for more than a brief period. What is the most important feeling of the girl? a. Is unwilling to get involved with people b. Requires excessive admiration c. Is preoccupied with fear of being left d. Is reluctant to delegate tasks to others 59 / 60 A girl is 20 years old who comes to psychiatric out patient department with her mother because she almost always appear to be in a state of crisis. She can be argumentative at one moment and depressed at the next and then complain of having no feeling at another time. Her behaviour is highly unpredictable. Her lives is reflected in repetitive self-destructive acts. What is the most prominent behaviour of the girl? a. Self-mutilating behaviour b. Eccentric behaviour c. Self-dramatization behaviour d. Repeated physical fights behaviour 60 / 60 A girl is 20 years old who comes to psychiatric out patient department with her mother because she almost always appear to be in a state of crisis. She can be argumentative at one moment and depressed at the next and then complain of having no feeling at another time. Her behaviour is highly unpredictable. Her lives is reflected in repetitive self-destructive acts. What is the pervasive pattern of this girl? a. Excessive emotionality and attention seeking b. Social and interpersonal deficits c. Disregards for and violation of the rights of others d. Instability of interpersonal relationships Your score isThe average score is 89% Facebook 0% Restart quiz Any comments? Send feedback