Psychiatrie Test

ការប្រើប្រាស់ប្រភេទថ្នាំ Amphetamine អាចបណ្ដាលអោយមានរោគសញ្ញាផ្លូវចិត្តធ្ងន់ធ្ងរជាពិសេសគឺអារម្មណ៍ (affective)។ តើរោគសញ្ញាខាងក្រោម​ ណាមួយដែលជាចំឡើយត្រឹមត្រូវជាងគេ:

A 23 year – old, male living in Pursat, he come to see the Dr at KSFH on 30.6.16 This patient brought to the hospital by his mother because of strangebehavior, poor sleep, talkative, paranoid ideas, wandering and disorganized speech. These problem stated for 1 week after he had conflict with his neighbor. BP : 12/70 , T : 37, Pulse : 60/mn: What is the most likely appropriate treatment for this patient ?

យុវជនម្នាក់អាយុ ២១ ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកេជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី ១២ ឧសភា ២០១៦ ដោយមានរោគសញ្ញា សំរាន្ដមិនលក់ និយាយ និងសើចម្នាក់ឯងដោយឥតហេតុផល កាចឆាប់ខឹង ជួនគាត់ដើរត្រាចចរដោយគ្មានទិសដៅពិតប្រាកដ។ រោគសញ្ញាទាំនេះកើតមានប្រហែលរយៈពេល ១ ឆ្នាំមកន្លងមកហើយ។

ក្នុងចំណោមរោគវិនិច្ឆ័យខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ:

អ្នកដែលញៀននឹងថ្នាំប្រភេទ amphetamine បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ (amphetamine withdrawal) អ្នកជំងឺ អាចមានរោគសញ្ញា

ចំឡើយខាងក្រោមនេះ តើរោគសញ្ញាណាមួយជារោគសញ្ញារបស់ជំងឺ Schizophrenia:

Anxiety ៖

Schizophrenia​ ស្ថិតនៅក្នុង Psychotic disorders ដែលជា៖

នៅក្នុង Learning Disorders មាន

ពាក្យសំរាយរបស់ពាក្យ IQ

រោគសញ្ញានៃ Borderline Personality Disorder

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 the most important history you need to explore?

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 differential diagnosis to rule out?

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?

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 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 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 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 most important history you need to look for?

Moderate mental retardation has level of intellectual impairment below:

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?

Intelligence quotient is used to rate the below condition:

The fundamental elements of Pervasive Developmental Disorders are:

Etiology of mental retardation

Mr. B is a World War II veteran and is awoken every night by nightmares of events that occur when he was fighting overseas. This scenario describes which of the following anxiety disorders?

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 probably diagnosis of this patient:

Patient SK 23 years old man, live in Kandal province, single, come to psychiatric OPD because of changing behavior such as concerned every things. Especially turned on the light, refrigerator, fan and other 2 -3 times before getting out home. His behavios happen for 2 months ago. What are the probably diagnosis of SK?

A patient comes with physical symptoms that could not explain in the medical condition were trouble patient’s functioning for more than one year such as: fatigue, trembling, muscle tension, palpitation, nausea, headache and difficulty breathing. Which is the most probably diagnosis could be consider?

The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent isn’t devote time to children in the statement below?

Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most explanation the “ reverses stress response” in the following statement activities?

Recent evidence suggests that at least some phobias are closely associated with the emotion of:

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 emotional response of this patient?

The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent establish clear roles in the statement below?

The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent is lenient in the statement below?

D is a young adult male in college. In the previous year he was fearful in class and meeting new people. He being embarrassed in public situations. He sometime experiences of palpitation/ pounding heart, trembling, difficulty breathing and problem of sleep. He had low of level studying noted. He used to see GPs which was not found any medical condition. Which is the most adolescence development state related to his symptoms?

A 40-year-old, widow with 3 children, she comes to see the psychiatric outpatient clinic alone (on 1st August 2017). She complained of poor sleep, poor appetite, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about three months prior to consultation (In 2012, she had mental illness the same now and was treated at psychiatric department for one year). Her blood pressure is 120/70, pouls is 80/mn. What is her accurate diagnosis?

Which of the following is considered to be a symptom of depressive disorder?

A 30-year-old, widower with depression is treating in the psychiatric outpatient clinic. During the treatment, he returned of symptoms of depression before a full remission has been reached. What do they call in his situation?

A 25-year-old, widow with 2 children, she comes to see the psychiatric outpatient clinic alone. She complained of oversleeping, overeating, weakness, feelings of guilt, problems thinking and making decisions, and worry too much. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure is 110/70, pouls is 80/mn. What is her accurate diagnosis?

Which of the following is a selective serotonin reuptake inhibitor?

The DSM-IV-TR also allows clinicians to specify that the disorder was with delayed onset if the onset of the symptoms was:

A 52-year-old, widow with 3 children, she comes to see the psychiatric outpatient clinic alone. She complained of poor sleep, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure is 120/80, pouls is 80/mn. What is her accurate diagnosis?

A 25-year-old, widow with 2 children, she comes to see the psychiatric outpatient clinic alone. She complained of oversleeping, overeating, weakness, feelings of guilt, problems thinking and making decisions, and worry too much. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure is 110/70, pouls is 80/mn. Which medication is better for this patient?

A grand mal in Epilepsy is an/a:

The anxiety state become common in an individual, the cumulative effect of mood swing and irritable. Which is the most effect can create in statement below?

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. The Aura is:

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 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:

Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below?

Which of the following statements best describes the meaning of somatic symptom disorder?

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 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 17-year-olboy insists that his brain is rotten, despite there are reasonable explanations. Which of the followings is the most likely diagnosis?

Individuals with dysfunctional family relationship could be risk factors of:

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?

Excessive thought, feeling, and behavior to physical complaints could be the symptom of:

Individuals with history of serious childhood bodily disorder could be risk factors of:

What is conversion disorder?

Regarding somatic symptom disorder, which of the following statements is most likely correct?

Unexplained physical symptom in Somatic symptom disorder means:

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 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?