Psychiatrie Test

•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:

•Look back to his anticonvulsant treatment in 2012 he got sad, depressed mood, self-blame, reduced activities, poor appetite, poor sleep, hopeless, low self-esteem for an episode around 10 months. His therapist added Amitriptilline 25mg oral evening for 6 months and Diazepam 5mg oral at night for 7 days for his insomnia. He was completely recovered from depression, but the Anticonvulsants had been continuing. Only one is a sedatif- hypnotic drug:

•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.- Haloperidol is an:

•A man, named KH, 35 years old from Takeo province, taking per os Carbamazepine 200 mg, 1 tablet morning and 1 tablet evening since 2007 to stop convulsions. He is regular with this medication. If he stops carbamazepine even 1 tablet, convulsion will happen. Carbamazepine 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.- Unnecessary combined prescription of Anticonvulsants with Antipsychotics in:

•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.Aura in this case is:

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). In child psychiatry, the direct intervention to the children is for:

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). In child psychiatry, family therapy will be needed 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. Which of the below explanations describe the reason that the above parents did not bring the child for intervention?

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 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). Child psychiatric treatment is made by a team consisting of:

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 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). In child psychiatry, the intervention directed toward the teachers and others is for:

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:

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

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

•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 most medical condition should be explore?

•A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Find the best statement of mental disorders for this patient.

•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 diagnosis should be the most consider?

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

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

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

•The important statement disruptive people’s work and prevent from doing thing could be explained as:

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

•The counseling obstacle as is the main consideration:

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

•The missing of one structure in ABC model which is the consequent of psychological symptoms should be consider:

A 30 year old unmarried women of average socio-economic background believes that her boss is an secretly love with her. She rings him up at odd hours and writes love letter to him despite his serious warning to do so. She holds this belief despite contradiction from family members and his denial. However she is able to manage her daily activities as befor She is most likely to be suffering from –

A patient of schizophrenia treated for 5 yrs developed perioral movements.Likely diagnosis is:

Antipsychotic drug with prolonged action –

អ្នកដែលញៀននឹងថ្នាំប្រភេទ Amphetamine, បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ ( Amphetamine withdrawal) អ្នកជំងឺអាចមានរោគសញ្ញា ៖

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

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

A patient on antipsychotic for past four weeks is brought to the emergency with complaint of acute onset of fever, excessive sweating confusion, rigidity of limbs and decreased communication. Examination reveals Temperature of 39 Degree C , P/R – 120/min BP – 150/100 with disorientation.What is the most probable diagnosis –

រយៈពេលខ្លីបំផុតក្នុងការសាកល្បងប្រើប្រាស់ថ្នាំ Antipsychotic ក្នុងការព្យាបាលជំងឺ Schizophrenia ៖

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 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 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 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 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 confirm the precise diagnosis?

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 psychological intervention could not be applied?

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 34-year-old man with somatic symptom disorder presents at outpatient department. 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 goals of treatment is not correct for this case?

A 35-year-old woman used to present with conversion disorder. Which of the following approaches may prevent the relapse?

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 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. 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 belong to cognitive behavioral therapy for this case?

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 45-year-old woman with illness anxiety disorder presents at outpatient department. Which of the following medications would be the most suitable?

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

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. What information do you need to confirm the precise diagnosis?

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 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 38-year-old woman with illness anxiety disorder. Which of the following approaches is not suitable for management?

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. Which of the following techniques could not be applied?

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?