Psychiatrie Test

•Which is the most considered in cognitive behavioral therapy (CBT) of social phobia?

•During the first visit patient is mostly feels anxious. Which is statement should be considered:

•The breath relaxation is one effective technic which is the best statement of the therapist apply for their patient to:

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

•An excessive or aroused state characterized by feelings of apprehension, uncertainty and fear. Which is the best group of mental disorders should be considered?

•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. Which is the first choice of medicine should be prescribe for this patient during the 1st visit.

•A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the best start recommended of the dosage by using Fluoxetine for this patient.

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

•The patient comes to Psychiatric OPD with complaint of difficulty falling asleep, fearful, palpitation, trembling with the performance at school. Which is the best long-term treatment of antidepressant you will choose?

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

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 statement should be the most explored?

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

•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:

•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:

•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:

•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:

•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:

•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. 2-Serotonin reuptake inhibitor is a process of:

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 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 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 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 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 40-year-old woman with somatic symptom disorder for past 11 years. 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. Which of the following techniques could not be applied?

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

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

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 49-year-old woman with conversion disorder. Which of the following factors will have effect on her 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. Which of the following interventions belong to supportive psychotherapy for this case?

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 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 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 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. Which of the following medications could be prescribed?

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 interventions is not correct for management?

Which of the following antidepressants is called selective serotonin reuptake inhibitor ?

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 –

គោលបំណងនៃការធ្វើ Tetiary prevention :

Vasanti 45 years, was brought to casualty with abnormal movements which induced persistent deviation of neck to right sid One day before she was prescribed Haloperidol 5mg three times daily from the psychiatry OP She also had an alternation with her husband recently. Which of the following is the most likely cause for her symptoms –

ថ្នាំដែលមានសកម្មភាពប្រឆាំងនឹង Receptor នៃ Dopamine (The dopamine receptor antagonists) មាន:

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

Antipsychotic drug with prolonged action –

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 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 parents is for:

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 7 years old boy has been presenting aggressive behavior in inappropriate circumstances for 6 months. In the beginning, the aggression happened once or twice a month. Last week, following a serious dispute of his parents, the boy attempted to harm himself many times. Which intervention should be the best?

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 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 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). The evidence of the disturbance will be based on:

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 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? Group therapy can be applied with group of:

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 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?