Psychiatrie DCEM2B - 2016

I- 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:

I- 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 are the most important patient’s information you need to explore:

I- 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 are the common symptoms you need to explore:

I- 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 are the main differential diagnosis you need to rule out:,

I- 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:

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: What are the most important symptoms you need to explore:

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: 2- What are the main evidence that he has psychological problem:

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: 3- What is the main symptoms for the psychiatric diagnosis :

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: 4- Which is the relevant psychological symptoms could be follow by the above event:

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: 5- What are the differential diagnosis you need to rule out :

II- Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: 6- What is the probably diagnosis of this patient:

III- An emotional condition classified by excessive checking could explain as:

IV- 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. 1- What is the emotional response of this patient?

IV- 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. 2- What is the probably diagnosis of this patient?

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

VI- Individuals experience concerns about embarrassment and are afraid that others will judge them to be anxious, weak, “crazy”, or stupid. The emotional will be:

VII- Mrs. B 36 years old, married, seller, lives in Kandal province come to emergency because of suddenly emotional disturbance for 2-3 times/ month, such as: perspiring, heart palpitation, difficulty to breath in (dyspnia), difficulty to control this emotion and fear of dying for around 4 weeks. She had BP= 130/80mmgh, Pouls= 102 /mn, other medical investigation reveal no abnormality related to the medical illness noted. 1- What are the additional important symptoms you need to explore:

VII- Mrs. B 36 years old, married, seller, lives in Kandal province come to emergency because of suddenly emotional disturbance for 2-3 times/ month, such as: perspiring, heart palpitation, difficulty to breath in (dyspnia), difficulty to control this emotion and fear of dying for around 4 weeks. She had BP= 130/80mmgh, Pouls= 102 /mn, other medical investigation reveal no abnormality related to the medical illness noted. 2- What are the laboratory test you need to ask for:

VII- Mrs. B 36 years old, married, seller, lives in Kandal province come to emergency because of suddenly emotional disturbance for 2-3 times/ month, such as: perspiring, heart palpitation, difficulty to breath in (dyspnia), difficulty to control this emotion and fear of dying for around 4 weeks. She had BP= 130/80mmgh, Pouls= 102 /mn, other medical investigation reveal no abnormality related to the medical illness noted. 3- What are the common feature that the patient had those symptoms:

VII- Mrs. B 36 years old, married, seller, lives in Kandal province come to emergency because of suddenly emotional disturbance for 2-3 times/ month, such as: perspiring, heart palpitation, difficulty to breath in (dyspnia), difficulty to control this emotion and fear of dying for around 4 weeks. She had BP= 130/80mmgh, Pouls= 102 /mn, other medical investigation reveal no abnormality related to the medical illness noted. 4- What is the probably diagnosis of this patient:

VIII- Anxiety disorder is the psychological response which could be biological explain as:

Anxiety disorder is biological change in GABA A receptor which can be explained as:

X- 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 is the problem of the psychological symptoms of SK?

X- 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. 2- What are the probably diagnosis of SK?

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. 1- What is the most striking aspect in the clinical interviews?

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. 2- What is a pervasive pattern of LB?

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 feeling of LB?

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. 4- What is the most important history you need to explore?

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. 5- What is the most important patient’s information 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. 1- What is the essential feature of this man?

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. 2- What is the most important history you need to look for?

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. 3- What is the most important man’s information you need to know?

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 family 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 are the feelings of the man?

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 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 pervasive pattern of this girl?

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 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 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 important girl’s information you need to know?

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 tentative diagnosis of the patient?

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 a pervasive pattern of KD?

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 prominent behaviour of KD?

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?

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 tentative diagnosis of the patient?

���ុ​រសម្នាក់អាយុ៤៥ឆ្នាំ​ បានមកពិនិត្យផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី២០មិថុនា២០១៦ ដោយមានរោគសញ្ញា ញ័រខ្លួនប្រាណ សំរាន្តមិនលក់ ក្តៅខ្លួន ចង្អោរ ស្បែកគាត់ឡើងពណ៌លឿង។​ គាត់ធ្លាប់មានប្រវត្តិពិសារស្រាច្រើន រៀងរាល់ថ្ងៃ និងយូរឆ្នាំ។ ចំណោមរោគវិនិច្ឆ័យខាងក្រោម តើមួយណាដែលត្រឹមត្រូវជាងគេ

���ុវនារីម្នាក់អាយុ ២៥ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី ២៧មិថុនា ២០១៦ ដោយមានរោគសញ្ញា រឹងសាច់ដុំ ពិបាកហាមាត់និយាយ ញ័រខ្លួន ហៀរទឹកមាត់ គ្រាប់ភ្នែកចេះតែសំលឹងមើលទៅលើហើយករបស់គាត់ចេះតែកាច់ទៅក្រោយ។ រោគសញ្ញាតាំងនេះកើតមានបន្ទាប់ពីគាត់ប្រើថ្នាំប្រភេទ Neuroleptic ។ ក្នុងចំណោមផលវិបាកក្រោមតើផលវិបាកមួយណាដែលត្រឹមត្រូវជាងគេ

���ុវជនម្នាក់អាយុ ២១ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកេជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី១២ឧសភា២០១៦ ដោយមានរោគសញ្ញា សំរាន្តមិនលក់ និយាយ និងសើចម្នាក់ឯងដោយឥតហេតុផល កាច ឆាប់ខឹង ជួនគាត់ដើរត្រាច់ចរដោយគ្មានទិសដៅពិតប្រាកដ។រោគសញ្ញាទាំនេះកើតមានប្រហែលរយ:ពេល ១ឆ្នាំមកន្លងមកហើយ។ ក្នុងចំណោមរោគវិនិច្ឆ័យខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ:

���ុវជនម្នាក់អាយុ ២៦ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃ ទី១២កក្កដា២០១៦ ដោយមានរោគសញ្ញា សំរាន្តមិនលក់ និយាយ និងសើចម្នាក់ឯងដោយឥតហេតុផល កាច ឆាប់ខឹង ជួនគាត់ដើរត្រាច់ចរដោយគ្មានទិសដៅពិតប្រាកដ។រោគសញ្ញាទាំនេះកើតមានប្រហែលរយ:ពេល ៣ ឆ្នាំមកន្លងមកហើយ ។ គាត់ធ្លាប់ទទួលការព្យាបាលដោយគ្រូបូរាណតែសភាពជំងឺដូចជាមិនមានលក្ខណះល្អប្រសើរឡើយ។ ក្នុងចំណោមការព្យាបាល ខាងក្រោមតើមួយណាដែលត្រឹមត្រូវជាងគេ:

���្នកជំងឺម្នាក់ជឿយ៉ាងមាំនិងអះអាងថាខួរក្បាលរបស់គាត់បានរលួយអស់ហើយ។ចូរជ្រើសរើសយកចំឡើយមួយដែលត្រឹមត្រូវជាងគេ

Delirium Tremens (DTs) មានរោគសញ្ញា

���្នកដែលញៀននឹងថ្នាំប្រភេទ amphetamine បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ (amphetamine withdrawal) អ្នកជំងឺ អាចមានរោគសញ្ញា

���ារប្រើប្រាស់ប្រភេទថ្នាំamphetamineអាចបណ្តាលអោយមានរោគសញ្ញាផ្លូវចិត្តធ្ងន់ធ្ងរជាពិសេសគឺអារម្មណ៍(affective)។ តើរោគសញ្ញាខាងក្រោមណាមួយដែលជាចំឡើយត្រឹមត្រូវជាងគេ :

���ារសើ្នរអោយអ្នកជំងឹបកស្រាយអត្ថន័យនៃសុភាសិតរឺអត្ថនយ័បង្កប់នៃប្រយោគណាមួយគឺជាវិធីសាស្រ្តនៃការវាយតំលៃទៅលើ

���ំឡើយខាងក្រោមនេះ តើរោគសញ្ញាណាមួយជារោគសញ្ញារបស់ជំងឺ Schizophrenia:

Psychosis មានន័យថាៈ

Neologism មានន័យថា :

���ំងឺ Schizophrenia ច្រើនកើតលើមនុស្ស

���ុលស្រា (Alcohol intoxication) មានរោគសញ្ញា

���ារកើតមាននូវសំទុះចិត្តពីផ្ទុយគ្នាកើតឡើងនៅលើមនុស្សតែម្នាក់និងក្នុងពេលតែ មួយគឺជា:

Delirium Tremens ( DTs) មានរោគសញ្ញាៈ

���ាមកត្ដា Biology មូលហេតុដែលបណ្ដាលអោយមានជំងឺ Schizophrenia បណ្ដាលមកពី

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 LEAD IN QUESTION: What is the most likely appropriate treatment for this patient ?

Mental retardation is:

The main core component of mental retardation is:

Which one below is not belong to the core component of mental retardation?

Intelligence quotient is used to rate the below condition:

Mild mental retardation has level of intellectual impairment below:

Moderate mental retardation has level of intellectual impairment below:

Severe mental retardation has level of intellectual impairment below:

Profound mental retardation has level of intellectual impairment below:

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:

Etiology of mental retardation

Which method is the most appropriate intervention for mental retardation?

Autistic Disorder is:

The fundamental elements of Pervasive Developmental Disorders are:

Which of below diagnosis is not included in the Pervasive Development Disorders?

Autistic disorder is often associated with:

Which symptom below is not belong to manifestations of autistic disorder?

A 65 years old man has presented impairment in Intellectual Function following a head trauma caused by traffic accident, what does this condition called?

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 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?

When to say an autistic child has improved (after a series of multiple disciplinary interventions)?

What is somatic symptom disorder?

What is illness anxiety disorder?

What is conversion disorder?

Individuals with few years of education or low socioeconomic status could be risk factors of:

Individuals with dysfunctional family relationship could be risk factors of:

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

Unexplained physical symptom in Somatic symptom disorder means:

Multiple, recurrent physical complaints could be the clinical feature of:

Excessive preoccupation with having an undiagnosed medical condition could be the clinical feature of:

Excessive thought, feeling, and behavior to events or activities could be the symptom of:

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

Therapist has to be careful about Malingering for diagnosing:

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 information you need to explore?

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 are his clinical features?

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 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 information you need to explore?

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 are her clinical features?

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 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 information you need to explore?

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 are the probable etiologies?

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 grand mal in Epilepsy is an/a:

A patient with epilepsy can’t develop:

���សថប្រឆាំងការ​ប្រកាច់ (anticonvulsants) និងឱសថប្រឆាំងវិកលចរិត (antipsychotics) មិនអាចអោយប្រើរួមគ្នាបាននៅពេល

���ារព្យាបាលអោយបាត់ប្រកាច់ដោយឱសថប្រឆាំងការប្រកាច់ មានសារប្រយោជន៍ចំពោះជិវិតអ្នកជំងឺដូចតទៅ

Aura is a/an :

There is only one syptom of grand mal

The anticonvulsant is a/an

Electrical discharge by neurons in central nervous system is a result of

Electrical discharge by neurons in central nervous system can be measurable by

Unconscious in generalized seizures in epilepsy can be reversible

Only one is a sedatif-hypnotic

An emotional condition classified by excessive checking could explain as