Psychiatry

Listening is also called as critical listening?

Therapeutic

Discriminative

Empathic

Evaluative

With regard to counseling, the best statement is:

It is done by trained by counselors

It is about the best possible advise

It involves empathy and compassion

It is teaching to help people help themselves by increasing self understanding.

A common misconception about counseling is that it:

Giving direct advice to clients

Is synonymous with psychotherapy

Is most effective in psychiatric patients

Require regular daily sessions

Confidentiality can be breached:

When the patient does not listen to the doctor

When patient authorizes to do so

For a patient who requires invasive treatment.

When the patient is not compliant

The goal of treatment anxiety disorders is to help the person function well:

Only by pharmacotherapy

Only by Cognitive behavioral therapy

Only by counseling

By pharmacotherapy and psychotherapy

Adverse effects of sertraline is:

Nausea, diarrhea, insomnia, and sexual side effects

Cause weight gain

Drowsiness

All of above

Automatic negative thinking explain as:

Suicidal attempt

Guilty

Low of Confidentiality

Gradiosity

ABC model is:

The exposure therapy

The relaxation technique

The assessment tool for patient with anxiety Disorders

The Congnitive and behavioral therapy

Consultation- Liaison Psychiatry aim to:

Focus on the practice of psychiatry in collaboration with a range of other health professionals.

Contribute to and promote the highest standards of clinical practice and service development.

Get more effective for psychiatric field.

All of above

Role of C-L Psychiatrist is:

To see the patients with comorbid medical condition.

To receive the referral patients

To provide a service to patients only at the emergency unit

All of above

C-L Psychiatrist aim to explore:

Hallucination and delusion

Psychological response to the medical illness

The Conflict in family

All of above

The risk of Consultation-Liaison Problem is suicidal attempt or threat because of:

Incapacitating medical illness with pain

The previous experience suicide attempt or threat

Male more prevalence than female patients

All of above

Disorientated patient in Consultation-liaison can caused by:

Drug abuse

Metabolic status

Neurological problem

All of above

Refusal to consent to the treatment can be:

Impaired judgment or Cognitive disorder.

Family conflict

Social economic status

All of above

Incidence and prevalence of suicide in psychiatric emergency in European countries about:

10-15/10000

15-20/10000

20-25/10000

30-40/10000

Associated rate of suicide by sex:

Commit suicide male> female and attempted suicide female>male

Commit suicide female> male and attempted suicide male>female

Commit suicide male

All of above

The syndrome of delirium could be:

Neuropsychiatric syndrome

Impairment in cognition

Confusional state

All of above

Incidence and prevalence of delirium by age:

Age > 85: high prevalence

Age > 75: high prevalence

Age > 65:high prevalence

All of above

Delirium patient has hallucinations as:

Usually visual, can be auditory, tactile, gustatory, olfactory

Can be visual or auditory

Usually auditory

Can be auditory, tactile, gustatory, and olfactory

Core symptom of delirium is:

Increased irritability

Sleeplessness

Tangentiality

Hallucinations

Characteristic of attention and memory of delirium is:

Poor memory without marked inattention

Inattention is primary with poor memory

Mild attention problems, inconsistent pattern, memory intact

Poor attention, inconsistent pattern, memory intact

Delirium patient has delusions as:

Paranoid, often fixed

Complex and mood congruent

Fleeing, fragmented, usually persecutory

Frequent, complex, systematized, often paranoid

Treatment of patients with mood disorders should be directed toward several goals:

First, the patient's safety must be guaranteed.

Second, a complete diagnostic evaluation of the patient is necessary.

Third, a treatment plan that addresses not only the immediate symptoms but also the patient's prospective well-being should be initiated.

All of above

None of above

If a depressive disorder does not respond within a reasonable time to the treatment, what should the therapist do?

Check again that the patient has been taking his medication as prescribed.

The diagnosis should also be reviewed carefully.

Check important stressful life events.

A, B, and C are incorrect.

Some pharmacological treatments for resistant depression:

Increase antidepressant to maximum tolerated dose.

If patient has depressive psychosis add an antipsychotic drug.

Try different class of antidepressant drug.

A, B, and C are incorrect.

Prevention of relapse and recurrence depression are:

After recovery, the patient should be followed up for several months by the psychiatric team.

The drug should be continued for about 6 months and then gradually withdrawn.

Mood stabilizer is also effective for long-term maintenance of recurrent depression.

Psychotherapy.

Electroconvulsive therapy (ECT) is indicated for:

The patients who refuse to drink enough fluid.

The patients who present a highly dangerous suicidal risk.

The patients who are unresponsive to antidepressant drugs.

All of the above

None of the above

Which medication we use in patients with recurrent mood disorders is associated with a significant reduction in mortality from suicide?

Which medication may have useful prophylactic effect in patients with refractory bipolar illness?

The treatment of acute mania:

Adherence to treatment, is often a problem, because patients with mania frequently lack insight into their illness, and refuse to take medication.

Many patients in the manic phase are medicated to protect themselves and others from harm.

Patients with severe mania are best treated in the hospital and an adequate response can be achieved within days or weeks.

All of the above

None of the above

-ឱសថប្រឆាំងការប្រកាច់(anticonvulsants)និងឱសថប្រឆាំងវិកលចរិត(antipsychotics) អាចឲ្យប្រើបានរួមគ្នានៅពេលៈ

Epilepsy with psychotic comorbidity

Epilepsy with manic comorbidity

Epilepsy with violence behavior comorbidity

Epilepsy with personality disturbances comorbidity

All above

-ការព្យាបាលឲ្យបាត់ប្រកាច់ដោយឱសថប្រឆាំងការប្រកាច់មានសារៈប្រយោជន៍ ចំពោះជីវិតអ្នកជំងឺដូចតទៅៈ

One answer is not true:

Haloperidol is an antipsychotic

Haloperidol is an anti-manic

Haloperidol is an antiviolence

Haloperidol is an anticonvulsant

Haloperidol is a Dopamine antagonist

What reasons the parents may not bring the child to clinician?

Knowledge of parents about the symptoms

Attitude of parents towards the symptoms

Tolerance of parents on the symptoms

Perception of parents about the symptoms

All above

Which factor does not contribute to psychiatric problems in children?

In order to judge whether any observed emotional, social, or intellectual functioning of a child is abnormal, it has to be compared with:

The corresponding normal development for the age group

The corresponding abnormal development for the age group

The corresponding culture for the age group

The corresponding family for the age group

All above

Since the children are less able to express their problems in word, the evidence of disturbance is based more on:

Observation of behavior made by peers

Observation of behavior made by teachers

Observation of behavior made by parents

Observation of behavior made by clinicians

All above

Treatment of children is direct toward:

The child for retraining and reassuring

The parents for changing their attitude

The teachers for coordinating effort to help the child

The others for coordinating effort to help the child

All above

Treatment of children is made by team consisting of:

Psychiatrists and nurses

Psychologists and psychiatrists

Psychiatrist and pediatricians

Psychiatrist, parents, teachers, social workers and others

All above

Drug use in treatment of children is:

Family therapy will be needed when:

The child’s symptoms appear to be part of a disturbance of the whole family

Child’s problems do not closely related to family function

Parent’s marriage is breaking up

Individual therapy is shown effective

All above

Group therapy can be applied with:

The reasons for admission the child in the hospital is:

When behavior disorder is too severe to treat in any other way

When the diagnosis is uncertain

When home is disturbing environment

When parents request

All above

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