Prof. Pouv Buntheoun 2nd SEM DES

1- An 18 year old boy came to the psychiatry OPD with a complaint of feeling changed from inside. He described himself as feeling strange as if he is different from his normal self. He was very tense and anxious yet could not point out the precise change in him. This phenomena is best called as:

2- Hallucinations which occur at the 'start' of sleep is

3- Knowledge of own disease/illness in Mental status examination

4- Loss of insight is seen in

5- A person who laughs one minute and cries the next without any clear stimulus is said to have -

6- Impaired insight is evident in -

7- Loosening of association is an example of:

8- Acting-out in coping skill means :

9- Loosening of association is an example of:

10- Disorientation occurs in -

11- Perceptual in psychiatry means:

12- Thought process means :

13- A Psychiatric patient who, although coherent, never gets to the point has a disturbance in the form of thought called

14- Emotional resulting from doing something perceived as wrong:

15- In Schizophrenia psychotic symptoms such as hallucinations, delusions, disorganised speech and grossly disorganised or catatonic behaviours are known as:

16- In Schizophrenia when an individual has an irrational conviction that he/she is in danger, this is referred to as:

17- Catatonic Behavior in Schizophrenia is characterized by which if the following:

18- 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 strange behavior, 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 ?

19- An 18-year-old male is brought to hospital by his parents because they have noticed that he has been acting strangely recently. His parents say that the patient has just ‘lost it’ since failing his final examinations. The patient was noted to be giggling to himself, spending almost all his time in his room, and making unusual gestures with his hands. In addition, his speech has been incomprehensible and his parents cannot make any sense of it. The following patients present with a psychotic episode. Select the most appropriate diagnosis from the above that best fits with the following clinical description.

20- A 22-year-old male is admitted to hospital for a psychotic illness and was commenced on an antipsychotic medication. Few days later, he complains of feeling anxious and restless. He is unable to keep his legs from moving and has been pacing up and down the corridors. He is distressed by his symptoms and has been expressing suicidal thoughts. His urine drug screen was negative. Select the most likely diagnosis from the following answer:

21. A 32-year-old patient is being interviewed in his physician’s office. He eventually answers each question, but he gives long answers with a great deal of tedious ( too long ) and unnecessary detail before doing so. Which of the following symptoms best describes this patient’s presentation?

22- A 32-year-old woman with a history of major depressive disorder is found lying on the floor in confusion, with muscles twitching, flushing, and dilated pupils. On arrival to the emergency department she is found to have a widened QRS complex. On which of the following medications did she most likely overdose?

23- A 76-year-old man is diagnosed with dementia of the Alzheimer type. Which of the following chemicals has been most commonly associated with this disease?

24- A 30-year-old female is brought to hospital as she has been violent and hostile to her neighbours. According to the patient, her grandfather was a successful writer and she acquired his fortunes recently. However, she believes that her neighbours have found out about it and claims that she has heard them talking about stealing her money. The following patients present with a psychotic episode. Select the most appropriate diagnosis that best fits with the following clinical description

25. A 35-year-old woman has lived in a state psychiatric hospital for the past 10 years. She spends most of her day rocking, muttering softly to herself, or looking at her reflection in a small mirror. She needs help with dressing and showering, and she often giggles and laughs for no apparent reason. Which of the following is the most likely diagnosis?

25-1- What ‘s type of Medicine should be provided to the patient in the case above

26. Impaired consciousness, visual hallucination, hyperactivity and fragmentary delusions are

27 -Not a proper match

28 - A 24 year old man, occasional alcoholic has got a change in his behavior. He has become suspicious that people are trying to conspire against him though his father states that there is no reason for his fears. He is getting hallucinations of voices commenting on his actions. What is the most probable diagnosis

29- Patient presents with altered behavior, delusions & hallucination suggest

30- Kanitha , age 27 years old , female thinks her nose is ugly, her idea is fixed not shared by anyone else. Whenever she goes out of home, she hides her face with a cloth. She visits to surgeon. Next step would be

31- In the absence of auditory hallucination, visual or tactile hallucinations are in favour of one the following conditions

32- A 30-year-old man firmly believes that the alien has put an implant in his body and he feels there is a pushing sensation on his aorta. Which types of hallucinations BEST suited his description?

33- Which of the following social factors is MOST LIKELY to be associated with relapse of schizophrenia after hospitalization?

34- Which of the following schizophrenia patients has the HIGHEST suicide risk?

35. A 25year old university student presented with a history of a ‘schizophrenic episode’ following a few months of social withdrawal, symptoms of paranoia and auditory hallucinations. She was given a drug which she used for a year and a half. Her thought disorder improved but according to her mother she developed strange slow movements of mouth and upper body. The following antipsychotics, which has the highest risk of causing this condition:

36- A chronic Schizophrenic patient comes to the physician with irregular choreoathetoid movements of her hands and trunk, the movements get worse under stressful conditions. Which of the following medications is most likely to have caused this disorder?

37- Anticholinergic drug should not be given routinely because they may cause:

38- In Schizophrenia when an individual has an irrational conviction that he/she is in danger, this is referred to as: