(OUV) Anes-Réa + Onco + Mala Inf + Chir Dige + Psy + Ophtha

L’état de choc est caractérisé par :

Le mécanisme physiopathologique de l’état de choc au stade compensé est basé sur :

La physiopathologie des états de choc au stade de décompensation, il y a :

Dans l’état de choc, parmi les signes suivants, lequel est la conséquence tissulaire?

Devant un patient présentant une plaie du cuir chevelu avec une fracture ouverte du fémur gauche et à l’arrivée aux urgences une pâleur, agitation, PA = 60/40mmHg – pouls=130c/mn. Quel examen biologique faites-vous en premier ?

Dans le diagnostic clinique des états de choc, quel est le signe qui caractérise l’hypoperfusion tissulaire ?

Aux urgences, en face de vous un patient dyspnéique, tachycarde avec chute tensionnelle qui tousse et frisonne depuis 7 jours. Quel examen paraclinique à demander en priorité ?

Devant une douleur abdominale diffuse avec contracture , arrêt des matières et de gaz. En plus l’examen révèle une instabilité hémodynamique avec trouble de la conscience. Quel bilan paraclinique en 1ère intention ?

Quel est l'examen paraclinique qui permet d'évaluer le profil hémodynamique dans un choc quel qu'il en soit ?

En cas de choc septique , quel bilan infectieux en priorité , avant toute antibiothérapie ?

Dans le choc cardiogénique ,il y a :

Une dame de 30 ans est arrivée au service des urgences pour douleur abdominale diffuse , pâleur , agitation et tachycardie à 120c/mn . Sa pression artérielle (PA) est 50/20mmHg . Quel est le diagnostic le plus probable ?

Le traitement symptomatique de tout état de choc est :

Dans un type de choc il ne faut pas effectuer le remplissage vasculaire , lequel ?

Quelle amine est à utiliser en première intention dans le choc cardiogénique ?

Quelle catécholamine est à utiliser en première intention dans le choc septique ?

Quelle amine est à utiliser en première intention dans le choc anaphylactique ?

Quelle catécholamine est à utiliser en première intention dans le choc hypovolémique ?

Quel est le traitement spécifique d'urgence d'un choc septique ?

L'élément de choix d'une antibiothérapie de probabiliste en urgence dans le choc septique est basé sur :

Quelle mesure à prendre dans les suites d'un choc anaphylactique ?

Dans le choc anaphylactique , parmi les médicaments suivants , lequel qui est responsable de l'aggravation du collapsus ?

Devant un état de choc, parmi les signes ci dessous, lequel caractérise sa gravité ?

Quel élément obtenu sur les gaz du sang qui est un reflet de la gravité d’un choc (quelque soit le type de choc) ?

La surveillance clinique de l’efficacité des états de choc est marquée par :

Le coma est une souffrance cérébrale qui se traduit par :

Dans la physiopathologie du coma, l’Aggravation Cérébrale Secondaire d’Origine Systémique (ACSOS) est augmentée par:

Le diagnostic positif du coma est basé sur :

Vous êtes en face d’un patient confus qui a une ouverture des yeux et une flexion anormale des membres supérieurs en réponse à la stimulation douloureuse. Evaluez la profondeur du coma de ce patient en utilisant le score de Glasgow (E-M-V)

Quel signe clinique en faveur d'un engagement temporal ?

Une jeune fille de 25A est emmenée aux urgences par leurs parents pour trouble de la conscience, fièvre depuis 3 jours avec céphalée et vomissements. Quel examen paraclinique en priorité ?

Un patient comateux est emmené au service des urgences par ses voisins. Quel examen paraclinique en première intention ?

L’électroencéphalographie (EEG) est particulièrement importante dans :

La mesure de prise en charge immédiate d’un patient comateux avec GCS 7/15 est :

Le traitement étiologique du coma toxique par benzodiazépine est :

Le traitement spécifique d’un patient comateux post traumatique avec altération progressive de la conscience et signe de localisation est :

Quel principe thérapeutique chez un patient alcoolique en état comateux ?

Aux urgences vous avez un patient comateux qui a une intoxication par les organo phosphorés . Quelle conduite thérapeutique spécifique ?

Sur le scanner cérébral d'un patient dans le coma vous trouvez une tumeur cérébrale avec hydrocéphalie majeure . Quelle conduite thérapeutique d'urgence à discuter ?

Quel examen paraclinique qui peut poser le diagnostic de mort cérébrale ?

Quel est l’étiologie de Leucémie aiguë?

Quelle est la présentation clinique plus fréquence de leucémie aiguë?

Dans numération formule sanguin, quel élément orientent vers Leucémie aigue?

Définition des leucémie aigue selon OMS?

Syndrome infectieux dans leucémie aigue est causé par:

Quel est le principe de traitement des Leucémies aigue?

En cas urgence, dans syndrome de lyse post chimiothérapie, il faut:

Quel est le pronostic post traitement de leucémie aigue lymphoblastique?

Quel est l’indication de la corticothérapie dans les leucémes aiguë?

Neutropénie fébrile post chimiothérapie,dans leucémie aiguë, il faut:

5. Le dépistage du cancer du côlon est particulièrement justifié dans toutes les situations suivantes sauf une. Laquelle?

La courbe de croissance des cellules tumorales est :

La tumeur primitive maligne la plus fréquemment observée au niveau du rectum est :

Une femme de 40 ans, qui a eu ses premières règles à 11 ans et a eu un enfant qu’elle n’a pas allaité à l’âge de 29 ans, est particulièrement exposée à présenter un des cancers suivants. Lequel ?

En France, le cancer le plus fréquent chez la femme est :

Parmi les cinq cancers suivants, quel est celui qui tire un bénéfice statistiquement démontré d’une chimiothérapie adjuvante ?

Le symptôme révélateur le plus fréquent d’un cancer du rein de l’adulte est :

Par convention, la « Chirurgie de principe » répond en cancérologie à l’une des définitions suivantes :

Dans un cancer du sein, la présence de récepteurs hormonaux :

Dans les tableaux métastatiques suivants, quel est celui qui répond à une dissémination hématogène de type porte ?

Parmi les tumeurs osseuses malignes primitives suivantes, quelle est celle qui est d’origine hématopoïétique ?

Lors d’une irradiation transcutanée pour épithélioma du col utérin, des complications précoces liées à cette irradiation sont à craindre surtout au niveau de :

Les œstrogènes tiennent une place importante dans le traitement des cancers de la prostate. Mais leur utilisation peut être déconseillée chez les patients présentant l’une des altérations suivantes. Laquelle ?

Parmi les modifications suivantes, quelle est la plus évocatrice de métastases de la moelle osseuse chez un cancéreux connu ?

Dans ce groupe, la tumeur considérée comme la plus radiosensible est :

Quel est le site métastatique le plus fréquent dans les ostéosarcomes ?

Patient 66A, tabagisme actif 20PA, alcoolisme (1 bouteille de VR/j) sans d’autres comorbidités particulières, hospitalisé pour une dysphagie haute d’apparition progressive et perte du poids (10kg en un mois). Il ne présente aucun antécédent. A l’examen clinique, nous ne trouvons que des adénopathies jugulo-carotidiennes gauches supérieures et moyennes, la plus grande mesurée 3cm. Quel examen d’imagerie le plus important pour faire le bilan loco-régional et d’extension ?

Actuellement, la thérapeutique généralement conseillée en France dans un cancer du sein survenant chez une femme de 45 ans, porteuse d’un cancer inférieur à 1 cm du quadrant supéro-externe sans ganglion axillaire palpable:

Chez une femme de 35 ans présentant une tumeur du sein de 3 cm de diamètre, le seul examen permettant d’affirmer avec certitude le diagnostic de cancer est :

Parmi les propositions suivantes, une seule est exacte. Laquelle ? Une chimiothérapie adjuvante désigne :

Un jeune garçon de 13ans, sans antécédent personnel et familial particulier, est adressé à l’hôpital pédiatrique de Phnom Penh pour des douleurs osseuses diffuses et une fièvre persistante. Il est à 2 mois de son traitement de tuberculose ganglionnaire diagnostiqué à Siem Reap devant une fièvre chronique et une adénopathie médiastinale sur le scanner thoracique. L’examen clinique retrouve une pâleur cutanéomuqueuse, purpuras pétéchiales au niveau du tronc et membres, des polyadénopathies cervicales millimétriques, une hépatomégalie de 3cm sous rebord costale droit et une splénomégalie de 2cm sous rebord costale gauche. Les testicules sont normaux. L’examen neurologique est sans particularité. La TA est à 110/70mmHg, la fréquence cardiaque à 100/mn, la température est à 38.7C, le poids à 37kg, la taille à 140cm. Quel est le diagnostic le plus probable devant ce tableau ?

Un jeune garçon de 13ans, sans antécédent personnel et familial particulier, est adressé à l’hôpital pédiatrique de Phnom Penh pour des douleurs osseuses diffuses et une fièvre persistante. Il est à 2 mois de son traitement de tuberculose ganglionnaire diagnostiqué à Siem Reap devant une fièvre chronique et une adénopathie médiastinale sur le scanner thoracique. L’examen clinique retrouve une pâleur cutanéomuqueuse, purpuras pétéchiales au niveau du tronc et membres, des polyadénopathies cervicales millimétriques, une hépatomégalie de 3cm sous rebord costale droit et une splénomégalie de 2cm sous rebord costale gauche. Les testicules sont normaux. L’examen neurologique est sans particularité. La TA est à 110/70mmHg, la fréquence cardiaque à 100/mn, la température est à 38.7C, le poids à 37kg, la taille à 140cm. Vous demandez un hémogramme qui montre une Hb à 79g/l, VGM 82fl, CCMH 33g/dl, Réticulocyte 70G/l, Plaquette 30G/L, GB 113G/L dont 40 % de PNN, 55% de lymphocyte. Quelle interprétation faites-vous de cet hémogramme ?

Un jeune garçon de 13ans, sans antécédent personnel et familial particulier, est adressé à l’hôpital pédiatrique de Phnom Penh pour des douleurs osseuses diffuses et une fièvre persistante. Il est à 2 mois de son traitement de tuberculose ganglionnaire diagnostiqué à Siem Reap devant une fièvre chronique et une adénopathie médiastinale sur le scanner thoracique. L’examen clinique retrouve une pâleur cutanéomuqueuse, purpuras pétéchiales au niveau du tronc et membres, des polyadénopathies cervicales millimétriques, une hépatomégalie de 3cm sous rebord costale droit et une splénomégalie de 2cm sous rebord costale gauche. Les testicules sont normaux. L’examen neurologique est sans particularité. La TA est à 110/70mmHg, la fréquence cardiaque à 100/mn, la température est à 38.7C, le poids à 37kg, la taille à 140cm. L’examen biochimique montre un Na à 138 mmol/l, K 6 mmol/l, Ca 65mg/l, Ph 1.8mmol/l, Acide urique 120mg/l , LDH 850UI/l , créatininémie à 120mg/l. Quelle est la cause de cette anomalie ?

Un jeune garçon de 13ans, sans antécédent personnel et familial particulier, est adressé à l’hôpital pédiatrique de Phnom Penh pour des douleurs osseuses diffuses et une fièvre persistante. Il est à 2 mois de son traitement de tuberculose ganglionnaire diagnostiqué à Siem Reap devant une fièvre chronique et une adénopathie médiastinale sur le scanner thoracique. L’examen clinique retrouve une pâleur cutanéomuqueuse, purpuras pétéchiales au niveau du tronc et membres, des polyadénopathies cervicales millimétriques, une hépatomégalie de 3cm sous rebord costale droit et une splénomégalie de 2cm sous rebord costale gauche. Les testicules sont normaux. L’examen neurologique est sans particularité. La TA est à 110/70mmHg, la fréquence cardiaque à 100/mn, la température est à 38.7C, le poids à 37kg, la taille à 140cm. Deux heures plus tard, il se plainte de céphalée intense avec hypotonie de membre supérieur gauche. En plus, il devient dyspnéique avec SaO2 à 90%. Cette situation urgente est causée par quel mécanisme ?

Un jeune garçon de 13ans, sans antécédent personnel et familial particulier, est adressé à l’hôpital pédiatrique de Phnom Penh pour des douleurs osseuses diffuses et une fièvre persistante. Il est à 2 mois de son traitement de tuberculose ganglionnaire diagnostiqué à Siem Reap devant une fièvre chronique et une adénopathie médiastinale sur le scanner thoracique. L’examen clinique retrouve une pâleur cutanéomuqueuse, purpuras pétéchiales au niveau du tronc et membres, des polyadénopathies cervicales millimétriques, une hépatomégalie de 3cm sous rebord costale droit et une splénomégalie de 2cm sous rebord costale gauche. Les testicules sont normaux. L’examen neurologique est sans particularité. La TA est à 110/70mmHg, la fréquence cardiaque à 100/mn, la température est à 38.7C, le poids à 37kg, la taille à 140cm. Votre sénior explique aux parents les principes de traitement qui reposent sur la corticothérapie et la chimiothérapie avec la possibilité d’allogreffe en cas de réponse insuffisant aux chimiothérapies. Ils pleurent parce qu’ils croient que son fils va mourir comme sa voisine de 65ans qui a la même maladie. Que dites-vous pour les rassurer ?

Quelle est la proposition exacte concernant la particularité épidémiologique des cancers de l’enfant ?

Lequel entre les cancers si dessous est un cancer chez l’enfant ?

3/Concernant la particularité des cancers de l’enfant :

La prise en charge de cancer de l’enfant est faite par :

Le pronostic de cancers de l’enfant :

Un donneur du groupe B+ peut donner son sang à :

Un patient ayant un groupe sanguin O est porteur :

Mme X, est de groupe O rhésus positif phénotype C+, E-, c+, e+, K- et doit etre transfusée en concentrés de globules rouges phénotypés. Quel est celui que l’on peut lui transfuser ?

Le contrôle ultime pré-transfusionnel:

Chez un receveur adulte de groupe sanguin O, les anticorps anti A, anti B

En cas de suspicion d’effet indésirable receveur, on doit :

Au cours d’une intervention pour traitement d’un anévrisme aortique abdominale, une femme de 61 ans a reçu un culot globulaire de groupe A rhésus négatif. Son groupe sanguin est O rhésus positif. Cinq minutes après le début de la transfusion, sa température monte à 39oC et sa pression artérielle chute de 100/60 mmHg a 60/20 mmHg. Quelle est l’explication la plus probable de ces phénomènes?

Lors de la transfusion de plaquettes :

L’ordonnance d’une transfusion plaquettaire doit préciser :

Au moment de la transfusion de plasma frais congelé déleucocyte :

Quel est le diagnostic d’un patient avec état dyspnéique fébrile après 48h d’hospitalisation? (QRU) (SBA)

Devant un tableau de Pneumonie au cours d’hospitalisation, quel examen clinique faites-vous? (QRU) (SBA)

Examen clinique montrait une toux avec des crachats verdâtres avec des crépitants basale droite, quel examen paraclinique demandez-vous pour confirmer le diagnostic ? (QRU) (SBA)

La Radio pulmonaire montrait une opacité floue basale droite. Le diagnostic est confirmé pour une Pneumonie nosocomiale, quel est le germe le plus souvent peut responsable dans cette pathologie? (QRU) (SBA)

Quel est le traitement proposez-vous pour une Pneumonie nosocomiale (germe indéterminé)? (QRU) (SBA)

Quel sont les examens para-cliniques nécessares pour diagnostiquer d`une infection à cryptocoque chez patients VIH+: (QRU) (SBA)

Quand peut on débuter le traitement par des ARV chez d`une méningite tuberculeuse (QRU) (SBA)

Le but d`utilisation des corticoïdes dans le traitement de méningite à TB. (QRU)

Etude des LCR: Quel sont les arguments possible pour diagnostiquer le méningite à TB (QRU) (SBA)

Quand peut on débuter des AVR chez le patient VIH ? (QRU) (SBA)

Définition d’une infection nosocomiale : (QRU) (SBA)

Quelle antibiotiques anti-staphylococcique à choisir devant une infection due au Staph Méti-R: (QRU) (SBA)

Quelle antibiotique peut-on donner pour une infection dû au group de Pseudomonas : (QRU) (SBA)

Quelles sont les infections nosocomiales le plus rencontrée au Cambodge : (QRU) (SBA)

Quel est le cause de l’hyper-éosinophilie le plus rencontré au Cambodge: (QRU) (SBA)

Devant une hyperéosinophilique, quel examen demander vous en premier intention: (QRU) (SBA)

Dans quel l’instant pouvez-vous faire en association les antibiotiques (QRU) (SBA)

Quels sont les points suivient de l’echec antibiothérapie: (QRU)

Le choix de l’antibiothérapie tenir compte selon: (QRU)

Chez un malade adulte en état de choc hypovolémique par déshydratation suite à des pertes digestives, quel est le principe de votre expansion volémique initiale ? (QRU)

Vous êtes appelé au lit d’un patient de 57 ans aux antécédents de BPCO qui présente une DRA avec des signes d’ACR imminent. Vous suspectez un pneumothorax (distension thoracique + silence + tympanisme unilatéral). Que faites (QRU)

Chez quel(s) patients la prescription d’O2 est-elle potentiellement iatrogène ? (QRU)

Chez un patient fébrile hospitalisé, les arguments suivant pour ne pas commencer tout de suite une ATB-thérapie sont corrects, sauf un : (QRU)

Vous prenez en charge un malade en ACC à l’hôpital. Il était en détresse respiratoire depuis plusieurs heures auparavant. Avant de poser un scope, quelle est votre hypothèse pour son tracé ECG ? (QRU)

Vous réalisez une RCP de base chez un patient en ACC. Dans quel ordre réalisez-vous les gestes ? A = Airways (LVAS) ; B = Breathing = ventilation ; C = Circulation = MCE (QRU)

Patient VIH avec crise convulsive généralisée cédant spontanément, Quel est votre diagnostic neurologique? (QRU)

Patient VIH avec crise convulsive fébrile, CD4 à a20/mm3, quel diagnostic évoquezvous en priorité? (QRU)

Quelsont les éléments typiques que vous recherchez sur le scanner pour conforter votre diagnostic? (QRU)

Les Streptocoques sont:

Le dermohypodermite est souvent cause par une infection à:

Comment traite-t-on la rage? (SBA)

Quel est la principale source qui donne la rage aux humaines?

Comment peut-on faire avec la plaie mordue en suspicion de la rage?

Quel est le germe qui donne le plus une infection sur une cathétère perfusée?

Les staphylocoques méticilline resistant:

Comment pour lutter contre une infection nosocomiale?

Les hémocultures

L’ECBC

Melioidose est causé par

Infection de la dengue

Choléra

Tuberculose pulmonaire

Tuberculose pulmonaire

Une infection urinaire

Quel le germe le plus rencontré dans une infection urinaire?

Quel le germe le plus rencontré dans une infection respiratoire bas?

Le germ le plus rencontré pour une méningite au Cambodge

Leptospirose

Rickettiose

Endocardite infectieuse

Vascularisation du gros intestin :

Quels elements cliniques peuvent faire suspecter l’existence d’un cancer colorectal ?

Quel est le type histologique le plus frequent d’un cancer colorectal »

Quel examen paraclinique qui nous aide de diagnostiquer d’un cancer colorectal ?

Quel est l’examen d’imagerie de reference a prescrire pour explorer un cancer du rectum ?

Quelle est la proposition la plus correcte devant un cancer obstructif du colon sigmoide chez un home de 65 ans

Un home age de 60 ans, a presente une rectorrhagie depuis un mois, syndrome rectal avec selles glaireuse et perte du poid. Quel est le diagnostic le plus probable ?

Quelle est la chirurgie realisee en cas de cancer du rectum base avec envahissement du sphincter anal ?

Quel est le type anatomopathologique le plus frequent dans les cancers du pancreas ?

Le cancer du pancreas exocrine se trouve frequament dans

Quels sont les signes cliniques les plus classiquement retrouves dans un cancer de la tete du pancreas ?

Quel examen qui a un valeur de diagnostic du cancer de la tete du pancreas ?

Quel est le marqueur tumoral du cancer exocrine du pancreas ?

Quel est le traitement chirurgical a vise curratif du cancer de la tete du Pancreas ?

Quel est le moyen palliatif le moins aggressif pour prolonger la survie d’un cancer de la tete du pancreas ?

5. Si un cancer de la tete du pancreas est inoperable (non resecable), le traitement palliatif peut prolonger la survie dupatient :

Angiocholite se définit comme:

Toutes les affirmations suivant concernant angiocholite sont justes, sauf une:laquelle?

En chirurgie le drian de kehr est place:

Au cours d’une cholécystectomie on découvre un calcul du cholédoque enclave dans l’ampoulle de vater.Le cholédoque est de petite diameter, quell traitement opératoire proposeriez-vous?

Le cholécystite aiguë , sur le plan pathogénique, est habituellement en rapport avec:

A propose de la pathologie des voies biliaires il est exact que:

Parmi les propositions de traitement d’une cholécystite aiguë chez un adult jeune sans tare visceral, quelle est celle qui est exacte?

Un patient de 75 ans a subi une cholécystectomie il y a un an.On découvre maintenant un calcul cholédocien résiduel de 7 mm.Quel est le traitement que vous proposeriez parmi les proposition suivantes?

Parmi les signes Clinique suivants, quell est le seul permettant au cours d’une cholécystite aiguë de suspecter une lithiase de la voie biliaire principale?

Une crise douleureuse de l’HCD accompagnée de fièvre et suivie d’un subictère conjontival évoque:

Chez une femme de 40 ans ayant fait une première crise de colique hépatique régressive sous traitement symptomatique, l'échographie abdominale montre une lithiase vésiculaire simple. Quelle est la conduite à tenir ?

Parmi les propositions suivantes concernant la crise de colique hépatique, une est inexacte. Laquelle ?

Le traitement habituel de la crise de colique hépatique non compliquée est représenté par la prescription de :

Chez un vieillard , la Lithiase Vésiculaire peut se réveler par :

A propos de la pathologie des voies biliaires (V.B.) il est exact que :

A l'occasion d'un syndrome douloureux de l'hypochondre droit chez une femme de 30 ans en excellent état général, vous découvrez une lithiase biliaire vésiculaire à l'échographie. En cholécystographie, la vésicule est perméable, les calculs font entre 5 et 8 mm. Que pensez-vous devoir proposer ?

Quel est l'examen le plus sensible pour la détection de la lithiase vésiculaire ?

Parmi les affections suivantes, quelle(s) est (sont) celle(s) qui est (sont) susceptible(s) de donner un ictère à bilirubine conjuguée ?

Une femme de 56 ans, sans antécédents notables, présente des crises de colique hépatique qui se répètent de façon rapprochée. Un cliché de l'abdomen sans préparation montre trois images radio-opaques dont l'échographie confirme qu'il s'agit de calculs mobiles dans la vésicule biliaire.

Le prurit au cours d'une Choléstase est en liaison avec:

Une angiocholite se définit comme:

19. Parmi les signes cliniques suivants, quel est le seul permettant au cours d'une cholecystite aiguë de suspecter une lithiase de la voie biliaire principale ?

20. Chez une patiente de 35 ans, en bon état général, jamais opérée et présentant deux calculs dans la VBP, totalement asymptomatique, quelle est la meilleure attitude à adopter ?

La lithiase de la voie biliaire principale:

Le signe de Murphy correspond à :

Quelle complication n'est pas en rapport avec un calcul de la voie biliaire principale?

A 25 years old woman with a history of schizoaffective disorders, she did not sleep, irritable, spoke nonsense, want to run away. She was by the general doctor from the emergency unit. She is six weeks pregnant. Her BP: 120/80mmgh, pulse: 102/mn. The medical illness reveals no pathology noted. Which is the following medication need to be most urgently for the treatment?

A 33 years old woman with a history of schizoaffective disorders is referred for assessment the obstetric team. She has just giving birth to a healthy baby and wishes to breastfeed. They are seeking immediately advice regarding her medication and the risk of breast feeding. Which is of the following medications needs to be the most urgently treated?

A 35 years old man with a history of schizoaffective disorders comes with urinary retention. Which of the following medications is most likely to be responsible?

A 32 years old woman with a diagnosis of schizoaffective disorder being treated with clozapine was found to have mild neutropenia on routine blood investigation. Which of these psychotropic drug is the most likely to have a beneficial effect in correcting this patient’s neutropenia?

A 65 years old woman is referred for assessment the cardiology therapist. He has a history of unstable angina and has become depressed. Which of the following antidepressants would be the most suitable for treating this patient?

A 44 years old woman is attending for treatment of bipolar affective disorders. A routine blood investigation reveals a raised ALP and gamma GT. Which of the following drug is the most caused this abnormality?

A 50 years old woman with a diagnosis of bipolar affective disorder and epilepsy has been well maintained on sodium valproate. She recently has a relapse both illnesses after a second medication was introduced. Which of these medication is the most likely responsible for her relapse?

Which of following statements regarding lithium is most true?

Which of following scenarios is lithium least likely to be effective?

A 35 years old man on lithium for one year for the treatment of bipolar is brought to emergency by his family due to disorientation in his mental state. Following examination give the suspect lithium toxicity. Which of the following would be the most concern?

A 35-year-old man, married, 2 children, accountant with no previous psychiatric history is referred by his family physician for psychiatric evaluation. The physician found that he had mild hyperlipidemia. About 2 months ago, the man began to feel very blue, with a drop in his desire to play with his children and to compete in his usual volleyball. He reports that he has lost most of his libido and is having difficulty sleeping. Which of the following is the most information needed?

A 35-year-old man, married, 2 children, accountant with no previous psychiatric history is referred by his family physician for psychiatric evaluation. The physician found that he had mild hyperlipidemia. About 2 months ago, the man began to feel very blue, with a drop in his desire to play with his children and to compete in his usual volleyball. He reports that he has lost most of his libido and is having difficulty sleeping. Which of the following is the most likely diagnosis?

A 35-year-old man, married, 2 children, accountant with no previous psychiatric history is referred by his family physician for psychiatric evaluation. The physician found that he had mild hyperlipidemia. About 2 months ago, the man began to feel very blue, with a drop in his desire to play with his children and to compete in his usual volleyball. He reports that he has lost most of his libido and is having difficulty sleeping. Which would be the most appropriate initial treatment for this patient?

Serena is 27 years old, accountancy. She complaints of head cold and poor quality sleep. He blood pressure is 105/ 75 mmgh, pouls is 96/ mn. Those symptoms are likely to be symptoms of:

Regarding central serotonergic neurotransmission, which of the following serotonin receptors is most likely to operate presynaptic?

Recent evidence suggests that at least some phobias is closely associated with the emotion of:

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

A 20 years old man comes with the symptoms of the emotional excessive checking his door most of the time. Which is the symptoms below could explain his emotional?

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:

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:

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 patient’s information you need to explore:

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 common symptoms you need to explore:

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:

Mr. A 22 years old, single, worker, from Kg Speu province, come at 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 is the most important symptoms you need to explore:

Mr. A 22 years old, single, worker, from Kg Speu province, come at 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 is the main evidence that he has psychological problem:

Mr. A 22 years old, single, worker, from Kg Speu province, come at 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 is the main symptoms for the psychiatric diagnosis :

Mr. A 22 years old, single, worker, from Kg Speu province, come at 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: Which is the relevant psychological symptoms could be follow by the above event:

Mr. A 22 years old, single, worker, from Kg Speu province, come at 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 is the probably diagnosis of this patient:

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. What is the emotional response of this patient?

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. What is the probably diagnosis of this patient?

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. What are the additional important symptoms you need to explore

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 What is the laboratory test you need to ask for:

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 What is the common feature that the patient had those symptoms:

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 What is the probably diagnosis of this patient:

- 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?

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 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. 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. 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. 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. What is the most important patient’s information you need to explore?

1- 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 girl seems not sensitive to parent’s sound. She rarely gives eye contact and facial expression toward her parents and others family member. She is unable to perceive responses of other around her. These patterns of behavior have been noticing since she was 12 months old. Which below diagnosis should he be considered?

A 5 years old child is comfortable to write letter by left hand. Even though his mother tried to encourage him but it wasn’t successful. Which is the main intervention should be done?

4- A systematic change in the mental processes that underlie all learning and performance is:

A 9-year-old boy has had persisting difficulties in language and interpersonal relationships since the age of 2 years, and, although he can barely read, he is able to perform arithmetic calculations at the fifth-grade level. Which it is most likely diagnosis to be associated? The

An 11-year-old girl has become uncharacteristically and markedly withdrawn in the past 8 months, staying in her room so that she can “talk to the ghosts in the attic.” which it is most likely diagnosis to be associated?

An 11-year-old girl has become markedly withdrawn in the past 8 months and has complained of persisting abdominal pain and constipation, for which no organic cause has been found. Which it is most likely diagnosis to be associated?

A6-year-old boy is reported by his kindergarten teacher to be easily distracted, impulsive, in need of continual supervision, but not hyperactive. Which it is most likely diagnosis to be associated?

A 3-year-old boy spends hours rocking in a chair or spinning the blades of a toy windmill; his parents say he never cries when he falls. Which it is most likely diagnosis to be associated?

After a mother and her young child are playing and interacting with each other as they so often do, the mother suddenly leaves. The observer witnesses the child crying and upset, and when the mother returns, the child will not let go of her. The child is said to be

- A 5 years old child (preschool age), studies at school for 5 months was brought by his mother with learning problem. Which is the following classroom scheduling practice would be developmentally appropriate for this child?

A 5 years old child (preschool age), studies at school for 5 months was brought by his mother with learning problem Which of the following is an example of a specific learning disability for this child?

A 5 years old child (preschool age), studies at school for 5 months was brought by his mother with learning problem Which of the following is an example of an intellectual disability for this child?

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 in the last 6 months. 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 in the last 6 months. 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 in the last 6 months. 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 in the last 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 in the last 6 months. What is the main symptoms 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 in the last 6 months. What is the tentative diagnosis of the patient?

A girl is 20 years old who comes at psychiatric out-patient department with her mother because she almost always appears 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 behavior is highly unpredictable. Her live is reflected in repetitive self-destructive acts. What is the pervasive pattern of this girl?

A girl is 20 years old who comes at psychiatric out-patient department with her mother because she almost always appears 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 behavior is highly unpredictable. Her live is reflected in repetitive self-destructive acts. What is the feeling of the patient?

A girl is 20 years old who comes at psychiatric out-patient department with her mother because she almost always appears 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 behavior is highly unpredictable. Her live is reflected in repetitive self-destructive acts. What is the most prominent behavior of the girl?

A girl is 20 years old who comes at psychiatric out-patient department with her mother because she almost always appears 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 behavior is highly unpredictable. Her live 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 at psychiatric out-patient department with her mother because she almost always appears 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 behavior is highly unpredictable. Her live 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?

A 23 year – old, male living in Pursat, he come to see the Doctor at KSFH on 30.6.16 This patient brought to the hospital by his mother because of strange behavior, poor sleep, spoke nonsense, irritable. These problem stated for 1 week after he had conflict with his neighbor. BP : 12/70 , T : 37, Pulse : 60/mn. What is the most likely appropriate treatment for this patient ?

A 23 year – old, male living in Pursat, he come to see the Doctor at KSFH on 30.6.16 This patient brought to the hospital by his mother because of strange behavior, poor sleep, spoke nonsense, irritable. These problem stated for 1 week after he had conflict with his neighbor. BP : 12/70 , T : 37, Pulse : 60/mn. What is the most probably diagnosi for this patient ?

A 23 year – old, male living in Pursat, he come to see the Doctor at KSFH on 30.6.16 This patient brought to the hospital by his mother because of strange behavior, poor sleep, spoke nonsense, irritable. These problem stated for 1 week after he had conflict with his neighbor. BP : 12/70 , T : 37, Pulse : 60/mn. Which is the suitable medicine for managing this patient ?

A 35 years old woman complaint of fatigue for 1 year. At this time, she had frequently cold and sore throats; sometime she had leg, back, arm pain. The physical examination reveal abnormality in the last 1 year. The excessive preoccupation with having an undiagnosed medical condition could be the clinical feature of:

- A 35 years old woman complaint of fatigue for 1 year. At this time, she had frequently cold and sore throats; sometime she had leg, back, arm pain. The physical examination reveal abnormality in the last 1 year. Excessive thought, feeling, and behavior to physical complaints could be the symptom of:

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 most 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 is the main clinical feature list below?

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 is the most 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 is 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 widower, farmer, 3 children, had a chronic dysfunctional uterine bleeding, upper abdominal pain and back pain with alternating diarrhea and constipation, urinary frequency and dysuria. GPs could not found any physical illness related. What is the most information you need to explore?

A 31-year-old widower, farmer, 3 children, had a chronic dysfunctional uterine bleeding, upper abdominal pain and back pain with alternating diarrhea and constipation, urinary frequency and dysuria. GPs could not found any physical illness related. What is the probable diagnosis?

A 43 years old man complaints of irritable, insomnia, hypervigilance, poor concentration, fearful and palpitation. The symptoms developed 1 week after meeting a man died by traffic accident. What is the probably diagnosis of this patient?

A 43 years old man complaints of irritable, insomnia, hypervigilance, poor concentration, fearful and palpitation. The symptoms developed 1 week after meeting a man died by traffic accident. If the symptoms continue until 6 months, what is the probably diagnosis?

A 19 years old boy, stopped study at grade 6, accompanied by his mother because of convulsion 1- 2times/ months and followed by unconscious for 5-6 minutes. He told the therapist that he felt uncomforted before the convulsion. He had convulsion for nearly 5 years. In the previous 6 months, he changed behavior such as irritable, destroyed things, cried without any reason and sometimes he spoke to himself. He has no history of head trauma. What is the main psychiatric symptom should be considered?

A 19 years old boy, stopped study at grade 6, accompanied by his mother because of convulsion 1- 2times/ months and followed by unconscious for 5-6 minutes. He told the therapist that he felt uncomforted before the convulsion. He had convulsion for nearly 5 years. In the previous 6 months, he changed behavior such as irritable, destroyed things, cried without any reason and sometimes he spoke to himself. He has no history of head trauma. What is the main symptom of convulsion could be considered?

A 19 years old boy, stopped study at grade 6, accompanied by his mother because of convulsion 1- 2times/ months and followed by unconscious for 5-6 minutes. He told the therapist that he felt uncomforted before the convulsion. He had convulsion for nearly 5 years. In the previous 6 months, he changed behavior such as irritable, destroyed things, cried without any reason and sometimes he spoke to himself. He has no history of head trauma. What is the mental health disorder comorbidity with convulsion symptoms of this patient?

A 19 years old boy, stopped study at grade 6, accompanied by his mother because of convulsion 1- 2times/ months and followed by unconscious for 5-6 minutes. He told the therapist that he felt uncomforted before the convulsion. He had convulsion for nearly 5 years. In the previous 6 months, he changed behavior such as irritable, destroyed things, cried without any reason and sometimes he spoke to himself. He has no history of head trauma. What is the following medication should be given to this patient?

A 70-year-old female with chronic paranoid schizophrenia presents to the emergency room acutely confused with visual hallucinations. Her skin is warm and dry and her heart rate is 110 beats per minute. He complained of dry mouth and difficulty initiating urination this past week. Which of the following is the most likely cause for this presentation?

A 70-year-old female with chronic paranoid schizophrenia presents to the emergency room acutely confused with visual hallucinations. Her skin is warm and dry and her heart rate is 110 beats per minute. He complained of dry mouth and difficulty initiating urination this past week. Which of the following is the treatment of choice for this patient’s acute condition?

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 and unnecessary detail before doing so. Which of the following symptoms best describe this patient’s presentation?

A patient with a chronic psychotic disorder is convinced that she has caused a recent earthquake because she was bored and wishing for something exciting to occur. Which of the following symptoms most closely describes this patient’s thoughts?

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, making unusual gestures with his hands, speech has been incomprehensible and nonsense. What is the most probably diagnosis of this patient?

A 30-year-old female is brought to hospital as she has been violent and hostile to her neighbors. According to the patient, her grandfather was a successful writer and she acquired his fortunes recently. However, she believes that her neighbors have found out about it and claims that she has heard them talking about stealing her money. What is the most probably diagnosis of this patient?

A 37-year-old male is brought to hospital by his wife as he has become increasingly irritable and restless over the last 2 weeks. His wife reported that he did not sleep well and woke up all night planning business ventures and wrote letters to celebrities, claiming that they are his friends. On examination, the patient is highly aroused with marked pressure of speech and flight of ideas. Select the most likely diagnosis from the following statements:

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:

During a clinical interview with a 25 male patient. He said that ‘I don’t really do the things. I used to be an active person and enjoyed running. I even played tennis competitively and really liked it. but I don’t get any joy out of my hobbies now.’ Select the most appropriate correct answer from the following