All QCU Psychiatrie DES

1- 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?

2- 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?

3- 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?

4- 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?

5- 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?

6- 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?

7- 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?

8- Which of following statements regarding lithium is most true?

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

10- 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?

Senario 1- 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. 1- Which of the following is the most information needed?

Senario 1- 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?

Senario 1- 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?

Senario 2-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:

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

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

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

4- 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?

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

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

Senario 3- 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:

Senario 3- 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: 1- What is the most important patient’s information you need to explore:

Senario 3- 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:

Senario 3- 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:

Senario 4- 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:

Senario 4- 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:

Senario 4- 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 :

Senario 4- 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:

Senario 4- 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:

Senario 5- 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?

Senario 5- 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?

Senario 6- 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:

Senario 6- 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:

Senario 6- 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:

Senario 6- 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:

Senario 7- 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?

Senario 7- 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?

Senario 8- 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?

Senario 8- 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?

Senario 8- 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?

Senario 8- 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?

Senario 8- 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?

2- 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?

3- 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?

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

Senario 9- A 5 years old child (preschool age), studies at school for 5 months was brought by his mother with learning problem. 1- Which is the following classroom scheduling practice would be developmentally appropriate for this child?

Senario 9- 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?

Senario 9- 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?

Scenario 10- 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. 1- What is the essential feature of this man?

Scenario 10- 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?

Scenario 10- 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?

Scenario 10- 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?

Scenario 10- 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?

Scenario 10- 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?

Senario 11- 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?

Senario 11- 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?

Senario 11- 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?

Senario 11- 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?

Senario 11- 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?

Senario 12- 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?

Senario 12- 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?

Senario 12- 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?

Senario 12- 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?

Senario 13- 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 ?

Senario 13- 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 ?

Senario 13- 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 ?

Senario 14- 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. 1- The excessive preoccupation with having an undiagnosed medical condition could be the clinical feature of:

Senario 14- 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:

Senario 15- 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. 1/-What is the most information you need to explore?

Senario 15- 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?

Senario 15- 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?

Scenario 16- 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. 1/-What is the most information you need to explore?

Scenario 16- 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?

Scenario 16- 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?

Senario 17- 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. 1/-What is the most information you need to explore?

Senario 17- 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?

Senario 18-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. 1- What is the probably diagnosis of this patient?

Senario 18-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. 1- If the symptoms continue until 6 months, what is the probably diagnosis?

Senario 19-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. 1- What is the main psychiatric symptom should be considered?

Senario 19-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?

Senario 19-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?

Senario 19-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?

Senario 20-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. 1- Which of the following is the most likely cause for this presentation?

Senario 20-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

Senario 21- During a clinical interview with a 22 female patient. She said that ‘I’m not eating anymore, and I constantly feel guilty for everything. I feel like I’m in a deep trench and I’m suffering down below. 1- Select the most appropriate correct answer from the following

Senario 21- During a clinical interview with a 22 female patient. She said that ‘I’m not eating anymore, and I constantly feel guilty for everything. I feel like I’m in a deep trench and I’m suffering down below. The following illnesses or syndromes, which is most related to genetic factors?

Senario 22- Mrs. W is 33 years old, lives in Svay Rieng province, married, garment worker. The previous 4 years, she had been seeking at medical setting because she believed she was having a heart attack. The disorder began 2 months after the delivery of her only child. She suddenly increase in her heartbeat, chest pain and had difficulty breathing. She started 1-2 times a month of sweating and trembling and feared of dying from a heart attack and currently unable to leave home alone. BP140/ 86- 150/ 90 mmhg, Pulse= 92/mn. 1- Which is the most emergency parameter checkup first?

Senario 22- Mrs. W is 33 years old, lives in Svay Rieng province, married, garment worker. The previous 4 years, she had been seeking at medical setting because she believed she was having a heart attack. The disorder began 2 months after the delivery of her only child. She suddenly increase in her heartbeat, chest pain and had difficulty breathing. She started 1-2 times a month of sweating and trembling and feared of dying from a heart attack and currently unable to leave home alone. BP140/ 86- 150/ 90 mmhg, Pulse= 92/mn. Which is the differential diagnostic should be consider?

Senario 22- Mrs. W is 33 years old, lives in Svay Rieng province, married, garment worker. The previous 4 years, she had been seeking at medical setting because she believed she was having a heart attack. The disorder began 2 months after the delivery of her only child. She suddenly increase in her heartbeat, chest pain and had difficulty breathing. She started 1-2 times a month of sweating and trembling and feared of dying from a heart attack and currently unable to leave home alone. BP140/ 86- 150/ 90 mmhg, Pulse= 92/mn. Which is the most probably diagnosis for Mrs. W?

Senario 23- Ms.S is a 17-year-old, student, lives in Phnom-Penh. Her heart started racing, and she became so dizzy that she felt she was going to faint while the teacher asked her a question in the classroom. 4 months before prior, she had not been able to join other students at lunchtime because she felt terribly anxious. She always felt like hiding from others (behaving in an embarrassing). Her medical condition has been no abnormal detected. Her BP= 120/70mmhg Pulse= 84/mn. 1- Which is the differential diagnostic should be consider?

Senario 23- Ms.S is a 17-year-old, student, lives in Phnom-Penh. Her heart started racing, and she became so dizzy that she felt she was going to faint while the teacher asked her a question in the classroom. 4 months before prior, she had not been able to join other students at lunchtime because she felt terribly anxious. She always felt like hiding from others (behaving in an embarrassing). Her medical condition has been no abnormal detected. Her BP= 120/70mmhg Pulse= 84/mn. Which is the most probably diagnosis for Ms. S?

Scenario 24- Mr. J is a 23-year-old, single, farmer, lives in Takeo province. He came to general practitioner because of extreme slowness and indecision. His condition had grown gradually worse over the preceding 6 months. He felt a need to spend a lot of time checking his behavior to make sure that he had caused no harm. He felt compelled to keep checking that he had shut off the water or switched off the light and the electrical appliances. His BP= 125/70 mmhg Pulse= 80/mn. 1- Which is the most suitable thought should be consider?

Mr. J is a 23-year-old, single, farmer, lives in Takeo province. He came to general practitioner because of extreme slowness and indecision. His condition had grown gradually worse over the preceding 6 months. He felt a need to spend a lot of time checking his behavior to make sure that he had caused no harm. He felt compelled to keep checking that he had shut off the water or switched off the light and the electrical appliances. His BP= 125/70 mmhg Pulse= 80/mn. Which is the most probably diagnosis for Mr. J?

Scenario 25- Mrs. H is 38-year-old lives in P-Penh with four children. She is a Muslim. She was restless, frightened, apprehensive, sweating on both hands, and breathing rapidly. He explained that the preceding day there had been a quarrel with some neighbors, during which the husband had been seriously threatened with a knife. She was immediately taken to a general practitioner, who gave her an intravenous injection of diazepam. Her BP= 135/85 mmhg Pulse= 92/mn. Which is the differential diagnostic should be consider first?

Scenario 25- Mrs. H is 38-year-old lives in P-Penh with four children. She is a Muslim. She was restless, frightened, apprehensive, sweating on both hands, and breathing rapidly. He explained that the preceding day there had been a quarrel with some neighbors, during which the husband had been seriously threatened with a knife. She was immediately taken to a general practitioner, who gave her an intravenous injection of diazepam. Her BP= 135/85 mmhg Pulse= 92/mn. Which is the most probably diagnosis for Mrs. H?

Scenario 25- Mrs. H is 38-year-old lives in P-Penh with four children. She is a Muslim. She was restless, frightened, apprehensive, sweating on both hands, and breathing rapidly. He explained that the preceding day there had been a quarrel with some neighbors, during which the husband had been seriously threatened with a knife. She was immediately taken to a general practitioner, who gave her an intravenous injection of diazepam. Her BP= 135/85 mmhg Pulse= 92/mn. 1- What is the intervention should do after an intravenous injection of diazepam?

Scenario 26- Mrs. M is a 32-year-old, garment worker, married and has just given birth to a child. She was angry excitement couple, accused her husband of went out at night. Mrs. M began talking and scolding incessantly, showed hyperactivity; extreme talkativeness that had developed after her delivery 10 days. BP= 120/70 mmhg, Pulse= 80/mn. 1- Which is the most suitable mood should be consider?

Scenario 26- Mrs. M is a 32-year-old, garment worker, married and has just given birth to a child. She was angry excitement couple, accused her husband of went out at night. Mrs. M began talking and scolding incessantly, showed hyperactivity; extreme talkativeness that had developed after her delivery 10 days. BP= 120/70 mmhg, Pulse= 80/mn. Which is the differential diagnostic should be consider first?

Scenario 26- Mrs. M is a 32-year-old, garment worker, married and has just given birth to a child. She was angry excitement couple, accused her husband of went out at night. Mrs. M began talking and scolding incessantly, showed hyperactivity; extreme talkativeness that had developed after her delivery 10 days. BP= 120/70 mmhg, Pulse= 80/mn. Which is the most probably diagnosis for Mrs. M?

Scenario 27- Mr. T is 36 years old and married, with two children. He was admitted at the general hospital after he had taken an overdose of diazepam. For some weeks he had felt overwhelmed by his workload. He felt tired and had difficulties in concentrating, and experienced feelings of inadequacy. Since that age of 26, he had experienced constantly recurring upset mood. He sometimes he had trouble falling asleep. Mr.T had occasionally seen his general practitioner for a prescription of diazepam to help him get to sleep, Which is the differential diagnostic should be consider first?

Scenario 27- Mr. T is 36 years old and married, with two children. He was admitted at the general hospital after he had taken an overdose of diazepam. For some weeks he had felt overwhelmed by his workload. He felt tired and had difficulties in concentrating, and experienced feelings of inadequacy. Since that age of 26, he had experienced constantly recurring upset mood. He sometimes he had trouble falling asleep. Mr.T had occasionally seen his general practitioner for a prescription of diazepam to help him get to sleep, Which is the most probably diagnosis for Mr. T?

Scenario 28- Ms. D is a 27-year-old nurse in a surgical ward, lives alone in a rented house. She had tried to cut her wrists superficially. The symptoms started since she was 16 years old, her mood was ups and downs in the current period of 2-3 months. She had difficulty keeping pace with her colleagues and lost her self-confidence. She did not want to go out and thoughts of suicide. BP= 110/70 mmhg, Pulse= 64/mn. 1- Which is the most suitable mood should be consider?

Scenario 28- Ms. D is a 27-year-old nurse in a surgical ward, lives alone in a rented house. She had tried to cut her wrists superficially. The symptoms started since she was 16 years old, her mood was ups and downs in the current period of 2-3 months. She had difficulty keeping pace with her colleagues and lost her self-confidence. She did not want to go out and thoughts of suicide. BP= 110/70 mmhg, Pulse= 64/mn. Which is the differential diagnostic should be consider first?

Scenario 28- Ms. D is a 27-year-old nurse in a surgical ward, lives alone in a rented house. She had tried to cut her wrists superficially. The symptoms started since she was 16 years old, her mood was ups and downs in the current period of 2-3 months. She had difficulty keeping pace with her colleagues and lost her self-confidence. She did not want to go out and thoughts of suicide. BP= 110/70 mmhg, Pulse= 64/mn. Which is the most probably diagnosis for Ms. D?

Scenario 29- A is a 40-year-old male, worker, married and lives in Kampong Speu province, 3 children. For 3 months he had been very sad, especially in the morning. At times he had guilty and wished to die because his wife left him. He had gradually lost interest and enjoyment. His appetite gradually decreased and epigastric pain. He had become irritable and headaches. BP= 120/74 mmhg, Pulse= 84/mn. Which is the differential diagnostic should be consider first?

Scenario 29- A is a 40-year-old male, worker, married and lives in Kampong Speu province, 3 children. For 3 months he had been very sad, especially in the morning. At times he had guilty and wished to die because his wife left him. He had gradually lost interest and enjoyment. His appetite gradually decreased and epigastric pain. He had become irritable and headaches. BP= 120/74 mmhg, Pulse= 84/mn. Which is the most probably diagnosis for Mr. A?