Prof. Sothara/ Chhunly/ Thoeun Y2 S1

1) Motor skills disorder is:

2) Which of the following is a fine motor coordination milestone?

A 2 years-old boy still cannot catch well objects and easily drops them. He often trips over his own feet when trying to walk. While attempting to go around other children he often bumps into them. During pregnancy, his mother smokes and drinks alcohol heavily. 3) Which of below problems the boy probably has?

A 2 years-old boy still cannot catch well objects and easily drops them. He often trips over his own feet when trying to walk. While attempting to go around other children he often bumps into them. During pregnancy, his mother smokes and drinks alcohol heavily.4) Which below factors could be at high risk for the disorder?

A 2 years-old boy still cannot catch well objects and easily drops them. He often trips over his own feet when trying to walk. While attempting to go around other children he often bumps into them. During pregnancy, his mother smokes and drinks alcohol heavily.5) To help such a problematic child what, among the below methods, should you do?

A 7 years-old boy has difficulty in participating in team sport games in school. He has often been rejected by peers. The history reveal that, at eight-month old, he could not turn over and crawling. His poor verbal skills prevented him from actively connecting to the environment. At 2 years-old, he could not walk properly. His gait was unsteady. 6) According to the development history and his presenting problem, which of below problems the boy probably has?

A 7 years-old boy has difficulty in participating in team sport games in school. He has often been rejected by peers. The history reveal that, at eight-month old, he could not turn over and crawling. His poor verbal skills prevented him from actively connecting to the environment. At 2 years-old, he could not walk properly. His gait was unsteady. 7) Which additional information you might need to confirm your diagnosis?

A 7 years-old boy has difficulty in participating in team sport games in school. He has often been rejected by peers. The history reveal that, at eight-month old, he could not turn over and crawling. His poor verbal skills prevented him from actively connecting to the environment. At 2 years-old, he could not walk properly. His gait was unsteady. 8) What could be the cause of the disorder?

A 7 years-old boy has difficulty in participating in team sport games in school. He has often been rejected by peers. The history reveal that, at eight-month old, he could not turn over and crawling. His poor verbal skills prevented him from actively connecting to the environment. At 2 years-old, he could not walk properly. His gait was unsteady. 9) Children with motor skills disorder are more likely to have:

A 7 years-old boy has difficulty in participating in team sport games in school. He has often been rejected by peers. The history reveal that, at eight-month old, he could not turn over and crawling. His poor verbal skills prevented him from actively connecting to the environment. At 2 years-old, he could not walk properly. His gait was unsteady. 10) Interventions for children with motor skills disorder utilize:

1) Communication disorders are:

2) Phonological disorder and stuttering are:

3) Which of the below term that refers to the ability to produce sounds that constitute words in a given language.

4) Which of the below term that has to do with the skill in the actual use of language and the rules of conversation, including pausing so that a listener can answer a question and knowing when to change the topic when a break occurs in a conversation.

5) Which of the below term that refers to the ability to organize words and rules of placing the words in an order that make sense in that language.

6) Which of the below term that refers to the organization of concepts and the acquisition of words themselves.

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds. 7) Which of the below diagnosis should be fit with this case?

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds.8) At 2 years old, the child can use four words (mama, daddy, hi and more). This characteristic is most relevant to rule out:

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds.9) “He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions” This characteristic is most relevant to rule out:

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds.10) “He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. These characteristics are most relevant to differentiate from:

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds.11) “He plays happily with other children and enjoys activities”. These characteristics are most relevant to differentiate from:

A 2-year-old boy is an energetic and alert child. His language development is limited. He can use only four words (mama, daddy, hi, and more). He uses these words one at a time in appropriate situations. He supplements his infrequent verbal communications with pointing and other simple gestures to request desired objects or actions. He rarely communicates, however, for other purposes (e.g., commenting or protesting). He appears to be developing normally in all other areas. He sits, stands, and walks at the expected times. He plays happily with other children, enjoying activities and toys that are appropriate for 2-year-olds.12) “He plays toys that are appropriate for 2-year-olds”. This characteristics is most relevant to differentiate from:

1) Learning disorders are:

2) To meet the criteria for a diagnosis of learning disorder, a child's achievement in that particular learning disorder must be significantly:

3) In learning disorders, the learning problems of the child must interfere with:

4) Disorder of written expression is:

5) Reading disorder, arithmetic disorder, written expression disorder are:

An 11-year-old boy, was referred for evaluation of increasing problems at school, including failing to complete in-class assignments and homework; failing tests in reading, spelling, and arithmetic; skipping classes; and some truancy. In the clinical interview, it was noted that he rarely made eye contact with the clinician. He mumbled a lot and struggled to find the right word. 6) Which below diagnosis the boy probably has?

A 12-year-old boy often skips class and sometimes school because he feels so boring in doing math. He always needs so much time than other to understand math instruction. He explains that by the time he figures out a word, he cannot remember what he has just passed through and so has to read the instruction again. 7) Which problem the boy probably has?

An 8 year-old girl increasingly has problems in attention, behavior, and learning, which were first noted in kindergarten but were now causing difficulty at home and school. She presents various difficulties since the second and third grades in elementary school including difficulty learning number names, translating problems into computation and calculation compared with the classmates of the same age. 8) Which problem the boy probably has?

1) Pervasive developmental disorders characterized by:

2) Pervasive developmental disorders typically emerge (become recognized) in

3) Autistic disorder is:

4) Majority of autistic disorder has:

5) Rett's disorder and Asperger's disorder are:

John, a 2 year-old boy, was brought to pediatrician for a hearing test because his father notices that he responds unusually to sounds. Levels of hearing appeared adequate for development of speech. The developmental evaluation reveals that John has a severe delay in language and social development. He is relatively uninterested in social interaction and the social games of infancy. He does not exhibit differential attachment behaviors toward his parents. His play skills were quite limited. 6) Which below problems should the boy probably has?

John was the second of two children born to middle-class parents after normal pregnancy, labor, and delivery. As an infant, John appeared undemanding and relatively calm and peaceful; motor development proceeded appropriately, but language development was delayed. His parents first concerned about his development when he was 18 months of age. 7) Which below diagnoses should be fit to John?

John was the second of two children born to middle-class parents after normal pregnancy, labor, and delivery. As an infant, John appeared undemanding and relatively calm and peaceful; motor development proceeded appropriately, but language development was delayed. His parents first concerned about his development when he was 18 months of age.8) Which below interventions would be appropriate and effective for John problem?

John was the second of two children born to middle-class parents after normal pregnancy, labor, and delivery. As an infant, John appeared undemanding and relatively calm and peaceful; motor development proceeded appropriately, but language development was delayed. His parents first concerned about his development when he was 18 months of age.9) Autistic disorder is generally a lifelong disorder with a guarded prognosis. However, recent follow up data found that the positive prognosis associated with:

John was the second of two children born to middle-class parents after normal pregnancy, labor, and delivery. As an infant, John appeared undemanding and relatively calm and peaceful; motor development proceeded appropriately, but language development was delayed. His parents first concerned about his development when he was 18 months of age.10) Before 1980, pervasive development disorders were generally diagnosed with:

A 40-year-old, widow with 3 children, she comes to the psychiatric outpatient clinic alone. She complained of poor sleep, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure 120/70, pulse 80/mn, and temperature 37 °C. 1- What is her accurate diagnosis?

A 40-year-old, widow with 3 children, she comes to the psychiatric outpatient clinic alone. She complained of poor sleep, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure 120/70, pulse 80/mn, and temperature 37 °C.2- Which medication is better for this patient?

A 40-year-old, widow with 3 children, she comes to the psychiatric outpatient clinic alone. She complained of poor sleep, lack of energy, feelings of guilt, problems thinking and making decisions, and irritability. Her symptoms started about two months prior to consultation (no previous psychiatric illness). Her blood pressure 120/70, pulse 80/mn, and temperature 37 °C.3- How long for the treatment that is more appropriate for this patient?

A 35-year-old female came to the psychiatric outpatient clinic on 02nd January 2017. She complained of sleeping too much, feelings of worthlessness or guilt, irritability, hopelessness and loss of energy. Her symptoms started about three months prior to consultation. In 2015, she had mental problem the same as now and was treated for one year by psychiatrist. Her blood pressure 110/70, pulse 80/mn, and temperature 37 °C. 1-What is her appropriate diagnosis?

A 35-year-old female came to the psychiatric outpatient clinic on 02nd January 2017. She complained of sleeping too much, feelings of worthlessness or guilt, irritability, hopelessness and loss of energy. Her symptoms started about three months prior to consultation. In 2015, she had mental problem the same as now and was treated for one year by psychiatrist. Her blood pressure 110/70, pulse 80/mn, and temperature 37 °C.2-Which medication is better for this patient?

A 35-year-old female came to the psychiatric outpatient clinic on 02nd January 2017. She complained of sleeping too much, feelings of worthlessness or guilt, irritability, hopelessness and loss of energy. Her symptoms started about three months prior to consultation. In 2015, she had mental problem the same as now and was treated for one year by psychiatrist. Her blood pressure 110/70, pulse 80/mn, and temperature 37 °C.3-How long for the treatment that is more appropriate for this patient?

A 25-year-old female has four episodes of mood disturbance within a 12-month period that meet criteria for a major depressive, manic, mixed, or hypomanic episode. 1- What is her accurate diagnosis?

A 25-year-old female has four episodes of mood disturbance within a 12-month period that meet criteria for a major depressive, manic, mixed, or hypomanic episode.2- Which medication is better for this patient?

A 25-year-old, widower with depression is treating in the psychiatric outpatient clinic. During the treatment, he returned of symptoms of depression before a full remission has been reached. 1- What do they call in his situation?

A 25-year-old, widower with depression is treating in the psychiatric outpatient clinic. During the treatment, he returned of symptoms of depression before a full remission has been reached.2- Which of the following technique is better to prevent this patient?

A 32-year-old, widow with 2 children appeared of another new episode of depression after full remission of a previous episode has been achieved. 1- What do they call in her situation?

A 32-year-old, widow with 2 children appeared of another new episode of depression after full remission of a previous episode has been achieved.2- Which of the following technique is better to prevent this patient?

1- What is the first goal of the treatment of patients with mood disorder?

2- Selection of the initial treatment not depends on:

3- Patients with major depressive disorder with atypical features may preferentially respond to treatment with:

4- Patients with seasonal winter depression can be treated with:

5- Which of the following medications that may have useful prophylactic effects in patients with refractory bipolar illness?

6- Which of the following medications that reduce in mortality from suicide in patients with recurrent mood disorder?

7- Prevention of new mood episodes is the aim of the:

8- Adherence to treatment is often a problem, because patients with mania frequently:

9- Which of the following medications that we use in patient with bipolar affective disorder can trigger episode of mania or hypomania?

10- What is the method to prevent rebound symptoms?

11- Which of the following medications that we use during the first three months of pregnancy is associated with a slightly increased risk of "Ebstein’s Anomaly", a heart valve defect?

12- Which of the following medications that we use during the first three months of pregnancy is associated with increased risk of spinal cord defects (e.g. Spina bifida) in the fetus

13- Which of the following medications that we use during the first three months of pregnancy is associated with defects of the head and face, fingernails and developmental delay?

14- Which of the following medications may cause Stevens-Johnson Syndrome?

15- Which of the following medications may reduce the effectiveness of birth control pills?

16- Which of the following medications can cause a fatal “serotonin syndrome” when combined with MAO inhibitors?

17- Which of the following medications that we use during pregnancy can cause of limb reduction defects in infant?

1- 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?

2- 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. 2.1- What is the most likely appropriate treatment for this patient ?

2- 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. 2.2- What is the most probably diagnosis for this patient ?

3- 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?

4- 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?

5- 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:

7- 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

8- 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. 8.1- Select the most appropriate correct answer from the following

8- 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. 8.2- The following illnesses or syndromes, which is most related to genetic factors?

9- One of the patient vocalized that he feels unpleasant due to insects crawling under his skin. Please select the most appropriate answer :

10- A 23-year-old woman complains of hearing voices. A core trainee is not certain whether this patient suffers from schizophrenia or bipolar disorder. Which of the following features suggest the diagnosis of bipolar disorder rather than schizophrenia?

11- A 30 year old unmarried women of average socio-economic background believes that her boss is an secretly love with her. She rings him up at odd hours and writes love letter to him despite his serious warning to do so. She holds this belief despite contradiction from family members and his denial. However she is able to manage her daily activities as before. She is most likely to be suffering from -

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

13- In Schizophrenia a reality-monitoring deficit refers to which of the following :

14- S-V . 45 years, was brought to casualty with abnormal movements which induced persistent deviation of neck to right side. One day before she was prescribed Haloperidol 5mg three times daily from the psychiatry OPD. She also had an alternation with her husband recently. Which of the following is the most likely cause for her symptoms -

15- A patient came with complaints of having a deformed nose and also complained that nobody takes him seriously because of the deformity of his nose.He has visited several cosmetic surgeons but they have sent him back saying that there is nothing wrong with him nose. He has probably suffering from -

16. A pt with pneumonia for 5 days is admitted to the hospital. He suddenly ceases to recognize the doctor and staff , thinks that he is in jail and complains of scorpions attacking him. He is in altered sensorium; this condition is:

17. A 31 year old male, with mood disorder, or 30 mg of haloperidol and 100 mg lithium, is brought to the hospital emergency room with history of acute onset of fever, excessive sweating, confusion, rigidity of limbs and decreased communication for a day. Examination reveals tachycardia and labile blood pressure and investigations reveal increased CPK enzymes level . He is likely to have developed -

18- . A 65 year old male is brought to the outpatient clinic with one year illness characterized by marked forgetfulness, visual hallucinations, suspiciousness, personality decline, poor self, care and progressive deterioration in his condition. His Mini Mental Status Examination(MMSE) Score is 10. His most likely diagnosis is -

19- A 18 year-old male hears voices discussing him in 3rd person has -

20- Good prognosis in schizophrenia is indicated by -

21. Pseudo dementia is seen in -

22- An alcoholic is brought to the Emergency OPD with the complaint or irrelevent talking. He had stopped using alcohol three days back.On examination,he is found to be disoriented to time,place and person.He also has visual illusions and hallucination.There is no history of head injury .The most likely diagnosis is:

23- A patient of schizophrenia treated for 5 yrs developed perioral movements. Likely diagnosis is:

24- A person has different multiple personality is suffering from -

25- An elderly woman suffering from schizophrenia is on antipsychotic medication. She develops purposeless involuntary facial and limb movements, constant chewing and puffing of cheeks. Which of the following drugs is least likely to be involved in this effect -

26- 1. A 30-year-old man was brought to the Accident and Emergency Department. He suddenly fell down after hearing a loud sound at a party. There was no loss of consciousness. The psychopathology being described is:

27- A 50-year-old man is referred from vascular surgeon for pushing sensation in the abdominal aorta. He complains that he feels someone is pushing his abdominal aorta and he is very disturbed by this sensation. The psychopathology being described is:

28- In clinical practice, it is often difficult to differentiate obsession from delusion. Which of the following strongly indicate that a patient suffers from obsessive-compulsive disorder rather than delusional disorder?

29- Among these medications, which one is the best choice of patient with schizophrenia:

30- Which of the following antipsychotic agents is most associated with the possibility of a hematological disorder such as agranulocytosis in a patient being treated for schizophrenia.

31- A schizophrenic patient come in to service in emergency situations, a clinician can administer all of the antipsychotic drugs, with the exception of:

32- Chlorpromazine is a drug in which group of these:

33- Haloperidol is a drug in which group of these:

34- Which receptors are the most affected by first generation antipsychotic:

35- A 27-year-old man was diagnose with schizophrenia and treated by chlorpromazine. 1 week later he is brought to the emergency department characterize by fever, muscle rigidity, altered mental status and unstable blood pressure. Which one of the following sides effects of the antipsychotic drugs related to this patient.

36- The major contraindications to antipsychotic is:

37- What is the primary goal in early treatment of psychosis?

38- Which one of the following is the positive symptom of psychotic disorder:

39- A junior medical student is interested about haloperidol and asks you which class of antipsychotics it belongs to. Your answer is:

40- A 20-year-old man presents with the first episode of psychosis in his life. Which of the following factors is the most important predicting factor for schizophrenia?