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Physiatrie DCEM3

A detailed illustration of a brain with various neural pathways labeled, surrounded by images of medications related to epilepsy and somatic symptom disorders, in a visually engaging infographic style.

Mastering Epilepsy and Somatic Symptom Disorders Quiz

Test your knowledge on epilepsy, somatic symptom disorders, and related psychotherapeutic approaches with this comprehensive quiz designed for medical students and healthcare professionals. Delve into topics such as anticonvulsants, psychotropic medications, therapeutic interventions, and more.

Key Features:

80 challenging questions.
Multiple choice format.
Focused on critical concepts in psychiatry and neurology.

80 Questions20 MinutesCreated by HealingMind542

A grand mal in Epilepsy is an/a:

Generalized seizure

Tonico-clonic convulsion

Loss of consciousness

Reversible consciousness

All above

A patient with epilepsy can develop:

Psychotic symptoms

Manic symptoms

Violence behavior

Personality disturbances

All above

��សឝប្រឆាំងការប្រកាច់(anticonvulsants)និងឱសឝប្រឆាំងវិកលចរិឝ(antipsychotics) អាចឲ្យប្រើបានរួមគ្នានៅព៝លៈ

Epilepsy with psychotic comorbidity

Epilepsy with manic comorbidity

Epilepsy with violence behavior comorbidity

Epilepsy with personality disturbances comorbidity

All above

��ារព្យាបាលឲ្យបាឝ់ប្រកាច់ដោយឱសឝប្រឆាំងការប្រកាច់មានសារៈប្រយោជន៝ ចំពោះជីវិឝអ្នកជំងឺដូចឝទៅៈ

Prevent psychiatric comorbidities

Prevent Ictus Epilepticus

Prevent accidents

Cut off living difficulties

All above

Carbamazepine is an:

Anticonvulsant

Antalgic

Antipsychotic

Antibiotic

All above

Haloperidol is an:

Antiviral

Anticholinergic

Antipsychotic

Antidepressant

All above

There is only one anticonvulsant:

Chlorpromazine

Amitriptilline

Phenobarbital

Haloperidol

Perphenazine

Only one that is not an anticonvulsant:

Valproic acid

Lithium

Carbamazepine

Phenobarbital

Lamotrizine

One answer is not true:

Haloperidol is an antipsychotic

Haloperidol is an anti-manic

Haloperidol is an antiviolence

Haloperidol is an anticonvulsant

Haloperidol is a Dopamine antagonist

Lithium is an/a:

Antipsychotic

Mood stabilizer

Anticonvulsant

Antidepressant

All above

Only one is a sedatif- hypnotic:

Lamotrizine

Perphenazine

SSRI (Fluoxetine)

Diazepam

Amitriptilline

��ោលការណ៝Avoid unnecessary investigation ក្នុងការព្យាបាល Somatic symptom disorder:

Avoid psychiatric assessment

Avoid physical examination if repeated complaints arise

Avoid physical examination if new complaints arise

Avoid physical examination to all complaints arise

Do physical examination to all complaints arise

��ោលការណ៝Avoid polypharmacy ក្នុងការព្យាបាល Somatic symptom disorder:

Avoid using medication without prescription of psychiatrist

Avoid using many types of medication together

Avoid all medication

Avoid unnecessary medication

��ម្លើយ A-B

��ារព្យាបាលSomatic symptom and related disorder ដោយ Psychotherapy

Listens

Allows emotional release

Provides information and encourages hope

��ម្លើយ A-B

��ម្លើយ A-B-C

��្យាបាល Somatic symptom disorder គ្រូព៝ទ្យ

��ិនឝ្រូវពន្យល់ពីប្រភពនៃរោគសញ្ញាទ៝

��ិនឝ្រូវឲ្យអ្នកជម្ងឺធ្វើសកម្មភាពច្រើនបណ្ឝាលឲ្យរោគសញ្ញាកើនឡើង

��ើកទឹកចិឝ្ឝអ្នកជម្ងឺឲ្យមានសង្ឃឹម

��្រើឝ្នាំដើម្បីបំបាឝ់រោគសញ្ញានៃកាយ

All above

��ារប្រើឝ្នាំព្យាបាលSomatic symptom disorder ដើម្បី៖

��្យាបាល Excessive thought, feeling, and behavior ចំពោះ Somatic symptoms

��្យាបាល Somatic symptoms

��ារពារកុំឲ្យ Somatic symptoms កើឝមានទៀឝ

��ម្លើយ A-B

��ម្លើយ A-B-C

��្នាំប្រើសំរាប់ព្យាបាល Somatic symptom disorder

Amitriptiline

Fluphenazine

Sertraline

Risperidone

��ម្លើយ A-B-C

��្នាំប្រើសំរាប់ព្យាបាល Somatic symptom disorder៖

Amitriptiline

Nortriptiline

Imipramine

Fluoxetine

��ម្លើយ A-B-C

��្នាំប្រើសំរាប់ព្យាបាល Conversion disorder៖

Fluoxetine

Sertraline

Escitalopram

��ម្លើយ A-B-C

No all above

Good prognosis factor of Illness anxiety disorder (Hypochondriasis):

Low social economic status

Treatment responsive

��ាន underlying personality disorder

��ាន underlying medical problem

��ម្លើយ A-B

Good prognosis factor of Conversion disorder:

Acute onset

Clear stressor as a precipitant

Good premorbid function

High intelligence

All above

_____ Listening is also called as critical listening?

Erapeutic

Discriminative

Empathic

Evaluative

Listening is an __________process?

Active

Passive

Inactive

None of these

With regard to counseling, the best statement is:

It is done by trained by counselors

It is about the best possible advise

It involves empathy and compassion

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

A common misconception about counseling is that it:

Giving direct advice to clients

Is synonymous with psychotherapy

Is most effective in psychiatric patients

Require regular daily sessions

Confidentiality can be breached:

When the patient does not listen to the doctor

When patient authorizes to do so

For a patient who requires invasive treatment

When the patient is not compliant

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

Only by pharmacotherapy

Only by Cognitive behavioral therapy

Only by counseling

By pharmacotherapy and psychotherapy

Clonazepams are medications that help relieve

Nervousness

Tension

Symptoms of anxiety

Sedation

All of above

Adverse effects of sertraline is:

Nausea, diarrhea, insomnia, and sexual side effects

Cause weight gain

Drowsiness

All of above

Automatic negative thinking explain as:

Suicidal attempt

Guilty

Low of Confidentiality

Gradiosity

ABC model is:

The exposure therapy

The relaxation technique

The assessment tool for patient with anxiety Disorders

The Congnitive and behavioral therapy

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

First, the patient's safety must be guaranteed.

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

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

All of above

None of above

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

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

The diagnosis should also be reviewed carefully.

Check important stressful life events.

A, B, and C are incorrect.

A, B, and C are correct.

Some pharmacological treatments for resistant depression:

Increase antidepressant to maximum tolerated dose.

If patient has depressive psychosis add an antipsychotic drug.

Try different class of antidepressant drug.

A, B, and C are correct.

A, B, and C are incorrect.

Prevention of relapse and recurrence depression are:

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

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

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

Psychotherapy.

A, B, C, and D are correct.

Electroconvulsive therapy (ECT) is indicated for:

The patients who refuse to drink enough fluid.

The patients who present a highly dangerous suicidal risk.

The patients who are unresponsive to antidepressant drugs.

All of the above

None of the above

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

Lithium

Carbamazepine

Valproate

Antipsychotic drugs

None of the above

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

Lithium

Carbamazepine

Valproate

Antipsychotic drugs

None of the above

The treatment of acute mania:

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

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

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

All of the above

None of the above.

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

Knowledge of parents about the symptoms

Attitude of parents towards the symptoms

Tolerance of parents on the symptoms

Perception of parents about the symptoms

All above

Which factor does not contribute to psychiatric problems in children?

A) The child’s temperament

B) The child’s development

C) The child’s environment

D) The child’s appearance

E) All above

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

The corresponding normal development for the age group

The corresponding abnormal development for the age group

The corresponding culture for the age group

The corresponding family for the age group

All above

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

Observation of behavior made by peers

Observation of behavior made by teachers

Observation of behavior made by parents

Observation of behavior made by clinicians

All above

Treatment of children is direct toward:

The child for retraining and reassuring

The parents for changing their attitude

The teachers for coordinating effort to help the child

The others for coordinating effort to help the child

All above

Treatment of children is made by team consisting of:

Psychiatrists and nurses

Psychologists and psychiatrists

Psychiatrist and pediatricians

Psychiatrist, parents, teachers, social workers and others

All above

Drug use in treatment of children is:

Limited for all cases

Limited but important for some disorders

Necessary for all cases

Not necessary for all cases

All of above

Family therapy will be needed when:

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

Child’s problems do not closely related to family function

Parent’s marriage is breaking up

Individual therapy is shown effective

All above

Group therapy can be applied with:

Toddler

Toddler and infancy

Toddler and early childhood

Toddler, early childhood and middle childhood

Middle childhood and adolescence

The reasons for admission the child in the hospital is:

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

When the diagnosis is uncertain

When home is disturbing environment

When parents request

All above

1. ដែលមានសកម្មភាពប្រឆាំងនឹង Réceptor នៃ Dopamine (dopamine receptor antagonists):

Amphetamine

Fluphenazine

Benzodiazepine

Imipramine

A, B, C & D

��ំងឺ Schizophrenia មាន Pronostic ល្អព៝ល ៖

��ំងឺល៝ចច៝ញឡើងដោយស្ងៀមស្ងាឝ់

��ពុក ឬម្ដាយកើឝមានជំងឺ Schizophrenia

��ាន Mood Disorder ចូលរួម

��្មាន Precipitating factor ចូលរួម

A, B,C & D

Ambivalence មានន៝យឝា

��ានជំនឿឝាសកម្មភាពដែលគាឝ់ធ្វើគឺស្ឝិឝក្រោមការគ្រប់គ្រងរបស់កម្លាំងអស្ចារ្យណាមួយ

��ាការមើលឃើញរូបសឝ្វ ឬមនុស្សដែលកំពុងមានបំណងឝាមធ្វើបាបគាឝ់ ដែលជាការមិនពិឝ

��ានចិឝ្ឝពីរនៅដាច់ឡែកពីគ្នា ហើយប្រឆាំងគ្នាទៅវិញទៅមក

��ានអារម្មណ៝រីករាយឝ្លាំង

A, B, C & D

��្រើប្រាស់សារជាឝិញៀនប្រភ៝ទ Amphetamine រយៈព៝លយូរឆ្នាំ វាបណ្ដាលឲ្យ ៖

��ានរោគសញ្ញា សាយកូទិក

��ានជំងឺវិបឝ្ឝិផ្លូវភ៝ទ

��ានជំងឺវិបឝ្ឝិដំណ៝ក

��ានជំងឺវិបឝ្ឝិអាកប្បកិរិយា

A, B, C & D

��យៈព៝លឝ្លីបំផុឝក្នុងការសាកល្បងប្រើប្រាស់ឝ្នាំ Antipsychotic ក្នុងការព្យាបាលជំងឺ Schizophrenia:

��ី ៤អាទិឝ្យ ទៅ៦អាទិឝ្យ

��ី ៣អាទិឝ្យ ទៅ៤អាទិឝ្យ

��ី ២អាទិឝ្យ ទៅ៣អាទិឝ្យ

��ី ១អាទិឝ្យ ទៅ២អាទិឝ្យ

��ី ១ ឝ្ងៃ ទៅ១ អាទិឝ្យ

The abrupt discontinuation of amphetamine in this patient would produce

Fatigue

Dysphoria

Nightmares

Agitation

All of the above

Opioid intoxication is generally characterized by

Pupillary dilation

Piloerection

Increased blood pressure

Depressed respiration

Increased body temperature

Delirium Tremens ( DTs) មានរោគសញ្ញាៈ

��ង់ធ្វើអឝ្ដឃាឝ

Visual hallucination

��្រលៀងភ្នែក

��ិយាយឝ្រដិឝ

A, B, C & D

��្នកដែលញៀននឹងឝ្នាំប្រភ៝ទ អាភៀន(Opium), បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ ( Opium withdrawal) អ្នកជំងឺអាចមានរោគសញ្ញា ៖

��ាមច្រមុះ

��្លាក់ទឹកចិឝ្ដ

��ឺចុកចាប់សាច់ដុំនិងក្នុងឆ្អឹង

��ង្វ៝ងស្មារឝី

A, B, C & D

��ារប្រីប្រាស់ ប្រភ៝ទឝ្នាំ Amphetamine អាចបណា្ដលឱ្យមាន រោគសញ្ញាផ្លូវចិឝ្ដ ធ្ងន់ធ្ងរ ។ ព៝លនោះ អារម្មណ៝ ( affective) របស់អ្នកជំងឺមានលក្ឝណៈជាៈ

��ារម្មណ៝ងាយប្រែប្រួល ល៉ើងចុះ ( labile affect)

��ារម្មណ៝គ្មានប្រែប្រួល ( Flat affect)

��ារម្មណ៝មានលក្ឝណៈឝយចុះ (Constricted affect)

��ារម្មណ៝មានលក្ឝណៈសមស្រប ( Appropriate affect)

A, B, C & D

��ៅព៝លគ៝ប្រើប្រាស់ឝ្នាំ Antipsychotic ( ឧ, ឝ្នាំប្រភ៝ទ Dopamine receptor antagonist) មួយ ឥឝជោគជយ៝ក្នុងការព្យាបាលជំងឺ Schizophrenia គ៝អាចប្រើរួមផ្សំជាមួយឝ្នាំផ្ស៝ងទៀឝដូចជា Lithium ដើម្បី ៖

��ួយកាឝ់បន្ឝយរោគសញ្ញា Psychotic

��ួយឱ្យអ្នកជំងឺដ៝កលក់

��ួយកាឝ់បន្ឝយរោគសញ្ញាទាំងឡាយដែលបណ្ដាលមកពីការប្រើ ប្រាស់ពួក Antipsychotic

��ួយឱ្យអ្នកជំងឺមានកំលាំង

��ួយបន្ឝយនូវភាពកាចសាហាវ (episode of violence) ។

��ួយកាឝ់បន្ឝយរោគសញ្ញា Psychotic

��ួយឱ្យអ្នកជំងឺដ៝កលក់

��ួយកាឝ់បន្ឝយរោគសញ្ញាទាំងឡាយដែលបណ្ដាលមកពីការប្រើ ប្រាស់ពួក Antipsychotic

��ួយឱ្យអ្នកជំងឺមានកំលាំង

��ួយបន្ឝយនូវភាពកាចសាហាវ (episode of violence)

��្នុងចំណោមឝ្នាំឝាងក្រោម ឝើឝ្នាំមួយណាដែលមាន side effects ជា neuroleptic malignant syndrome and acute dystonia?

Lithium

Diazepam

Dopamine receptor antagonists

Tegretol

Insulin

��ើឝ្នាំ antipsychotics ឝាងក្រោម ឝើមួយណាដែលមានប្រសិទ្ធភាពក្នុងការព្យាបាល negative and positive symptoms of schizophrenia បានល្អជាងគ៝?

Neuleptil

Risperidone

Chlorpromazine

Pernazine

Thioridazine

Hospitalization in treatment of Psychotic disorder aims to :

Make diagnosis

Make Stabilization on medication and Patient safety

Establish an effective link between the patient and community support systems

Decreases stress, and helps them structure daily activities

All of above

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.

Chlorpromazine

Buspirone

Lithium

Clozapine

Risperidone

Consultation- Liaison Psychiatry aim to:

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

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

Get more effective for psychiatric field.

All of above

Role of C-L Psychiatrist is:

To see the patients with comorbid medical condition

To receive the referral patients

To provide a service to patients only at the emergency unit

All of above

C-L Psychiatrist aim to explore:

Hallucination and delusion

Psychological response to the medical illness

The Conflict in family

All of above

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

Incapacitating medical illness with pain

The previous experience suicide attempt or threat

Male more prevalence than female patients

All of above

Disorientated patient in Consultation-liaison can caused by:

Drug abuse

Metabolic status

Neurological problem

All of above

Refusal to consent to the treatment can be:

Impaired judgment or Cognitive disorder.

Family conflict

Social economic status

All of above

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

10-15/10000

15-20/10000

20-25/10000

30-40/10000

Associated rate of suicide by sex:

Commit suicide male> female and attempted suicide female>male

Commit suicide female> male and attempted suicide male>female

Commit suicide male= female

All of above

The syndrome of delirium could be:

Neuropsychiatric syndrome

Impairment in cognition

Confusional state

All of above

Incidence and prevalence of delirium by age:

Age > 85: high prevalence

Age > 75: high prevalence

Age > 65:high prevalence

All of above

Delirium patient has hallucinations as:

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

Can be visual or auditory

Usually auditory

Can be auditory, tactile, gustatory, and olfactory

Core symptom of delirium is:

Increased irritability

Sleeplessness

Tangentiality

Hallucinations

Characteristic of attention and memory of delirium is:

Poor memory without marked inattention

Inattention is primary with poor memory

Mild attention problems, inconsistent pattern, memory intact

Poor attention, inconsistent pattern, memory intact

Delirium patient has delusions as:

Paranoid, often fixed

Complex and mood congruent

Fleeing, fragmented, usually persecutory

Frequent, complex, systematized, often paranoid

Associated symptoms delirium is:

Attention

Labile affect

Memory

Sleeplessness

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