Psychitrie DCEM3 non random
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
សថប្រឆាំងការប្រកាច់(anticonvulsants)និងឱសថប្រឆាំងវិកលចរិត(antipsychotics) អាចឲ្យប្រើបានរួមគ្នានៅពេលៈ
Epilepsy with psychotic comorbidity
Epilepsy with manic comorbidity
Epilepsy with violence behavior comorbidity
Epilepsy with personality disturbances comorbidity
All above
ារព្យាបាលឲ្យបាត់ប្រកាច់ដោយឱសថប្រឆាំងការប្រកាច់មានសារៈប្រយោជន៍ ចំពោះជីវិតអ្នកជំងឺដូចតទៅៈ
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
ោលការណ៏Avoid 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
ោលការណ៏Avoid 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 គ្រូពេទ្យ
ិនត្រូវពន្យល់ពីប្រភពនៃរោគសញ្ញាទេ
ិនត្រូវឲ្យអ្នកជម្ងឺធ្វើសកម្មភាពច្រើនបណ្តាលឲ្យរោគសញ្ញាកើនឡើង
ើកទឹកចិត្តអ្នកជម្ងឺឲ្យមានសង្ឃឹម
្រើថ្នាំដើម្បីបំបាត់រោគសញ្ញានៃកាយ
All above
ារប្រើថ្នាំព្យាបាលSomatic symptom disorder ដើម្បី៖
្យាបាល Excessive thought, feeling, and behavior ចំពោះ Somatic symptoms
្យាបាល Somatic symptoms
ារពារកុំឲ្យ Somatic symptoms កើតមានទៀត
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?
Therapeutic
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?
The child’s temperament
The child’s development
The child’s environment
The child’s appearance
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
ែលមានសកម្មភាពប្រឆាំងនឹង Réceptor នៃ Dopamine (dopamine receptor antagonists):
Amphetamine
Fluphenazine
Benzodiazepine
Imipramine
A, B, C & D
ំងឺ Schizophrenia មាន Pronostic ល្អពេល ៖
ំងឺលេចចេញឡើងដោយស្ងៀមស្ងាត់
ពុក ឬម្ដាយកើតមានជំងឺ Schizophrenia
ាន Mood Disorder ចូលរួម
្មាន Precipitating factor ចូលរួម
A, B,C & D
Ambivalence មានន័យថា
ានជំនឿថាសកម្មភាពដែលគាត់ធ្វើគឺស្ថិតក្រោមការគ្រប់គ្រងរបស់កម្លាំងអស្ចារ្យណាមួយ
ាការមើលឃើញរូបសត្វ ឬមនុស្សដែលកំពុងមានបំណងតាមធ្វើបាបគាត់ ដែលជាការមិនពិត
ានចិត្តពីរនៅដាច់ឡែកពីគ្នា ហើយប្រឆាំងគ្នាទៅវិញទៅមក
ានអារម្មណ៍រីករាយខ្លាំង
A, B, C & D
្រើប្រាស់សារជាតិញៀនប្រភេទ Amphetamine រយៈពេលយូរឆ្នាំ វាបណ្ដាលឲ្យ ៖
ានរោគសញ្ញា សាយកូទិក
ានជំងឺវិបត្តិផ្លូវភេទ
ានជំងឺវិបត្តិដំណេក
ានជំងឺវិបត្តិអាកប្បកិរិយា
A, B, C & D
យៈពេលខ្លីបំផុតក្នុងការសាកល្បងប្រើប្រាស់ថ្នាំ Antipsychotic ក្នុងការព្យាបាលជំងឺ Schizophrenia:
ី ៤អាទិត្យ ទៅ៦អាទិត្យ
ី ៣អាទិត្យ ទៅ៤អាទិត្យ
ី ២អាទិត្យ ទៅ៣អាទិត្យ
ី ១អាទិត្យ ទៅ២អាទិត្យ
ី ១ ថ្ងៃ ទៅ១ អាទិត្យ
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
ង់ធ្វើអត្ដឃាត
Visual hallucination
្រលៀងភ្នែក
ិយាយត្រដិត
A, B, C & D
្នកដែលញៀននឹងថ្នាំប្រភេទ អាភៀន(Opium), បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ ( Opium withdrawal) អ្នកជំងឺអាចមានរោគសញ្ញា ៖
ាមច្រមុះ
្លាក់ទឹកចិត្ដ
ឺចុកចាប់សាច់ដុំនិងក្នុងឆ្អឹង
ង្វេងស្មារតី
A, B, C & D
ារប្រីប្រាស់ ប្រភេទថ្នាំ Amphetamine អាចបណា្ដលឱ្យមាន រោគសញ្ញាផ្លូវចិត្ដ ធ្ងន់ធ្ងរ ។ ពេលនោះ អារម្មណ៍ ( affective) របស់អ្នកជំងឺមានលក្ខណៈជាៈ
ារម្មណ៍ងាយប្រែប្រួល ល៉ើងចុះ ( labile affect)
ារម្មណ៍គ្មានប្រែប្រួល ( Flat affect)
ារម្មណ៍មានលក្ខណៈថយចុះ (Constricted affect)
ារម្មណ៍មានលក្ខណៈសមស្រប ( Appropriate affect)
A, B, C & D
ៅពេលគេប្រើប្រាស់ថ្នាំ Antipsychotic ( ឧ, ថ្នាំប្រភេទ Dopamine receptor antagonist) មួយ ឥតជោគជយ័ក្នុងការព្យាបាលជំងឺ Schizophrenia គេអាចប្រើរួមផ្សំជាមួយថ្នាំផ្សេងទៀតដូចជា Lithium ដើម្បី ៖
ួយកាត់បន្ថយរោគសញ្ញា Psychotic
ួយឱ្យអ្នកជំងឺដេកលក់
ួយកាត់បន្ថយរោគសញ្ញាទាំងឡាយដែលបណ្ដាលមកពីការប្រើ ប្រាស់ពួក Antipsychotic
ួយឱ្យអ្នកជំងឺមានកំលាំង
ួយបន្ថយនូវភាពកាចសាហាវ (episode of violence)
ៅពេលគេប្រើប្រាស់ថ្នាំ Antipsychotic ( ឧ, ថ្នាំប្រភេទ Dopamine receptor antagonist) មួយ ឥតជោគជយ័ក្នុងការព្យាបាលជំងឺ Schizophrenia គេអាចប្រើរួមផ្សំជាមួយថ្នាំផ្សេងទៀតដូចជា Anticonvulsivant ( Carbamazepine រឺ Valproate) ។ ដើម្បី ៖
ួយកាត់បន្ថយរោគសញ្ញា Psychotic
ួយឱ្យអ្នកជំងឺដេកលក់
ួយកាត់បន្ថយរោគសញ្ញាទាំងឡាយដែលបណ្ដាលមកពីការប្រើ ប្រាស់ពួក Antipsychotic
ួយឱ្យអ្នកជំងឺមានកំលាំង
ួយបន្ថយនូវភាពកាចសាហាវ (episode of violence)
្នុងចំណោមថ្នាំខាងក្រោម តើថ្នាំមួយណាដែលមាន side effects ជា neuroleptic malignant syndrome and acute dystonia?
Lithium
Diazepam
Dopamine receptor antagonists
Tegretol
Insulin
ើថ្នាំ antipsychotics ខាងក្រោម តើមួយណាដែលមានប្រសិទ្ធភាពក្នុងការព្យាបាល negative and positive symptoms of schizophrenia បានល្អជាងគេ?
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
A 43-year-old man with conversion disorder. Which of the following approaches is not suitable for management?
Stress management
Supportive psychotherapy
Problem solving
Cognitive behavioral therapy
Pharmacotherapy
A 27-year-old man with illness anxiety disorder referred by GP to outpatient department. Which of the following medications would be the most suitable?
Ofloxation
Fluoxetine
Clomipramine
Carbamazepine
Diazepam
A 35-year-old woman used to present with conversion disorder. Which of the following approaches may prevent the relapse?
Stress management
Supportive psychotherapy
Exposure therapy
Cognitive behavioral therapy
Pharmacotherapy
A 38-year-old woman with illness anxiety disorder. Which of the following approaches is not suitable for management?
Stress management
Supportive psychotherapy
Exposure therapy
Cognitive behavioral therapy
Pharmacotherapy
A 45-year-old woman with illness anxiety disorder presents at outpatient department. Which of the following medications would be the most suitable?
Amitriptiline
Alprazolam
Perphenazine
Paroxetine
Lithium
A 39-year-old woman with somatic symptom disorder referred by GP to outpatient department. Which of the following medications would be the most suitable?
Olanzapine
Imipramine
Escitalopram
Diazepam
Lorazepam
A 40-year-old woman with somatic symptom disorder for past 11 years. Which of the following approaches is not suitable for management?
Stress management
Supportive psychotherapy
Exposure therapy
Activity scheduling
Pharmacotherapy
A 34-year-old man with somatic symptom disorder presents at outpatient department. Which of the following medications would be the most suitable?
Amitriptiline
Imipramine
Nortriptiline
Clomipramine
Fluvoxamine
A 50-year-old woman with conversion disorder and anxiety symptom referred to psychiatric outpatient department. Which of the following medications would be the most suitable?
Carbamazepine
Lithium
Alprazolam
Haloperidol
Phenytoine
A 57-year-old man with illness anxiety disorder for past 3 years. Which of the following factors will have effect on his prognosis?
Age of onset
Being male
Marital status
Intellectual level
Underlying personality disorder
A 49-year-old woman with conversion disorder. Which of the following factors will have effect on her prognosis?
Age of onset
Being female
Socioeconomic status
Intellectual level
Underlying personality disorder
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. What information do you need to explore?
Other somatic symptoms
Other laboratory test
Abdominal echography
Alcohol abused history
Past surgical history
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. What is the probable diagnosis?
Conversion disorder
Obsessive compulsive disorder
Depressive disorder
Somatic symptom disorder
Illness anxiety disorder
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. What information do you need to confirm the precise diagnosis?
Age of onset
History of psychological distress
History of childhood abuse
Significant distress in daily life
Unexplained physical symptoms
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. The therapist should:
Interview by passive listening
Offer sympathy
Offer empathy
Provide opioid analgesics
Advise to reduce activities
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. Which of the following medications could be prescribed?
Haloperidol
Chlorpromazine
Perphenazine
Sertraline
Risperidone
A 31-year-old woman has a long history of frequently changing physical symptoms such as upper abdominal pain with alternating diarrhoea and constipation, urinary frequency and dysuria, chronic neck and joint pain, and had also been referred to various specialists. No physical causes have been found despite extensive investigation. Which of the following techniques could not be applied?
Stress management
Exercise
Supportive
Cognitive behavior therapy
Avoiding activities
A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. What is the most likely diagnosis?
Acute stress disorder
Posttraumatic stress disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. What information do you need to confirm the precise diagnosis?
No past history of neurological condition
Duration of illness
Preoccupation with illness
Significant distress
No underlying personality disorder
A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. Which of the following techniques could not be applied?
Offer empathy
Suppotive psychotherapy
Explain about the illness he suffered
Stress management
SSRI medication
A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. Which of the following medications could be prescribed?
Amitriptiline
Nortriptiline
Imipramine
Sertraline
No above
A 36-year-old male presented abruptly with his leg became paralyzed after he was threatened to kill by phone. This symptom was extensively investigated but no physical cause was found. It is good prognosis for this case because:
Being male
Clear stressor as a precipitant
Start in adulthood
No underlying personality disorder
No underlying medical problem
A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. What is the most likely diagnosis?
Conversion disorder
Illness anxiety disorder
Depressive disorder
Somatic symptom disorder
Obsessive compulsive disorder
A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. Which of the following psychological intervention could not be applied?
Supportive
Exercise
Active listening
Cognitive behavior therapy
Abstinence from working
A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. Which of the following medications could be prescribed?
Risperidone
Olanzapine
Escitalopram
Lithium
Carbamazepine
A 32-year-old woman presents with multiple physical complaints for the past four years. These include headaches, abdominal pain, dysmenorrhea, nausea, food intolerance and loss of libido. Most recently she has taken extended sick leave from work. These symptoms have been extensively investigated but no physical cause has been found. Which of the following goals of treatment is not correct for this case?
Minimize symptoms
Minimize frequency of symptoms
Minimize severity of symptoms
Minimize distressing
Find out physical cause
A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. What is the most likely diagnosis?
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
Delusional disorder
Obsessive compulsive disorder
A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. What is the most likely differential diagnosis?
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
Delusional disorder
Obsessive compulsive disorder
A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. Which of the following is the most appropriate intervention for management?
Passive listening
Offer sympathy
Checking repeatedly to confirm no any cancer
Challenge unrealistic negative thought
Abstinence from working
A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. Which of the following medications would be the most suitable?
Alprazolam
Diazepam
Sertraline
Amitriptiline
Imipramine
A 54-year-old woman was referred from gynecologic ward to psychiatric outpatient department. She perceived a touchable mass with aching when she pressed it. She believed she had left breath cancer even though physical examination and investigations revealed no abnormality. She had been very distress for the past 8 months. It is good prognosis for this case because:
Being female
Onset at late adulthood
Good premorbid function
No underlying personality disorder
No history of alcohol abuse
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. What is the most likely diagnosis?
Delusional disorder
Obsessive compulsive disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. What is the most likely differential diagnosis?
Delusional disorder
Obsessive compulsive disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following interventions belong to supportive psychotherapy for this case?
Relaxation technique
Passive listening
Activity scheduling to enhance physical activities
Allow emotional release
Challenge unrealistic negative thought
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following interventions belong to cognitive behavioral therapy for this case?
Relaxation technique
Active listening
Activity scheduling to enhance physical activities
Allow emotional release
Offer empathy
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following medications would be the most suitable?
Imipramine
Clomipramine
Nortriptiline
Amitriptiline
Fluoxetine
A 28-year-old single woman living with stressful life for current and past 3 years. She has presented with multiple somatic symptoms for the past two years such as abdominal pain, diarrhoea, urinary frequency, chronic joint pain, and had also been referred to various specialists. These symptoms have been extensively investigated but no physical cause has been found. She has been very distress because she has believed that she suffered from a serious illness that therapists could not find out. Which of the following interventions will be the most suitable if the past somatic symptom arises again?
Clinical reassessment
Laboratory reinvestigation
Imagery reinvestigation
Avoid any reinvestigation
Refer to the specialist
A 55-year-old man has presented very anxious for past 7 months. He believed that he acquired HIV transmission even though investigations showed that it was contrary. What is the most likely diagnosis?
Somatic symptom disorder
Conversion disorder
Illness anxiety disorder
Obsessive compulsive disorder
Generalized anxiety disorder
A 55-year-old man has presented very anxious for past 7 months. He believed that he acquired HIV transmission even though investigations showed that it was contrary. Which of the following interventions is not correct for management?
HIV test repeatedly
Active listening
Offer empathy
Challenge cognitive distortion
Encourage continuation normal activities
A 55-year-old man has presented very anxious for past 7 months. He believed that he acquired HIV transmission even though investigations showed that it was contrary. Which of the following medications would be the most suitable?
Benzodiazepine
Imipramine
Sertraline
Amitriptiline
Nortriptiline
1- A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Find the best statement of mental disorders for this patient.
Depressive disorders
Dysthymic disorders
General anxiety disorders
Phobic disorders
A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the first choice of medicine should be prescribe for this patient during the 1st visit.
Tricyclic anti depression
Selective serotonin reuptake inhibitor
Benzodiazepine
Antipsychotic
A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the best statement of the pharmacodynamic by using Fluoxetine.
Inhibit serotonin receptors
Inhibit norepinephrine receptors
Inhibit dopamine receptors
Inhibit serotonin reuptake pump
A 55 years old man, comes with an excessive or arousal state characterized by feeling of apprehension, uncertainly and fear. Which is the best start recommended of the dosage by using Fluoxetine for this patient.
Should start with 10mg
Should start with 20mg
Should start with 25mg
Should start with 50mg
A 36 woman comes with the complaint of symptoms such as fatigue, trembling, muscle tension, chest tightness and nausea are associated with psychological problem. Which is the statement should be the most explored?
Others physical symptoms
Repeated the in doing one thing
Psychological symptoms/ onset
Experience of the traumatic event
A 36 woman comes with the complaint of symptoms such as fatigue, trembling, muscle tension, chest tightness and nausea are associated with psychological problem. Which is the most medical condition should be explore?
Stomach discomfort
Heart disease
Hypoglycemia
Liver disease
A 36 woman comes with the complaint of symptoms such as fatigue, trembling, muscle tension, chest tightness and nausea are associated with psychological problem. Which diagnosis should be the most consider?
PTSD
OCD
GAD
Depression
A 65 years old woman, come with complaint of startle and palpitation even though stimulated by sound ( loudly voice, broke things, shadow of someone..etc). Which is the statement should be the most explored?
Others physical symptoms
Repeated the in doing one thing
Psychological symptoms/ onset
Experience of the traumatic event
A 65 years old woman, come with complaint of startle and palpitation even though stimulated by sound ( loudly voice, broke things, shadow of someone..etc). Which is the most of psychological symptoms should be consider?
Feeling of tension
Bad dream terror
Excessive worry
Fear of dying
A 65 years old woman, come with complaint of startle and palpitation even though stimulated by sound ( loudly voice, broke things, shadow of someone..etc). Which diagnosis should be the most consider?
PTSD
OCD
GAD
Depression
A 42 years old woman teacher, comes with symptoms of palpitation, trembling, fearful even though going out and no body stay home with. Which is the statement should be the most explored?
Others physical symptoms
Repeated the in doing one thing
Others Psychological symptoms
Denial with extremely terror
A 42 years old woman teacher, comes with symptoms of palpitation, trembling, fearful even though going out and no body stay home with. Which is the most differential diagnosis should be consider?
PTSD
Specific phobia
Agoraphobia
Social phobia
A 42 years old woman teacher, comes with symptoms of palpitation, trembling, fearful even though going out and no body stay home with. Which diagnosis should be the most consider?
PTSD
Specific phobia
Agoraphobia
Social phobia
An excessive or aroused state characterized by feelings of apprehension, uncertainty and fear. Which is the best group of mental disorders should be considered?
Depressive group
Psychotic group
Anxiety group
Personality group
An excessive, unreasonable, persistent fear triggered by a remarkable situation.
Generalized anxiety disorders
Post traumatic stress disorders
Social phobic disorders
Specific phobic disorders
Which of the following is a predominant evolutionary theory of phobia?
Non-associative fear acquisition
Learned fear response
Biological preparedness
Specific phobia acquisition
One important issue in therapy for specific phobias is address:
Ensure the individual never comes with phobic event/situation
Phobic beliefs with their phobic event/situation
Opportunity talk about their phobic event/situation
Analyze any dream related to their phobic event/situation
Which is the most considered in cognitive behavioral therapy (CBT) of social phobia?
Exposure therapy
Talk therapy
Group therapy
Individual therapy
Which of the following is a long-term drug treatment for social phobia?
Some types of neuroleptic drug
Some types of anxiolytic drugs
Selective serotonin reuptake inhibitor
Tricyclic antidepressant
One technic in ABC model is the most getting to the effective and change the patient with negative thinking should be consider:
Challenging with the patient thought
Tell the patient to change their thought
Advise patient to change their thought
The meaning of one structure in ABC model is should be considered:
The behavior
The trigger
The thinking
The delusion
The missing of one structure in ABC model which is the consequent of psychological symptoms should be consider:
The behavior
The trigger
The thinking
The believe
The counseling purpose as is the most effectiveness of helping the mentally ill is:
Talk with the patient
Problem solving
Therapist lead session
The patient follows therapist’s idea
The counseling obstacle as is the main consideration:
Both therapist patient expectation
Good listening therapist
The patient follows therapist’s idea
Consideration and understanding
During the first visit patient is mostly feels anxious. Which is statement should be considered:
Be empathy/ sympathy
Put the patient at ease
Patient’s information is confidentiality
Sharing information
Which is the main statement that therapist ends communication and hurry up to catch the meaning of the patient said:
Understanding
Clarification
Summarizing
Non-judgmental
Which is the main statement that therapist repeats what the patient said during the interview?
Clarification
Summarizing
Paraphrasing
Notification
Which is the main statement that therapist mention the patient’s problem before ending session?
Appointment
Summarizing
Give home work
Notification
Which is the main statement that therapist ensures patient will come for the next session before ending interview?
Appointment
Summarizing
Give home work
Notification
Which is the main statement of therapist expectation that the patient will change his/her attitude and thinking before ending interview?
Appointment
Summarizing
Give home-work
Notification
The breath relaxation is one effective technic which is the best statement of the therapist apply for their patient to:
Improve the patient’s physical health
Improve the patient’s behavior
Improve the patient’s cognition
Improve the patient’s attitude
Some people have a predisposition factor which is triggered by stressful life event. Which is the most statement could be explained?
The conflict in family
The unemployment
The social problem
Parent had mental illness
Some people have a precipitation factor which is triggered by stressful life event. Which is the most statement could be explained?
The conflict in family
The unemployment
The social problem
Parent had mental illness
The important statement disruptive people’s work and prevent from doing thing could be explained as:
Impair functioning
Psychotic feature
Mood disorders
Anxiety disorders
Panic disorder is characterized by recurring severe panic attacks. Which following is the most caused a panic attack?
Sugar
Caffeine
Tea
Milk
Panic disorder is characterized by recurring severe panic attacks. Which following is the most medical illness caused a panic attack?
Diabetes
HIV/AIDS
High blood pressure
Hyperthyroid
People with Panic disorder is mostly associated:
Generalized anxiety Disorders
Post-traumatic stress disorders
Social phobic disorders
Agoraphobia disorders
The patient comes to Psychiatric OPD with complaint of fearful, palpitation, trembling with the performance at school. Which is the best long-term treatment of antidepressant you will chose?
Amitriptyline
Imipramine
SSRIs
Benzodiazepine
The patient comes to Psychiatric OPD with complaint of difficulty falling asleep, fearful, palpitation, trembling with the performance at school. Which is the best long-term treatment of antidepressant you will choose?
Amitriptyline
Imipramine
SSRIs
Benzodiazepine
Choosing the best recommended started dose of tricyclic antidepressant “Amitriptyline”?
12,5 mg
25 mg
50mg
100mg
A 2 years old boy still cannot control his own sphincter. He communicates less with his parents and family members. He produces sound as if intended to speak but he cannot. He can walk properly last 6 months. Since he was 1 years old, his both parents has noticed that the boy has something abnormal in development. Therefore they have tried to feed him with more protein, such as eggs and meats. Which of below problems the boy probably has?
Anxiety disorder
Mental retardation
Autistic disorder
Conduct disorder
Speech disorder
A 2 years old boy still cannot control his own sphincter. He communicates less with his parents and family members. He produces sound as if intended to speak but he cannot. He can walk properly last 6 months. Since he was 1 years old, his both parents has noticed that the boy has something abnormal in development. Therefore they have tried to feed him with more protein, such as eggs and meats. Which of the below explanations describe the reason that the above parents did not bring the child for intervention?
Knowledge of parents about the symptoms
Attitude of parents towards the symptoms
Tolerance of parents on the symptoms
Perception of parents about the symptoms
No treatment service
A 2 years old boy still cannot control his own sphincter. He communicates less with his parents and family members. He produces sound as if intended to speak but he cannot. He can walk properly last 6 months. Since he was 1 years old, his both parents has noticed that the boy has something abnormal in development. Therefore they have tried to feed him with more protein, such as eggs and meats. In case we want to know, how much IQ she probably has?
10 – 20
20 – 30
30 – 40
40 – 50
50 – 60
A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. Which of below problems the boy probably has?
Anxiety disorder
Mental retardation
Autistic disorder (Autism)
Conduct disorder
Speech disorder
A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. Which of the below explanations describe the reason that the above parents did not bring the child for intervention?
Knowledge of parents about the symptoms
Attitude of parents towards the symptoms
Tolerance of parents on the symptoms
Perception of parents about the symptoms
No treatment service
A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. In case we want to know, how much IQ he probably has?
10 – 20
20 – 30
30 – 40
40 – 50
50 – 60
A 3 years old boy remains un-explorative. Apart from eating, he does not demand much. He stays still at any place where his mother arrange for him. He seems not interested in things around him. His parents recognized the child has something different from other children. However, he does not disturb their busy business, so they do not bring him to the hospital yet. 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
The corresponding community where the child live
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). What is a probable diagnosis in the girl?
Anxiety disorder
Conduct disorder
Phobic disorder
Depressive disorder
Child abuse
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). The evidence of the disturbance will be based on:
Observation of the child’s behavior by parents
Observation of the child’s behavior by teacher
Observation of the child’s behavior by peers
Observation of the child’s behavior by parents, teacher and peers
Developmental history and understanding home environment
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). If the children are not able to express their problems in word, the evidence of disturbance is based more on:
Observation of behavior made by parents and peers
Observation of behavior made by teachers and peers
Observation of behavior made by parents and teachers
Observation of behavior made by clinicians and parents
Observation of behavior made by all people around the child
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). In child psychiatry, the direct intervention to the children is for:In child psychiatry, the direct intervention to the children is for:
Retraining and reassuring
Changing their attitude
Coordinating effort to help
Organizing the child routine
Restructure the child timetable
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). In child psychiatry, the intervention directed toward the parents is for:
Retraining and reassuring
Changing their attitude
Coordinating effort to help
Organizing the child routine
Restructure the child timetable
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). In child psychiatry, the intervention directed toward the teachers and others is for:
Retraining and reassuring
Changing their attitude
Coordinating effort to help
Organizing the child routine
Restructure the child timetable
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). Child psychiatric treatment is made by a team consisting of:
Psychiatrists, psychiatric nurses and parents
Psychiatrists, psychologists, teachers and parents
Psychiatrists, pediatricians, teachers and parents
Psychiatrists, psychologist, psychiatric nurses and parents
Health professionals, parents, teachers, social workers and others
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). Drug treatment in child psychiatry is:
Limited for all cases
Limited but important for some disorders
Restricted for all cases
Necessary for all cases
Not necessary for all cases
A 4 years old girl is brought to you by her mother for abnormal behavior since last month. She clings to her mother all the time. She does not leave her mother to play with other children around her, even though she shows some desire to play. During the interview, she looks anxious and does not answer any word to your questions. She even does not look directly at your eyes. When her father get in, the girl became more alert and hide her face in her mother’s clothe (Sarong). In child psychiatry, 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
Family is dysfunction
A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, which is the best way the clinician use to assess the feeling, thinking and problems of this child?
Interview the parents about the child
Observe the child’s interaction with parents
Play with the child using toys in a playroom
Allow the child interact with her mother
Comfort the child and repeat the questions
A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, Group therapy can be applied with group of:
Toddler
Toddler and infancy
Toddler and early childhood
Toddler, early childhood and middle childhood
Middle childhood and adolescence
A 4 years old girl has become less active and less explorative for six months. She looks sad and does not talk as she used to do. Without verbal communication, The child may need substitute care when:
Long-term enough treatment with medication does not work well
The medications become resistant after a long enough trial
The medications produces hard to endure side-effects
He or she is the only one child in the family
The child’s symptom result from a severe unstable home environment
A 7 years old boy has been presenting aggressive behavior in inappropriate circumstances for 6 months. In the beginning, the aggression happened once or twice a month. Last week, following a serious dispute of his parents, the boy attempted to harm himself many times. Which intervention should be the best?
Family therapy
Individual psychotherapy
Group psychotherapy
Arrange the child in a foster home
Admit the child to the hospital
A 20 year old boy c/o hearing of voices, aggressive behabiour since 2 days. He has fever since 2 days. When asked to his family, they says that he has been muttering to self and Disorganized behaviour. There is no h/o psychiatric illness. Likely diagnosis is
Acute psychosis
Dementia
Delusional disorder
Delirium
A 20 year old boy c/o hearing of voices, aggressive behabiour since 2 days. He has fever since 2 days. When asked to his family, they says that he has been muttering to self and Disorganized behaviour. There is no h/o psychiatric illness. Drug of choice in Delirium tremens is
Diazepam
Phenytoin
Chlordiazepoxide
Morphine
A patient on antipsychotic for past four weeks is brought to the emergency with complaint of acute onset of fever, excessive sweating confusion, rigidity of limbs and decreased communication. Examination reveals Temperature of 39 Degree C , P/R - 120/min BP - 150/100 with disorientation. What is the most probable diagnosis?
Dystonia
Neurolept malignant syndrome
Lithium toxicity
Aggrevation of psychosis
A patient on antipsychotic for past four weeks is brought to the emergency with complaint of acute onset of fever, excessive sweating confusion, rigidity of limbs and decreased communication. Examination reveals Temperature of 39 Degree C , P/R - 120/min BP - 150/100 with disorientation. Drug of choice for schizophrenic patient with poor oral absorption is ?
Haloperidol
Fluphenazine
Clozapine
Olanzapine
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
Loxapine
Haloperidol
Fluphenazine
Clozapine
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
Delusional disorder
Depression
Schizophrenia
No psychatric ailment
Vasanti 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
Delusional Disorder
Acute drug dystonia
Conversion reaction
Acute psychosis
The following is a schizophrenia's first rank symptoms
Voices commenting on actions
Persecutory delusion
Incoherence
Delusion of guilt
Antipsychotic drug with prolonged action
Penfuridol
Trifluperazine
Thioridazine
Fluphenazine
A patient of schizophrenia treated for 5 yrs developed perioral movements. Likely diagnosis is:
Akathisia
Malignant neuroleptic syndrome
Tardive dyskinesia
Muscular dystonia
Which of the following antidepressants is called selective serotonin reuptake inhibitor ?
Imipramine
Amitriptyline
Fluoxetine
Desipramine
Delirium Tremens ( DTs) មានរោគសញ្ញាៈ
ង់ធ្វើអត្ដឃាត
Visual hallucination
្រលៀងភ្នែក
ិយាយត្រដិត
្នកដែលញៀននឹងថ្នាំប្រភេទ Amphetamine, បន្ទាប់ពីបញ្ឈប់ការប្រើប្រាស់ ( Amphetamine withdrawal) អ្នកជំងឺអាចមានរោគសញ្ញា ៖
ាមច្រមុះ
្លាក់ទឹកចិត្ដ
្អួត , ចង្អោរ
ង្វេងស្មារតី
្នាំដែលមានសកម្មភាពប្រឆាំងនឹង Receptor នៃ Dopamine (The dopamine receptor antagonists) មានៈ
Amphetamine
Heroine
Haloperidol
Benzodiazepine
យៈពេលខ្លីបំផុតក្នុងការសាកល្បងប្រើប្រាស់ថ្នាំ Antipsychotic ក្នុងការព្យាបាលជំងឺSchizophrenia ៖
ី ២ អាទិត្យ ទៅ ៦ អាទិត្យ
ី ២ អាទិត្យ ទៅ ៤ អាទិត្យ
ី ៤ អាទិត្យ ទៅ ១០ អាទិត្យ
ី ៤ អាទិត្យ ទៅ ៥ អាទិត្យ
ៅពេលគេប្រើប្រាស់ថ្នាំ Antipsychotic ( ឧ, ថ្នាំប្រភេទ Dopamine receptor antagonist) មួយ ឥតជោគជយ័ក្នុងការព្យាបាលជំងឺ Schizophrenia គេអាចប្រើរួមផ្សំជាមួយថ្នាំផ្សេងទៀតដូចជា Lithium គោលបំនងដើម្បី
ួយឱ្យអ្នកជំងឺដេកលក់
ួយកាត់បន្ថយរោគសញ្ញា Psychotic
ួយកាត់បន្ថយរោគសញ្ញាទាំងឡាយដែលបណ្ដាលមកពីការប្រើប្រាស់ពួក Antipsychotic
ួយឱ្យអ្នកជំងឺមានកំលាំង
ោលបំណងនៃការធ្វើ Tetiary prevention :
A- ដើម្បីកាត់បន្ថយនូវអត្រា Incidence របស់ជំងឺ
B- ដើម្បីកាត់បន្ថយនូវអត្រា Prevalence របស់ជំងឺ
ើម្បីកាត់បន្ថយនូវអត្រា Prevalence របស់ជំងឺទាំងឡាយណាដែលបរាជយ័ក្នុង ការ ព្យាបាលរឺអសមត្ថភាព មិនអាចធ្វើអ្វីបានបន្ទាប់ពីជំងឺបានធូរស្បើយ
D- ដើម្បីកាត់បន្ថយពេលវេលាឈឺ
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