Psychiatrie 4
A 37-year-old man has a history of hypochondriasis for past 5 years. Which of the following disorders best represents hypochondriasis?
Anxiety disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
Hypomania
A 30-year-old woman has a history of pain disorder for past 4 years. Which of the following disorders best represents pain disorder?
Anxiety disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
Hypomania
Which of the following statements best describes the meaning of somatic symptom disorder?
Chronic mental disorder with numerous symptoms
Numerous chronic physical and mental complaints
Chronic physical illness with numerous complaints
Chronic condition with numerous physical complaints
Chronic condition with numerous mental symptoms
Regarding somatic symptom disorder, which of the following statements is most likely correct?
Common disease for individuals live in city
Common disease in poor country
Common disease present in psychiatric ward
The onset is in late adulthood
The ratio for F:M up to 10:1
A 28-year-old woman has suffered somatic symptom disorder for past 2 years. She has been living in a family with dysfunctional relationship and in a family that a member with depressive disorder. She works in a stressful business. Which of the followings is the most likely risk factor of her disease?
Work in a stressful business
Be a female
Be a young adult
Live in dysfunctional family relationship
Live in a family that a member with depressive disorder
A 31-year-old woman has history of somatic symptom disorder for past two years. She has presented many somatic symptoms that no physical basis. Which of the following statements best describe the clinical feature of somatic symptom disorder?
Somatic symptoms have to associated with stressful event
Somatic symptoms have to start before age 30
Somatic symptoms are multiple and recurrent
Somatic symptoms present most of the day
Somatic symptoms exist more than 6 months
A 32-year-old woman has a history of somatic symptom disorder for past three years. She seeks consultation with many therapists. Which of the following reasons for changing therapists is most suitable?
A nature of patient with this disorder
.A consultation fee is expensive
A consultation service is not good enough
Going to consultation place is difficult
Family want to change therapist
A 45-year-old man with somatic symptom disorder has excessive thought, felling, and behavior to somatic symptoms for ___ months. Which of the following periods is most correct to diagnose somatic symptom disorder?
Not emphasize period
At least 3 months
At least 6 months
At least 9 months
At least 12 months
A 33-year-olwoman has excessive preoccupation with chronic physical complaints for which no physical causes have been found despite extensive investigation. She actually develops hearing loss in association with a severed stressful event. Which of the followings is the most likely diagnosis?
Psychotic disorder
Conversion disorder
Illness anxiety disorder
Somatic symptom disorder
Obsessive compulsive disorder
A 31-year-old woman has a long history of dysfunctional uterine bleeding, persistent upper abdominal pain with alternating diarrhea and constipation, urinary frequency and dysuria, or chronic back pain. She has consulted GPs and various specialists but nothing physical causes have been found despite extensive investigation. Which of the followings is the most likely diagnosis?
Depressive disorder
Conversion disorder
Somatic symptom disorder
Generalized anxiety disorder
Illness anxiety disorder
A 28-year-old single woman has many physical symptoms such as abdominal pain, diarrhea, urinary frequency, chronic joint pain. She is very distress, even investigations reveal no physical basis. She believes that she suffered from a serious illness that therapists could not find out. Which of the followings is the most likely diagnosis?
Conversion disorder
Delusional disorder
Obsessive compulsive disorder
Somatic symptom disorder
Illness anxiety disorder
A 47-year-old woman has a history of somatic symptom disorder for several months. She persistently worried about her symptoms and her future life. Which of the followings is the most likely differential diagnosis?
Generalized anxiety disorder
Obsessive compulsive disorder
Illness anxiety disorder
Conversion disorder
Factitious disorder
A 28-year-old man with somatic symptom disorder has many gastrointestinal symptoms. He believes that he suffers from gastric ulcer, even extensive investigations reveal that no abnormality. Which of the followings is the most likely differential diagnosis?
Factitious disorder
Psychotic disorder
Obsessive compulsive disorder
Conversion disorder
Illness anxiety disorder
A 42-year-old man has history of somatic symptom disorder for several years. Recently he developed hearing loss after his business met problems. Which of the followings is the most likely differential diagnosis?
Conversion disorder
Obsessive compulsive disorder
Generalized anxiety disorder
Illness anxiety disorder
Depressive disorder
Which of the following statements best describes the meaning of illness anxiety disorder?
Worry that he/she will have a serious illness
Suspect that he/she has a serious illness
Worry that he/she has a serious illness
Think that he/she has a serious illness
Think that he/she will have a serious illness
Regarding illness anxiety disorder, which of the following statements is most likely correct?
Common disease present in psychiatric ward
Common disease in rural area
Common disease in poor country
The ratio for M:F may be 1:1
The onset is in late adulthood
A 49-year-old man has a history of illness anxiety disorder for past three years. He lives in a family that a member has depressive disorder and in a family that has dysfunctional relationship. In childhood and adulthood, he studied hard and used to suffer a serious illness. Which of the followings is the most likely risk factor of his disease?
Live in a family that a member with depressive disorder
Be a male
Have a serious illness in childhood
Study hard in childhood and adulthood
Live in dysfunctional family relationship
A 25-year-old man has a history of illness anxiety disorder for past two years. In childhood, he lived in a poor family with abusive father and studied grade 4 only. Which of the followings is the most likely risk factor of his disease?
Low educational level
Be a male
Be a young adult
Be poor in childhood
Be abused in childhood
A 56-year-old man has a history of illness anxiety disorder for past one year. He very worries that he has a serious illness and often change therapist. Which of the following reasons for changing therapists is most suitable?
It is a personality disorder
A consultation fee is expensive
A consultation service is not good enough
Going to consultation place is difficult
He thinks therapist cannot find out his disease
A 47-year-old woman insists that she has brain tumor, even extensive investigations reveal that no tumor. Which of the followings is the most likely diagnosis?
Illness anxiety disorder
Psychotic disorder
Obsessive compulsive disorder
Somatic symptom disorder
Conversion disorder
A 30-year-old unemployed man falsely believes that he suffers from AIDS. He needs to go to a hospital for monthly HIV test despite negative results. Which of the followings is the most likely diagnosis?
Somatic symptom disorder
Delusional disorder
Obsessive compulsive disorder
Illness anxiety disorder
Conversion 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 investigations revealed no abnormality. She had been very distress for the past 8 months. Which of the followings is the most likely diagnosis?
Obsessive compulsive disorder
Somatic symptom disorder
Illness anxiety disorder
Conversion disorder
Delusional disorder
A 17-year-olboy insists that his brain is rotten, despite there are reasonable explanations. Which of the followings is the most likely diagnosis?
Psychotic disorder
Conversion disorder
Illness anxiety disorder
Somatic symptom disorder
Obsessive compulsive disorder
A 29-year-old beer promotion woman presents constipation sometime. She believes that her bowel is cut into several pieces and always tells her relatives or friends despite they always confirm that it is impossible. Which of the followings is the most likely diagnosis?
Illness anxiety disorder
Psychotic disorder
Obsessive compulsive disorder
Somatic symptom disorder
Conversion disorder
A 41-year-old woman has a history of illness anxiety disorder for few months. She is very distress and she persistently worries about her future life. Which of the followings is the most likely differential diagnosis?
Conversion disorder
Depressive disorder
Generalized anxiety disorder
Obsessive compulsive disorder
Somatic symptom disorder
Which of the following statements best describes the meaning of conversion disorder?
A mental disorder has many somatic and neurological symptoms
A physical condition presents altered voluntary motor or sensory function
A mental or physical disorder characterized by altered voluntary motor or sensory function
.A mental disorder characterized by changing from mental conflict into somatic form
A mental disorder has many somatic symptoms
Regarding conversion disorder, which of the following statements is most likely correct?
The onset is in all age
Common disease in rural area
Common disease in poor country
The ratio for M:F is 1:1
Common disease present in psychiatric ward
A 37-year-old single woman has conversion disorder. In childhood, she lived with her aunt because her parents worked abroad. There was no one take care her and she studied grade 3 only. Which of the followings is the most likely risk factor of her disease?
Low educational level
Be a female
Be a single
Be neglected in childhood
Be poor in childhood
Regarding conversion disorder, which of the following statements is most likely correct?
Altered voluntary sensory function is neurological symptom
The onset of symptom may be associated with stress or trauma
Cannot diagnose conversion disorder if no stress or trauma associated with onset of symptom
Assessment for neurological disease is not important
Altered voluntary motor function is neurological symptom
A 21-year-old woman with conversion disorder very worries her disease for ___ months. Which of the following periods is most correct to diagnose conversion disorder?
Not emphasize period
At least 3 months
At least 6 months
At least 9 months
At least 12 months
A 38-year-old woman presents with loss of skin sensory after a conflict with husband. Investigations reveal that no abnormality. Which is the most likely diagnosis?
Malingering
Illness anxiety disorder
Conversion disorder
Somatic symptom disorder
Factitious disorder
) A 25-year-old woman presents jaw stiff, arm shaking, and do not answer. This problem occurs after conflicting with husband. She is diagnosed as conversion disorder. Which of the followings is the most likely differential diagnosis?
Malingering
Panic disorder
Phobic disorder
Depressive disorder
Anxiety disorder
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