Psychiatrie 2

បុរសម្នាក់អាយិ៤៥ឆ្នាំបានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី២០ មិថុនា ២០១៦ ដោយមានរោគសញ្ញា ញ័រខ្លួនប្រាណ សំរាន្តមិនលក់ ក្តៅខ្លួន ចង្អោរ ស្បែកគាត់ឡេីងពណ៍លឿង៕ គាត់ធ្លាប់មានប្រវត្តិពិសារស្រាច្រេីន រៀងរាល់ថ្ងៃ និងយូរឆ្នាំ៕ ចំណោមរោគវិនិច្ឆ័យខាងក្រោមតេីមួយណាដែលត្រឹមត្រូវជាងគេ 
Alcohol withdrawal
Alcohol induced Mood disorder
Alcohol induced Anxiety disorder
Alcohol induced psychotic Disorder
Alcohol induced dementia
���ុវនារីម្នាក់អាយុ ២៥ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី ២៧ មិថុនា ២០១៦ ដោយមានរោគសញ្ញា រឹងសាច់ដុំ ពិបាកហាមាត់និយាយ ញ័រខ្លួន ហៀរទឹកមាត់ គ្រាប់ភ្នែកចេះតែសំលឹងមេីលទៅលេីហេីយករបស់គាត់ចេះតែកាច់ទៅលក្រោយ៕ រោគសញ្ញាតាំងនេះកេីតមានបន្ទាប់ពីគាត់ប្រេីថ្នាំប្រភេទ Neuroleptic ៕ ក្នុងចំណោមផលវិបាកខាងក្រោមតេីផលវិបាកមួយណាដែលត្រឹមត្រូវជាងគេ
Enuresia
Tardive dyskinesia
Neuroleptic malignant syndrome
Akatisia
Acute dystonia
���ុវជនម្នាក់អាយុ ២១ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី ១២ ឧសភា ២០១៦ ដោយមានរោគសញ្ញា សំរាន្តមិនលក់ និយាយ និងសេីចម្នាក់ឯងដោយអត់ហេតុផល កាច ឆាប់ខឹង ជួនកាលដេីរត្រាចចរដោយគ្មានទិសដៅពិតប្រាកដ ។ រោគសញ្ញាទាំងនេះកេីតមានប្រហែលរយៈពេល ១ឆ្នាំមកកន្លងមកហេីយ៕ ក្នុងចំណោមរោគវិនិច្ឆ័យខាងក្រោមតេីមួយណាដែលត្រឹមត្រូវជាងគេ
Personality disorder
Psychotic Depression
Schizophrenia
Acute Psychosis
Substance induced psychotic Disorder
���ុវជនម្នាក់អាយុ ២៦ឆ្នាំ បានមកពិនិត្យនិងព្យាបាលផ្នែកជំងឺផ្លូវចិត្តនៅថ្ងៃទី ១២ កក្កដា ២០១៦ ដោយមានរោគសញ្ញា សំរាន្តមិនលក់ និយាយ និងសេីចម្នាក់ឯងដោយអត់ហេតុផល កាច ឆាប់ខឹង ជួនកាលដេីរត្រាចចរដោយគ្មានទិសដៅពិតប្រាកដ ។ រោគសញ្ញាទាំងនេះកេីតមានប្រហែលរយៈពេល ៣ឆ្នាំមកកន្លងមកហេីយ៕ គាត់ធ្លប់ទទួលការព្យាបាលដោយគ្រូបុរាណតែសភាពជំងឺដូចជាមិនមានលក្ខណៈល្អប្រសេីរឡេីយ៕ ក្នុងចំណោមការព្យាបាល ខាងក្រោមតេីមួយណាដែលត្រឹមត្រូវជាងគេ
Psychotherapy
Conselling
Antidepressant
Antipsychotic
Rehabilitation
���្នកជំងឺម្នាក់ជឿយ៉ាងមាំ និងអះអាងថាខួរក្បាលរបស់គាត់បានរលួយអស់ហេីយ ៕ ចូរជ្រេីសរេីសយកចម្លេីយ មួយដែលត្រឹមត្រូវជាងគេ
Hypochondriasis
Panic disorder
Somatization disorder
Somatoform disorder
Delusion
Delirium Tremens (DTs) មានរោគសញ្ញា
Visual hallucination
���ង់ធ្វេីអត្តឃាត
���្រលៀងភ្នែក
���ិយាយត្រដិត
���្នកដែលញៀននឹងថ្នាំប្រភេទ amphetamine បន្ទាប់ពីបញ្ឈប់ការប្រេីប្រាស់ (amphetamine withdrawal) អ្នកជំងឺ អាចមានរោគសញ្ញា
���ាមច្រមុះ
���្លាក់ទឹកចិត្ត
���ង្វេងស្មារតី
���្អួត ចង្អោរ
���ារប្រេីប្រាស់ថ្នាំ ំ Amphetamine អាចបណ្តាលអោយមានរោគសញ្ញាផ្លូវចិត្តធ្ងន់ធ្ងរជាពិសេសគឺ អារម្មណ៍ (affective) ។ តេីរោគសញ្ញាខាងក្រោម ណាមួយដែលត្រឹមត្រូវជាងគេ
���ារម្មណ៍គ្មានប្រែប្រួល
���ារម្មណ៍មានលក្ខណៈថយចុះ (consticted affect)
���ារម្មណ៍មានលក្ខណៈសមស្រប (apperopriate affect)
���ារម្មណ៍ងាយប្រែប្រួលឡេីងចុះ(labile affect)
���ារស្នេីរអោយអ្នកជំងឺបកស្រាយអត្ថន័យ នៃសុភាសិតរឺអត្ថន័យបង្កប់នៃប្រយោគណាមួយ គឺជាវិធីសាស្រ្តនៃការវាយតំលៃទៅលេី
Intelligence
Judgment
Impulse control
Abstract thinking
Insight
���ំឡេីយខាងក្រោមនេះ តេីរោគសញ្ញាណាមួយជារោគសញ្ញារបស់ជំងឺ Schizophrenia:
���ារម្មណ៍ ប្រែប្រួលទៅតាមសភាពការណ៍ខាងក្រៅ
���ស់សង្ឃឹមក្នុងការរស់នៅ
���ារទទួលអារម្មណ៍ខុស
���ាប់ខឹង និង មួរម៉ៅច្រេីន
���ានអាកប្បកិរិយាចូលចិត្តប្រឆាំងនឺងមនុស្សចាស់
Psychosis មានន័យថា
���ំដែងអាកប្បកិរិយាដយចកូនក្មេង
���ង់សំលាប់ខ្លួន
���ានអារម្មណ៍សោកស្តាយក្រោយ
���ាត់បង់រឺចុះខ្សោយការយល់ដឹងភាពពិតទាំងឡាយដែលនៅជុំវិញខ្លួន
Neologism មានន័យថា
���ង្គុយសេីចម្នាក់ឯងអត់ហេតុផល
���ង្កេីតពាក្យថ្មីដាក់ឈ្មោះឱ្យរបស់អ្វីមួយ
���ំរេកផ្លួវភេទកេីនឡេីង
���ុះខ្សោយការចងចាំ
���ានអារម្មណ៍សង្ស័យថាមានគេចង់តាមធ្វេីបាបខ្លួន
���ំងឺ Schizophrenia ច្រេីនកេីតលេីមនុស្ស
���ាយុក្រោម១០ឆ្នាំដល់១៥ឆ្នាំ
���ាយុពី១៥ឆ្នាំដល់៣៥ឆ្នាំ
���ាយុពី៤៥ឆ្នាំដល់៦៤ឆ្នាំ
���ាយុពី៦៥ឆ្នាំដល់៧៥ឆ្នាំ
���ាយុលេីសណី៧៥ឆ្នាំ
���ុលស្រា (Alcohol intoxication) មានរោគសញ្ញា
���័រចុងដៃជេីង
���ំនិតចង់ធ្វេីអត្តឃាត
���ានការពិបាកក្នុងការសំរបសំរួលអាកប្បកិរីយា
���ានអារម្មណ៍ចង់ធ្វេីបាបខ្លួនឯង
���ានរោគសញ្ញា Psychoticsymptoms(Hallucination,Delusion...)
���ារកេីតមាននូវសំទុះចិត្តផ្ទុយគ្នាកេីតឡេីងនៅលេីមនុស្សតែម្នាក់និងក្នុងពេលតែមួយគឺជា
Expansive mood
Anxiety
Ambivalence
Guilt
Abreaction
Delirium Tremens ( DTs) មានរោគសញ្ញា
���ង់ធ្វេីអត្តឃាត
���ិយាយវង្វេងវង្វាន់មិនដឹងទិសតំបន់
���ានអារម្មណ៍ឆាប់ខឹង
���ង់នៅឯកោម្នាក់ឯង
���ាមកត្តា Biology មូលហេតុដែលបណ្តាលអោយមានជំងឺ Schizophrenia បណ្តាលមកពី
���ារកេីនឡេីងនូវសកម្មភាពរបស់ Dopamine នៅក្នុងខ្លួន
���ារថយចុះនូវសកម្មភាពរបស់ Dopamine នៅក្នុងខ្លួន
���ារប្រេីប្រាស់ថ្នាំ Antidepressant រយៈពេលយូរ
���ារគិតច្រេីនពេក
���ារគ្រោះថ្នាក់ដោយដាច់សរសៃឈាមនៅក្នុងខួរក្បាល
A 23 year – old, male living in Pursat, he come to see the Dr at KSFH on 30.6.16 This patient brought to the hospital by his mother because of strangebehavior, poor sleep, talkative, paranoid ideas, wandering and disorganized speech. These problem stated for 1 week after he had conflict with his neighbor. BP : 12/70 , T : 37, Pulse : 60/mn: What is the most likely appropriate treatment for this patient ?
Psychotherapy
Conselling
Antidepressant
Antipsychotic
Rehabilitation
Mrs S is 40 years old, married, 2 children, teacher, from Kandal province. She comes to Psychiatric OPD alone and complains of palpitation, chestiness, cold extremities and fear of stay home alone but no symptoms of panic attacks with 6 months onset. BP= 120/75 mmhg, Pouls= 102/mn and Temperature=36.5 C: What is the most important family’s information you need to explore:
Family history of personality disorders
Family history of Psychotic disorders
Family history of mood disorders
Family history of medical condition
Family history of an anxiety disorders
Mrs S is 40 years old, married, 2 children, teacher, from Kandal province. She comes to Psychiatric OPD alone and complains of palpitation, chestiness, cold extremities and fear of stay home alone but no symptoms of panic attacks with 6 months onset. BP= 120/75 mmhg, Pouls= 102/mn and Temperature=36.5 C: What is the probably diagnosis of this patient:
Panic disorder
Social phobia
Specific phobia
Generalized anxiety disorders
Agoraphobia
Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: What is the main symptoms for the psychiatric diagnosis :
Experienced of difficulty in coping daily problem
Woke up often at midnight with fearful feeling
Difficulty to concentrate with daily work
Experienced of palpitation even before the event
Experienced of fearful even before the event
) Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: Which is the relevant psychological symptoms could be follow by the above event:
Thought blocking by this event.
Worry over others event.
Reliving meeting this event.
Flight of idea about this event.
Ambivalence thought to this event.
Mr. A 22 years old, single, worker, from Kg Speu province, come to psychiatric OPD by feeling of fearfulness, woke up often at midnight with fearful feeling, difficulty to concentrate with daily work and palpitation. He noted those symptoms happen in several days after saw the serious traffic accident which some people died and continue around one months. BP= 110mmhg/ 70mmhg, Pouls= 92/mn and Temperature=37 C: What is the probably diagnosis of this patient:
Adjustment Disorders
Phobic Disorders
Depressive disorders
Post traumatic stress Disorders
Acute stress disorders
A 18 female patient, student, lives in Phnom- Penh, come to Psychiatric OPD and complains of palpitation, fearful, difficulty falling asleep, trembling and feeling numbness, especially crossing the bridge. What is the emotional response of this patient?
An excessive worry of crowd
A persistent fear of social situations.
.A triggered by a specific object.
.A triggered by a specific object.
An excessive worry of going out home.
A 18 female patient, student, lives in Phnom- Penh, come to Psychiatric OPD and complains of palpitation, fearful, difficulty falling asleep, trembling and feeling numbness, especially crossing the bridge. What is the probably diagnosis of this patient?
Generalized anxiety Disorders
Social phobia.
Agoraphobia.
Specific phobia
Panic disorders
Recent evidence suggests that at least some phobias are closely associated with the emotion of:
Euphoric
Anger
Sadness
Irritable
Disgust
Individuals experience concerns about embarrassment and are afraid that others will judge them to be anxious, weak, “crazy”, or stupid. The emotional will be:
Fear of dangerous
Fear of going out alone
Fear of crowd place
Fear of performance
Fear of panicky
Mrs. B 36 years old, married, seller, lives in Kandal province come to emergency because of suddenly emotional disturbance for 2-3 times/ month, such as: perspiring, heart palpitation, difficulty to breath in (dyspnia), difficulty to control this emotion and fear of dying for around 4 weeks. She had BP= 130/80mmgh, Pouls= 102 /mn, other medical investigation reveal no abnormality related to the medical illness noted. What is the probably diagnosis of this patient:
GAD, MAD
Social phobia
Agoraphobia
Panic disorders
Others anxiety disorders
Anxiety disorder is the psychological response which could be biological explain as:
Low sodium and chloride ion in synaptic cleft
Excessive chloride ion in synaptic Cleft
Low chloride ion in synaptic Cleft
Excessive sodium ion in synaptic Cleft
Low sodium ion in synaptic Cleft
Patient SK 23 years old man, live in Kandal province, single, come to psychiatric OPD because of changing behavior such as concerned every things. Especially turned on the light, refrigerator, fan and other 2 -3 times before getting out home. His behavios happen for 2 months ago. What is the problem of the psychological symptoms of SK?
Thought insertion
Distractive thought
Obsession thought
Thought blocking
Thought broadcasting
Patient SK 23 years old man, live in Kandal province, single, come to psychiatric OPD because of changing behavior such as concerned every things. Especially turned on the light, refrigerator, fan and other 2 -3 times before getting out home. His behavios happen for 2 months ago. What are the probably diagnosis of SK?
OCD without anxiety symptoms
OCD with panic attack
OCD without panic attack
OCD with agoraphobia
OCD with social phobia
Which is the main term of anxiety neurosis that Sigmund Freud was coined?
As a response to a dangerous situation
As a response to a simple situation
As a response to a trauma situation
As a response to a specific situation
Which is the main author who was created the new theory of anxiety in 1926?
Myers
Piaget
Sigmund Freud
Margaret
Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below?
Problem with speech
Fear of losing control
Shallow breathing
Fear of dying
Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below?
Irritable/ angry easily
Fast pulse
Muscle tension
Fear of going mad
Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most probably explain in the statement below?
Excessive worry
Feeling unpleasant
Difficulty falling asleep
Shortness of breath
The shallow breathing in anxiety symptom could be the most explain in the statement below?
The write levels carbon dioxide and oxygen in the body
The gases are at the right levels in the body
The gases are at the balance levels in the body
The wrong levels carbon dioxide and oxygen in the body
The anxiety state become common in an individual, the cumulative effect of mood swing and irritable. Which is the most effect can create in statement below?
Bring on suicide
Worsening anxiety symptoms
Create nutrition deficiency
Bring on panic attack
Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most explanation the “ reverses stress response” in the following statement activities?
Increasing activities of nervous system
Sympathetic nervous system
Parasypathetic nervous system
Both sympathetic and parasympathetic
Every one experiences anxiety and often accompanied by autonomic symptoms. Which is the most explanation the “ reverses stress response” in the following statement activities?
Increasing activities of nervous system
Sympathetic nervous system
Stabilized nervous system
Both sympathetic and parasympathetic
A person may experience when meeting new people in a strange setting. Which is the most probably explain the terms below?
Hesitate
Embarrass
Anxiety
Fear
The most meaning of word fear could be explain in the term below.
Negative thought
Trigger
Traumatic event
Dangerous
The emotional and physical response to pressure could be the most explain in the term below.
Phobia
Fear
Stress
Anxiety
The parenting style can affect everything from how much the children getting stress. Which is the most explanation that the child should follow the rules without exception in the statement below?
Authoritarian parenting
Permissive parenting
Uninvolving parenting
Authoritative parenting
The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent establish clear roles in the statement below?
Authoritarian parenting
Permissive parenting
Uninvolving parenting
Authoritative parenting
The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent is lenient in the statement below?
Authoritarian parenting
Permissive parenting
Uninvolving parenting
Authoritative parenting
The parenting style can affect everything from how much the children getting stress. Which is the most explanation that parent isn’t devote time to children in the statement below?
Authoritarian parenting
Permissive parenting
Uninvolving parenting
Authoritative parenting
Which is the most diagnosis of specific phobia in the following statement?
Persistent fear in crowd
Persistent fear of social situation
Persistent fear of eating in the public place
Persistent fear of being alone
A common feature of panic attack is hyperventilation. Answer with the main one causality below.
Not enough breathing out
Raising blood pH level
Obstacle in the nose
Abnormal Heart
Sensitive in increasing in CO2 has been suggested as a risk factor for panic disorders. Which is the main statement could be explain?
Activate the suffocation alarm system
Activate the hypothalamus
Activate the frontal lobes
Activate the adrenal system
A patient comes with physical symptoms that could not explain in the medical condition were trouble patient’s functioning for more than one year such as: fatigue, trembling, muscle tension, palpitation, nausea, headache and difficulty breathing. Which is the most probably diagnosis could be consider?
Depression
Panic Disorder
Phobic disorder
Generalized anxiety disorder
In order to complete his degree studies, Mr. J has to make a presentation to his fellow students. He is so afraid of public scrutiny that he would rather not graduate than give the presentation. Which is the best of his characteristic following below?
A simple anxiety
A social phobia
Agoraphobia
A specific phobia
Ms. M experiences anxiety that is independent of any particular place. She worries excessively about school, money, and her family. She always feels tense. Which is the best of her characteristic following below?
A simple phobia
A social phobia
Agoraphobia
A specific phobia
Which is the best characteristic in the following below that explain a repetitive behavior individuals feeling?
Compulsion depression
Obsession, compulsion
Compulsion, anxiety
Compulsion, delusion
Mr. F checks light switches, water facets, the stove, and locks doors at least three times before going to bed. This scenario describes which of the following anxiety disorders?
Psychotic Disorder
Panic Disorder
Phobia disorder
Obsessive Compulsive Disorder
Ms. W have a "state of extreme fear that cannot be controlled" with interfere her functioning. This scenario describes which of the following anxiety disorders?
Post-Traumatic Stress Disorder
Panic Disorder
Phobia disorder
Obsessive Compulsive Disorder
Sally avoids shopping in large malls for fear of the possibility of being unable to escape in the event of an accident. This scenario describes which of the following anxiety disorders?
Post-Traumatic Stress Disorder
Panic Disorder
Phobia disorder
Obsessive Compulsive Disorder
What anxiety disorder is developed in response to an unexpected emotional or physical trauma that could not be controlled?
Generalized Anxiety Disorder
Panic Disorder
Phobia Disorder
Post-Traumatic Stress Disorder
Mr. B is a World War II veteran and is awoken every night by nightmares of events that occur when he was fighting overseas. This scenario describes which of the following anxiety disorders?
Generalized Anxiety Disorder
Panic Disorder
Phobia Disorder
Post-Traumatic Stress Disorder
Mr. J experiences restlessness, fatigue, feeling on edge, and frightens very easily with everyday stressors in his life. This describes which anxiety disorder?
Generalized Anxiety Disorder
Panic Disorder
Phobia Disorder
Post-Traumatic Stress Disorder
A 40 years old lady, house wife, lives in Phnom Penh, comes to Psychiatric OPD with her complaint of difficulty in breathing, cold extremities, difficulty falling asleep and look a bit pale. Her symptoms happened for more than 2 years. Her BP: 125/80mnhg, Pulse: 98/mn, T: 36.5 oC. Which is the main following psychological symptoms could be explore as an addition?
Low appetite/nausea
Palpitation, sweating
Worry about the daily life
Trembling, fearfulness
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