Psychiatry End Posting Examination

Group A Genezens 2016

MCQ 1,
regarding delusion:
A. Delusional perception ia a primary type of delusion
B. Somatic passivity occur in absence of normal perception
C. Erotomanic delusion is where the patient is in love with person of higher status
D. Fregoli delusion is single person disguised as multiple person
E. Fixed belief differentiate delusion and overvalued idea

MCQ 2
Regarding the speech d/o
A)punning is similar word sound
B)pressure of speech is abundant idea with logical connection
C)elective mutism in full conscious
D)tangential did not reach desired goal
E) Neologism is creation of new word

MCQ 5 OCD and related d/o:

A. Trichotillomania
B. Excoriation
C. Hoarding
D. Substance induced OCD
E. gambling

MCQ 6 Regarding ADHD

A. Easily distracted
B. Difficulty sustaining attention
C. Usually have arguments with parents
D. Difficulty waiting for turn to play
E. Truancy

MCQ 7 paraphilia disorder

A transvestic-
B fotteuristic- have sexual urges towards non animated objects
C exibitionistic- like to expose genitalia to willing strangers
D pedophilia- adults that have sexual urges towards children
E voyeuristic-like to peep when people are unclothed

MCQ 8 somatic symptom d/o

A. The patient thinks the illness is worse than it is
B. Excessive anxiety about their symptoms and look for treatment
C.not adequate medical attention
D.Intentionally make up their symptoms
E. Unexplained by medical condition

MCQ9 adverse effect of ECT

a) confusion
b) headache

Created by Group A Genezens 2016/2017

c) ataxia
d) retinal detachment
e) agitation

SBAQ

SBAQ 1. 19 yo girl overdose herself with 20 paracetamol after breakup w/ bf. Before
attempting, she sent her plans thru whatsapp to her bf. What is the motive of the
deliberate self harm?
A. To die
B. To sleep
C. To get help
D. To make someone guilty
E. To ease emotional pain

SBAQ 4
A 66 y.o lady who is on antipsychotic medication for 30 years, currently come to
follow up with repetitive lip pucking
a) mannerism
b) tardive dyskinesia
c) chorea
d) m
e) akathesia

MEQ

Question1:
Businessman, was giving false instruction on traffic and was identify by police that he
was mentally ill but unable to contact his family. In ed, he was reckless.He was
extremely happy for the past 1 week, he had so many ideas and plan for his
business..he said he had supernatural ability where he can read other people mind..he
only need 1 to 2 hours of sleeping and the rest of night he will use it to do business
plan..he spent his money recklessly where he give 1000 to the stranger that he met..

1) what is the diagnosis

2) state 4 diagnostic criteria
3) 2 differential diagnosis
4) what is the treatment
5) what is the motor disorder that he is having and the cause
6) list 2 medication to treat the motor condition

Question 2
20 y/girl college student was brought tu the emergency department after taking 15 pill
of hypnotic medication. She had an argument with her boyfriend. There was no
history of psychotic illness. Presented with multiple linear scar on her left wrist. On
emergency department medical condotion inprove and was referred to psychiatry

A) 5 assessment of suicide in this patient

B) 4 risk factor of suicide in the patient
C)personality disorder associated with this patient

Created by Group A Genezens 2016/2017

D) 4criteria in this personality disorder
E) management for this patient.

Question 3:(simplified version, sorry x sempat nak hafal,x cukp masa)

6 months ago he had odd behaviour like talking alone and repeated hand gesture.
He had auditory hallucination which command him to kill his sister..the voices also
comment on his action. He got somatic complain where he believe that it was done by
external force. He got delusion of perception. he know he was a messenger by god
after watching television.
when he watch television talking about homosexual he felt that the television is
talking about him
his mother also has symptom of psychosis and under treatment.
his sister describe him as shy , and quiet person and interested in telepathy.

1. Give 3 psychopathology with examples in this case (6m)

2. Define delusion. Give another 2 themea of delusion.
3. Diagnosis
4. Possible differential diagnosis and give 1 reason
5. Outline management in this ptn
6. state two predisposing factor for this patient having the disease

CLINICAL

Ward HKL
1. Bipolar with rapid cycling-Farizal
2. Schizophrenia (habsah)
3. Schizoprenia ( azaharudin - yg cctv tu )
4. Schizophernia (Arif's)
5. Bipolar I with manic episode (tp c/o msuk sbb suicide attempt n depressive mood,
2mggu dekat ward, MSE dia masa td mcm manic, so korang pndai2 la.. hahaha)
(mdm Lee)
6. Amphetamine induce psychosis ( zamri ) - tapi polysubstance underlying
7. Schizophrenia- nor roshina @ najib

PORTA CABIN KAJANG

1. MDD
2. Mdd same patient :point_up_2::point_up_2:
3. Schizophrenia
4. GAD (patient present ngn dr nik dulu)
5. GAD same patient
6. Schizophrenia comorbid with MDD

Created by Group A Genezens 2016/2017