SBA_DESR12Y1S2_Aug 2017

(Prof. Muny Sothara)

Title of lessons: “Psychosomatic medicine”

1) Which of below statements is most appropriately explained the term psychosomatic medicine?
A) Psychosomatic medicine is a group of somatic symptom disorders
B) Psychosomatic medicine is a group of disorder of mind affect the body
C) Psychosomatic medicine is a group of disorder of body affect the mind
D) Psychosomatic medicine is a field of medicine evolves with how mind affect the body@

2) The trend of psychosomatic medicine practice is:

A) To differentiate psychological illnesses from physical illnesses
B) To differentiate physical illnesses from psychological illnesses
C) To identify the causative factors of mind of body illnesses
D) To integrate the focus on mind and body as one@

3) The practice of psychosomatic medicine has come to focus on psychiatric illnesses that occur
in setting of physical care – In order to ensure the movement trend, which of below tasks is the
first most appropriate to do?
A) Expanding sets of diagnostic tools
B) Expanding many somatic and psychotherapeutic interventions
C) Expanding epidemiological study of comorbidity of medicine and psychiatric illnesses
D) Expanding the understanding of the relationship between medical conditions and
psychiatric disorder@

4) A 40 years old alcoholic man had been hospitalizing for about 10 days for hip fracture due to
a traffic accident. Last night he appeared disorientated and agitated, and presented sweating,
tremor, palpitation. The doctor conclude the condition as delirium. Which of below types of
clinical problem explains the above psychiatric symptoms?
A) Psychiatric symptoms as secondary to a medical condition@
B) Psychiatric symptoms as reaction to medical treatments
C) Psychiatric symptoms as complication of medical treatments
D) Psychological symptoms precipitating medical conditions

5) A 55 years old man, has been treating with Interferon, becomes depressed. Which of below
types of clinical problem is most likely fit to such condition?
A) Psychiatric disorder as secondary to medical condition
B) Psychiatric disorder as complication of medical treatment@
C) Psychiatric disorder as reaction to medical condition
D) Psychiatric disorder as precipitating medical condition

6) A 58 years old woman, is indicated to chemotherapy for her breast cancer. While preparing
the chemotherapy, she could not sleep and presented palpitation most of the day, tremor,
sweating, feeling cold in extremities,… This condition has delayed the cancer treatment
procedure – Which type of clinical problem is most likely fit to such condition?
A) Psychiatric disorder as secondary to medical condition
B) Psychiatric disorder as complication of medical treatment
C) Psychiatric disorder as reaction to medical condition@
D) Psychiatric disorder as precipitating medical condition

7) A 30 years old man, has been diagnosed as Schizophrenia and treated with Haloperidol for his
aggression and perception disturbance behaviors. For a year later, he appeared difficult to control
his movement, such as tongue expulsion (rabbit mouth syndrome). Which types of problem he
has?
A) Medical symptoms as secondary to psychiatric disorder condition
B) Medical symptoms as precipitating the course of psychiatric disorder
C) Medical symptoms as reaction to psychiatric disorder symptom
D) Medical symptoms as complication of psychiatric disorder treatment@

8) Which psychiatric disorders is likely prevalent comorbid with chronic medical illnesses?
A) Schizophrenia
B) Bipolar affective disorder
C) Anxiety and depressive disorder@
D) Somatic delusional disorder

9) In psychosomatic medicine practice, the evaluation process include a standard psychiatric

assessment in addition to neurological and medical examination – which of below components is
irrelevant?
A) Psychiatric history, family history and developmental history
B) History of previous and current treatment
C) Mental status examination
D) Deoxyribonucleic acid examination@

10) Which of below interventions in psychosomatic medicine is irrelevant?

A) Psychological intervention
B) Psychopharmacological intervention
C) Psychosocial intervention
D) Socioeconomic intervention@

11) According to DSM-IV-TR, which below key statement belongs to CONVERSION

DISORDER?
A) Pain in one or more sites that is not fully accounted for by a non-psychiatric medical or
neurological condition.
B) Believe that a part of their body is ugly or grossly abnormal, although others see nothing
wrong.
C) Multiplicity of physical complaints, such as a combination of pain, sexual,
gastrointestinal and pseudo-neurological symptoms without known medical basis.
D) Unrealistic or inaccurate interpretation of physical symptoms or sensations, but no
medical causes – Preoccupation with fear or belief of having a serious disease
 E) Unexplained neurological symptom affecting awareness, perception, sensation or
movement – No apparent physical cause or out of proportion to the cause@

12) According to DSM-IV-TR, which below key statement belongs to HYPOCHONDRIASIS?

A) Pain in one or more sites that is not fully accounted for by a non-psychiatric medical or
neurological condition.
B) Believe that a part of their body is ugly or grossly abnormal, although others see nothing
wrong.
C) Multiplicity of physical complaints, such as a combination of pain, sexual,
gastrointestinal and pseudo-neurological symptoms without known medical basis.
D) Unrealistic or inaccurate interpretation of physical symptoms or sensations, but no
medical causes – Preoccupation with fear or belief of having a serious disease@
E) Unexplained neurological symptom affecting awareness, perception, sensation or
movement – No apparent physical cause or out of proportion to the cause.

13) According to DSM-IV-TR, which below key statement belongs to SOMATIZATION

DISORDER?
A) Pain in one or more sites that is not fully accounted for by a non-psychiatric medical or
neurological condition.
B) Believe that a part of their body is ugly or grossly abnormal, although others see nothing
wrong.
C) Multiplicity of physical complaints, such as a combination of pain, sexual,
gastrointestinal and pseudo-neurological symptoms without known medical basis@
D) Unrealistic or inaccurate interpretation of physical symptoms or sensations, but no
medical causes – Preoccupation with fear or belief of having a serious disease
E) Unexplained neurological symptom affecting awareness, perception, sensation or
movement – No apparent physical cause or out of proportion to the cause.

14) According to DSM-IV-TR, which below key statement belongs to BODY DYSMORPHIC
DISORDER?
A) Pain in one or more sites that is not fully accounted for by a non-psychiatric medical or
neurological condition.
B) Believe that a part of their body is ugly or grossly abnormal, although others see nothing
wrong@
C) Multiplicity of physical complaints, such as a combination of pain, sexual,
gastrointestinal and pseudo-neurological symptoms without known medical basis.
D) Unrealistic or inaccurate interpretation of physical symptoms or sensations, but no
medical causes – Preoccupation with fear or belief of having a serious disease
E) Unexplained neurological symptom affecting awareness, perception, sensation or
movement – No apparent physical cause or out of proportion to the cause.

15) According to DSM-IV-TR, which below key statement belongs to PAIN DISORDER?
A) Pain in one or more sites that is not fully accounted for by a non-psychiatric medical or
neurological condition@
B) Believe that a part of their body is ugly or grossly abnormal, although others see nothing
wrong.
C) Multiplicity of physical complaints, such as a combination of pain, sexual,
gastrointestinal and pseudo-neurological symptoms without known medical basis.
D) Unrealistic or inaccurate interpretation of physical symptoms or sensations, but no
medical causes – Preoccupation with fear or belief of having a serious disease
E) Unexplained neurological symptom affecting awareness, perception, sensation or
movement – No apparent physical cause or out of proportion to the cause.

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