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Ini MCQ 2008. Kunci jawabanny ada di halamn terakhir. Untuk jaga2 kalo ternyata soal besok diubah.

Hanya untuk baca-baca b. tidak jamin keluar y teman2 MCQ Directions: Each of the question or incomplete statements below is followed by four suggested answers or completions, select the one BEST answer in each case 1. One of the most important examples of mental disorders caused by organic changes or abnormalities in the brain are: A. Huntingtons disease B. Alzheimer's disease C. Bipolar disorder D. Rett syndrome 2. The fist human disease to be cause by unstable trinucleotide repeat sequence A. Turner syndrome B. Huntingtons disease C. Fragile-X syndrome D. Down syndrome 3. Psychotic symptoms that cause by polygenic is: A. Bipolar disorders B. Schizophrenia. C. Alzheimers disease D. Huntingtons disease 4. Possible routes or mechanisms by which parental mental health might have an impact on their children. Choose the wrong statement: A. Genetic factors B. Social impact C. Indirect effects of parental symptoms on children D. Impacts on children mediated less directly, by disruptions in parenting 5. Early onset of Alzheimer disease, is also associated with A. Turner syndrome B. William syndrome C. Down syndrome D. Huntington syndrome 6. The inhibitory neurotransmitter of CNS A. dopamine B. serotonin C. nitric oxide D. gamma-aminobutyric acid (GABA) 7. Plasticity in neural connection means A. an ability to change neuronal connection on the basis of experience B. region that integrate information from multiple sensory and motor area C. influence of behavior on motor system D. simple reflex pathways initiated through brain 8. Cholinergic system of diffuse modulatory system in cerebrum can influence A. attention B. learning C. mood

D. pain 9. During sleep, relay neurons in thalamus reduce information reaching the cerebrum by A. modulating its frequency B. turning off its signal C. altering membrane potential D. decreasing neurotransmitter 10. Language skill is the most elaborate A. emotional state B. cognitive behavior C. motor skill D. memory processing Questions no. 11 15 is related to the following scenario. A man in his mid 30s was found lying on the ground and brought to the ER of hospital by a police officer, because he exhibited slurred speech and irrational behavior. A history of the patient was impossible to obtain because he seemed to be disoriented and delirious and was apparently having visual hallucinations. In addition, his tongue and mouth were very dry, making speech difficult. 11. The most likely diagnosis of the patient is A. somatoform disorder. B. sleep disorder C. acute psychosis D. neurosis 12. The symptoms and signs of the patient are due to dysfunction of A. Brocas area B. limbic system C. cholinergic system D. dopaminergic system 13. His behavioral abnormality was presumably attributable to A. a block of cholinergic transmission system within the brain B. stimulation of dopaminergic neurons C. damage of brain left hemisphere D. malfunction of sensory area in cerebral cortex. 14. He exhibited slurred speech. The normal speech center is located in A. left hemisphere B. right hemisphere C. limbic system D. hypothalamus 15. Hallucination that occur in this case, confirms that .. A. brain can generate information and out put signal in the absence of external input B. there was a damage in his frontal lobe C. plasticity of neuronal connection on the basis of experience D. over stimulation of visual association area in cerebral cortex 16. Moods and drives are mostly related to : A. Visual cortex B. Superior temporal gyrus C. Amygdala

D. Insula 17. Antipsychotic medication can induced extrapyramidal syndrome due to disruption of : A. Serotonin reuptake B. Dopamine receptors C. GABA production D. Motor cortex function 18. In Papezs circuit, Hippocampus sends fibers directly to: A. Anterior thalamic nucleus B. Cingulate gyrus C. Septal area D. Mammilary body 19. Center in the brain described as center of language understanding is : A. Broca Area B. Wernicke area C. Auditory cortex D. Prefrontal cortex 20. Auditory hallucination might occur if there is a lesion involving: A. Temporal lobe B. Frontal lobe C. Parietal lobe D. Occipital lobe
21. The effect of undernutrition to brain growth is A. Hyperactivity in children B. Increasing learning ability C. Decreasing the ultimate number of cells D. Improving dendritic branching 22. An optimal well balanced breakfast in children can increase A. Learning capacity B. Learning behavior C. Interpersonal relationship D. Motor skills 23. One goal of nutritional rehabilitation in patient with AN is to A. Correcting the psychological disturbances B. Normalizing eating behaviors C. Determine ritualistic eating behaviors D. Diminish the utilization of bad food 24. The very essential component of treatment for AN and BN from nutritional point of view is A. Diet history B. Assessment of nutritional status C. Regulation of nutrients intake D. Nutrition education 25. Autistic children have higher threshold of pain sensation due to the presence of opioid gliadomorphin which comes from diet rich in A. Food additive B. Wheat flour C. Milk D. Vegetables

26. The Feingold Kaiser Permanente diet may success as supportive diet therapy in hyperactive children if it is combined with A. Restriction of sugar B. Restriction of gluten and casein C. Restriction of caffeine D. Restriction of food additives 27. In promoting high intellectual development, adequate nutrition is needed in separable from A. Adequate intake of food B. Exclusive mothers milk during infancy C. Stimulated family environment D. Health status

28. A family insisted to perform an autoption to a dead family, because they did not admit that he is already dead. Children refuses to see their bad father turned to be a funny and kind doll. Or one afraid person turned to be a Superman A. projection B. introjection C. denial D. represssion 29. Changing unacceptable impulses to other socially aceptable impulses A. sublimation B. introjection C. repression D. altruistic 30. Which of the following of Freud's ideas is still important to psychopathology today? A. Those thoughts are the basis for behaviour. B. Behaviour is learned from experience. C. Psychopathology has origins in early experience rather than being a manifestation of biological dysfunction. D. Dream analysis. 31. Which of the following is an example of repression? A. Stopping yourself from behaving the way you want to B. Suppressing bad memories or current thoughts that cause anxiety. C. Suppressing your natural instincts. D. Stopping others from behaving inappropriately. 32. Example of symptoms of the Bleurers primary rank criteria for schizophrenia include all the following except A. Incoherence B. Hypothymia C. Autism D. Ambivalence 33. Schneiders criteria for schizophrenia includes all the following except A. Audible thoughts B. Somatic passivity experience C. Perplexity D. Sudden delusional ideas 34. Hebephrenic schizophrenia includes all of the following except

A. B. C. D.

Prominent schizophrenic symptoms Oneiroid Disorganized thought Bizarre behavior

35. An almost pathognomonic symptom for schizophrenia A. Systematic delusion B. Commanding hallucination C. Oneiroid D. Visual hallucination 36. Included in Axis II in the multiaxial diagnosis A. Personality disorders B. Mental retardation C. Personality disorders and mental retardation D. Clinical syndromes and personality syndromes 37. The term melancholia now means A. Mild depression B. Severe depression C. Bipolar depression D. Unipolar depression 38. The GAF Scale of patients with some danger hurting self/others A. 50-41 B. 40-31 C. 30-21 D. 20-11 39. Manic type of the affective disorders includes all of the following except A. Flight of ideas B. Frequent hallucinations C. Megalomania D. Irritability and excitement 40. Involutional melancholia includes all of the following except A. Clearly melancholia symptoms B. Prominent schizophrenic symptoms C. The delusion is usually nihilistic D. Suicidal thought maybe present 41. Involutional paraphrenia includes all of the following except A. Better prognosis than involutional melancholia B. Often mixed with melancholia C. Systematic delusions D. Premorbid personality usually rigid, critical, and easily suspicious 42. Poor prognosis for schizophrenia is not attributed by A. Young onset B. Negative symptoms C. History of perinatal trauma D. Family history of mood disorders 43. Schizoaffective disorder, manic type includes all of the following except A. Elation of mood

B. Typically schizophrenic symptoms C. Irritability and excitement D. Retarded motoric activity 44. Schizoaffective disorder, depressive type includes all of the following except A. Prominent delusion B. Typically schizophrenic symptoms C. Hallucinations maybe present D. Poorer prognosis compared with hebephrenia 45. In Folie a Deux, the facts includes all of the following except A. Usually in close relatives B. Introduced by Laseque and Falret C. Induced delusional ideas D. Persistent bizarre delusion 46. In delusional disorders, all includes of the following except A. Systematic delusions B. Bizarre and systematic delusions C. Premorbid personality tendency to paranoid D. Usually occurs in age around 40 years 47. The term dementia praecox was introduced by A. Morel B. Kahlbaum C. Emil Kraepelin D. Eugene Bleurer 48. The term schizophrenia was introduced by A. Morel B. Kahlbaum C. Emil Kraepelin D. Eugene Bleurer 49. Good prognosis for schizophrenia, includes all of the following except A. Good premorbid social, sexual, and work histories B. Late onset C. Acute onset D. Negative symptoms
50. The human personality is A. Fixed and unchangeable after adulthood B. Unique for each person C. Can be directly observed D. The only focus in psychiatry 51. The concept of normality as a process states that normal behavior A. Is an idealized fiction B. Shows no psychopathology manifestation C. Is between two extremes D. Is the end result of interacting systems 52. According to the psychological model, a mental disorder occurred as a result of A. an organic disruption B. experience acquired before adulthood C. repetitive maladaptive behavior D. interaction with environment

53. According to PPDGJ-III, a mental disorder must be characterized by A. Severe distress B. Severe disability C. Marked psychopathology D. Marked reality impairment 54. A symptom characterized by confusion of temporal, spatial, and/or personal awareness is A. Stupor B. Coma C. Twilight state D. Disorientation 55. A disorder of discriminative judgment will be seen as A. Diminished ability to act appropriately and expectedly with situation B. Unable to recall the past experience correctly C. Failure to understand the cause and reason of things happening D. Inability resisting impulse, drive, or temptation 56. A false interpretation of stimuli is called A. Delusion B. Hallucination C. Illusion D. Fixed Ideation 57. False belief that is firmly held and patently absurd or fantastic is called A. Bizarre Delusion B. Systematic Delusion C. Primary Delusion D. Secondary Delusion 58. A flight of ideas is not characterized by A. Inability to finish ideas B. Pressure of speech C. Distractibility D. Illogical order of words 59. A hallucination that occurred a moment before sleep, which is often considered non pathological, is A. Hallucination on Sensory Deprivation B. Hypnagogic Hallucination C. Hypnopompic Hallucination D. Formication 60. A persistent, pathological, unrealistic, intense fear of an object or situation is called A. Obsession B. Phobia C. Hypochondria D. Confabulation 61. An unfavorable temptation which cannot be eliminated from ones mind is called A. Intellectual Obsession B. Contrast Thought C. Impulse Obsession D. Obsessional Image 62. An autistic thought is defined by A. The inability to draw conclusive idea B. Unable to think abstractly C. Illogical and irrational idea

D. Understandable only to ones self 63. Which of the following statement concerning REM sleep is correct? A. For adults, the REM occupied about 50 percent of nocturnal sleep B. All the physiological parameter is normal C. The more the age, the less the REM percentage of nocturnal sleep D. Any occurring dream is clear and meaningful 64. Difficulty on maintaining sleep can be found on A. Depression B. Anxiety C. Pain D. CNS Lesion 65. The diagnostic criteria for Nonorganic Insomnia according to PPDGJ-III includes A. Minimal occurrence rate is 3 times a week for at least 2 months B. Awake when others were asleep, and asleep when others were awake C. A preoccupied idea that one cannot sleep well D. Overly slept and difficulty on staying awake 66. The diagnostic criteria for Sleep Terrors according to PPDGJ-III includes A. Upon awakening, one is fully aware B. Unable to, or fragmented, recall the reason of awakening C. Usually occurred at the end of sleep D. The dream caused discomfort 67. Other A. B. C. D. nonorganic sleep disturbance does not include the diagnosis of Restless leg syndrome Bruxism Somnambulism Somniloquy

68. The symptom or deficit affecting voluntary motor or sensory function cannot, after appropriate investigation, be fully explained by a general medical condition, or by the direct effects of a substance, or as a culturally sanctioned behavior or experience; the psychological factors are judged to be associated with the symptom or deficit which preceded by conflicts or other stressors; are the characteristics of: A. Somatoform disorder, B. Conversion disorder, C. Organic brain syndrome; D. Acute stress disorder. 69. An inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness, is the essential feature of: A. Amnesia, B. Dissociative amnesia, C. Dementia, D. Depression. 70. Characterized by the presence of two or more distinct identities or personality state that recurrently take control of the individuals behavior accompanied by an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness, is the essential feature of: A. Depersonalization disorder, B. Dissociative identity disorder, C. Character disorder, D. Personality disorder. 71. The essential feature: As sudden, unexpected travel away from home or ones customary place or daily activities, with an inability to recall some or all of ones past; this accompanied by confusion about personal identity or event that assumption of a knew identity. These are the syndrome of:

A. Amnesia, B. Dissociative amnesia, C. Dissociative fugue, D. Depersonalization. 72. Is a non specific response of the body to any demand. This statement is presented by Hans Selye as the definition of: A. Anxiety, B. Apprehension, C. Stress, D. Mourning. 73. The stages of General adaptation syndrome consists of: A. Alarm, Warning, Acting out, B. Alarm, Fight or Flight, C. Alarm, Aware, Run away, D. Alarm, Resistance, Exhaustion. 74. Behavioral disorder that characterized by: a combination of overactive, poorly modulated, behaviour with marked inattention & lack of persistent task involvement and pervasiveness over situations & persistent over time, is diagnosed as: A. Hyperkinetic disorder, B. Conduct disorder, C. Tic disorder, D. Emotional disorder. 75. This symptom is not included in the Kleptomania: A. Recurrent failure to resist impulses to steal objects that are not needed for personal use or for their monetary value, B. Increasing sense of tension immediately before committing the theft, C. Pleasure, gratification, or relief at the time committing the theft, D. The stealing is committed to express anger and vengeance. 76. Recurrent pulling out of ones hair resulting in noticeable hair loss; an increasing tension immediately before pulling out the hair or when attempting to resist the behavior; pleasure, gratification, or relief when pulling out the hair; is the syndrome of: A. Impulse-Control disorder, B. Trichotillomania, C. Intermittent explosive behavior, D. Pyromania. 77. A strong and persistent cross-gender identification (not merely a desire for any perceived cultural advantages of being other sex) is the essential feature of: A. Gender identity disorder, B. Paraphilia, C. Voyeurism, D. Fetishism. 78. An enduring pattern of inner experience and behavior that deviates markedly from the expectation of the individuals culture. This is the general diagnostic criterion of: A. Character disorder, B. Behavior disorder, C. Conduct disorder, D. Personality disorder. 79. The disorder that characterized most commonly as a diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptoms, is: A. Emotional disorder, B. Anxiety disorder, C. Conduct disorder, D. Depression disorder.

80. The disorder which not classified as anxiety disorder, is: A. Panic disorder, B. Obsessive-compulsive disorder (OCD), C. Depression disorder, D. Social phobia. 81. Anti noradrenergic, anti serotonergic, anti histamin, and anti acetylcholine effect are some the effects of: A. Anti Psychotic, B. Anti OCD C. Anti Depression, D. Anti Phobia. 82. The psychic pathological defense mechanism that play a role on the anxiety disorder (anxiety neurosis) is: A. Displacement, B. Projection, C. Avoidance, D. No defense at all. 83. Psychiatric therapy of the patients consists of: A. Psychopharmacological therapy, B. Electro compulsive therapy (ECT), C. Psychotherapy, D. All of above. 84. Mental Health approach used by The Ministry of Health of RI: A. Promotive, Preventive, B. Curative, C. Rehabilitative, D. All of above. 85. The specific therapy in Psychiatry which differentiates it from other medical discipline, is: A. Drug therapy, B. Psychotherapy, C. Music therapy, D. Detoxification. 86. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her. This is one of the symptoms of : A. Paranoid personality disorder, B. Schizoid personality disorder, C. Anancastic personality disorder, D. Antisocial (Dissocial) personality disorder. 87. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. This are some of the symptoms of: A. Paranoid personality disorder, B. Schizoid personality disorder, C. Anancastic personality disorder, D. Antisocial (Dissocial) personality disorder.
88. Which of the following is included in somatoform disorder? a. Somatization disorder b. Conversion disorder c. Hypochondriasis d. All of the above 89. Not a diagnostic criteria for psychosomatic a. There are many physical complains and of various symptoms that cant be described as physical disorder, that happened at least 2 years b. Unwilling to take advice from medical professional concerning ones physical normality

c. There is an evidence of disability in social or familial function, which is attributable to the symptoms characteristic and the effect of the behavior d. There is an evidence of severe anxiety accompanied by mild depression 90. The drug used for somatoform without physical symptom is a. Beta blocker b. Rivastigmin c. Benzodiazepin d. Lythium 91. Included in the psychosomatic a. Headache b. Essential hipertension c. Peptic ulcer d. Semua benar

92. A boy 12 years old had an alopecia on the parietal, the hairs broken at the different lengths. His mother said he pulled his hairs since his father died 2 months ago. What is the diagnosis for this patient ? A. Trichotillomania B. Alopecia areata C. Tinea capitis D. Seborrheic dermatitis 93. Co-morbid psychiatric disorder on the trichotillomania is . A. Anxiety B. Schizophrenia C. Manic depression D. Neurosis 94. Clinical appearance of the neurotic excoriations is . A. Multiple excoriations with various stages. B. The lesion rarely scarring C. The mostly lesion on the flexor area D. Multiple excoriations in same stages 95. Neurotic excoriations is frequently associated with . A. Obsessive compulsive personality B. Histeric personality C. Manic depression D. Anxiety 96. The most common indications of antipsycochotics in dermatology is . A. Delusion of Parasitosis B. Trichotillomania C. Atopic Dermatitis D. Dermatitis Artefacta 97. One of the predisposing factor of psychosomatic disorder is A. The symbolic meaning of an organ B. Primary advantage of being allowed to pass a duty C. Organic illness not common in the family D. Constitutional hereditary force 98. The system not commonly associated with psychosomatic disorder A. Musculosceletal

B. Respiratory C. Brain D. Cardiovascular 99. A child suspected to suffer Mental Retardation when : A. He was born from premature gestation B. His height is shorter for his age C. His normative developmental milestones is below for his age D. He does an not say anything at 3 years old 100. The mayor genetic cause of Mental Retardation is : A. Down syndrome B. Alcoholism syndrome C. Hypothyroidism syndrome D. Malnutrition 101. A child who have IQ score 65, clasified as : A. Borderline intelectual functioning B. Mild Mental Retardation C. Moderate Mental Retardation D. Severe Mental Retardation 102. The Mild Mental Retardation is appropriate to the following condition : A. They may learn to sit up, walk and talk later than other children B. They may learn to getting dressed and eating later than other C. They learn to write and read longer than the other D. They may die prematurely because of Alzheimer disease 103. The Moderate Mental Retardation is appropriate to the following condition : A. May not be obvious in early childhood B. They may have a normal life expectancy C. They may semiindependently with significant suppportive services D. They need intensive support and supervision for long life 104. The most common finding in Pervasive Developmental Disorders are : A. Impairments in socialinteraction B. Impairments in movement C. Impairments in mental functioning D. Impairments in hearing 105. The Pervasive Developmental Disorders includes all of the following condition, EXCEPT : A. Autistic disorder B. Asperger syndrome C. Rett syndrome D. Down Syndrome 106. The abnormality pattern of behavior in autistic disorder is : a. Stereotypic b. Repetitive c. Hyperactive d. All above 107. A three years old girl with reduced head circumference, and loss of social-relatedness who develop stereotyped hand movements and have impaired language and mental functioning, may suffers from : A. Autistic disorder B. Schizophrenia C. Rett syndrome D. Down syndrome 108. The medication that reduces specific symptoms in autistic disorder is : A. Haloperidol B. Risperidone C. Metylphenidate

D. Chlorpromazine 109. The most notable disorder of function in MCI: A. Visuospatial B. Language C. Emotion D. Memory 110. A. B. C. D. 111. A. B. C. D. 112. A. B. C. D. 113. A. B. C. D. 114. A. B. C. D. 115. A. B. C. D. MCI is included in: Senescence Dementia Senility Degenerative age The brain of dementia shows decrease in: Dopaminergic cell Cholinergic cell Epinephrine cell Muscarinic cell Most of Alzheimer drug is included in: Kolinesterase Dopamine inhibitor Muskarinik inhibitor Asetilkolinesterase inhibitor The normal forgetfulness of elder people is called: Acute forgetfulness Benign forgetfulness Dementia MCI Not found in MCI: Memory disturbance Language disturbance Dementia ADL disturbance MMSE score of MCI patient: 20 30 18 23 9 17 Below 9

116. Drug below that can control manic symptoms of bipolar disorder is : A. Lorazepam B. Amitriptilyne C. Diazepam D. Carbamazepine 117. A. B. C. Extrapyramidal signs due to anti psychotic medication best treated with: Chlorpromazine Phenobarbital L-DOPA

D. Carbamazepine 118. A. B. C. D. Lithium can be used to treat: Anxiety Depression Mania Insomnia

119. In penal law of Indonesia (KUHP 44), nobody one who do criminal case can be punished if he/she in condition. a. On drug b. Mental retardation c. Out of control d. Alcoholic addiction 120. After mother delivery her baby, in several hours, she killed directly her baby, it means. a. Severe post partum syndrome b. Infanticide c. Baby blues d. homicide

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

B C B C C D A B C B C C A A A C D B D A C A B D

25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

B B C C D C A B C B B C B D B B A D D D D B C D

49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72

D B D B C D A C A D B B C D C A C B C B B B C C

73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96

D A D B A D B C A D D D B A D D D C D A A A A A

97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120

A C C A B C C A D D C B D A B D B C B D C C B B

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