Nama

NIM :

2015
Soal Ujian Utama
Blok Behavior Changes and Disorders

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SOAL UJIAN UTAMA

BLOK BEHAVIOR CHANGES AND DISORDERS
18 JUNI 2015
1. A woman age 20 came to the ER escorted by her husband with complaints
depressed, sad, sleeplessness, and irritability. She also feels ...... and
inability to care for her newborn baby one month ago. What should her
husband do to the patient above ?
A. Jangan merangsang untuk membicarakan perasaannya
B. Berikan bantuan untuk bayinya
C. Berikan ia waktu untuk dirinya sendiri
D. Minta untuk segera bekerja
E. Minta untuk jalan jalan sendiri
2. A 42 year old man, comes to the ER with chief complain that the men are
following me. He also complains of hearing voice telling to hurt others. He
tells the examiners that the anchorman gives him special messages about
the state of the world every night through the TV. The belief is an example
of which of the following psychiatric findings?
A. Grandiose delusion
B. Illusion
C. Loose association
D. Idea of reference
E. Clouding of consciousness
3. A man 56 years old, working as traders came to the clinic with complaints
from family that patient easily forgot things since five months ago. The
patient family said patient initially forgot where to put stuff, then the
patient began to have difficulty to calculate and manage finance. Last
month the patient began have difficulty to work due to the complaint. At
the clinic, the doctor do cognitive function examination. Here is not the
goal of cognitive function examination:
A. Determine the differential diagnosis
B. Treatment plan
C. Rehabilitation
D. Legal proceeding
E. Prevention
4. A 20 years man, has long demonstrated bizarre behavior, he feels sexual
desire appears when exposing his genital to young women, this strange
behavior done in quarters or women dormitories, consequently boarder
become fear of his act. What disorder he experienced?
A. Voyeurism
B. Bestialities
C. Frotteurism
D. Kleptomania
E. Exhibitionsm
5. A man of 20 years came to policlinic complain anxious when meeting
people who do not recognized. He was worried that he would act shameful
and behave.. he tries to avoid such situations. He realized that this has
resulted in him failing to be promoted in the workplace. What is the
diagnosis of patient mentioned above?

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6.

7.

8.

9.

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A. Depression disorder
B. Anxiety disorders
C. Agoraphobia disorders
D. Social phobia disorder
E. Obsessive compulsive disorder
In the process of counseling, psychologist get the fact that client has a
plan to kill ex-girlfriend who had hurt him. Psychological test results
indicates that the client has a severe emotional disorder. What
psychologist must do in order to maintain professional ethics?
A. Maintain confidentiality of information obtained in the counseling
process
B. Tells the clients ex-girlfriend to keep alert
C. Tells the client family to keep him (menjaganya)
D. Writing report to the authorities
E. Inform the current client girlfriend that the client has the potential to
hurt her too
Ms.K 26 years old, unmarried came to the clinic with complaints of feeling
less sharp nose, this symptoms is felt repetitive, preokupasi imagine the
appearance of the less so often do reconstructive surgery to plastic
surgeons but does not relief the symptoms. What is the most appropriate
treatment?
A. Anti OCD and anti-psychotic
B. Anti OCD and anti- depressant
C. Anti OCD and anti-anxiety
D. Anti OCD and anti- insomnia
E. Anti OCD and anti-mania
A male patient aged 45 years with renal failure and diabetes, came with
his family with complains agitated, screaming and talking chaotic
accompanied by jumping out of bed until fall. Patient complains saw a
white shadow cross in front of him and would strangle his neck. Patient
feel in an isolated place, dark and unaccompanied by his family. What
treatment should you give?
A. Carbamazepin 1x200 mg
B. Haloperidol 1x1.5 mg
C. Clozapine 1x100 mg
D. Amitriptlin 1x25 mg
E. Clobazam 1x10 mg
A young woman who has a very limited memory of her childhood years
but knows that she was removed from her parents, because of their abuse
and neglect, frequently cannot account for hours or even days of her life.
She hears voices that alternately plead, reprimand, or simply comment on
what she doing. Occasionally, she does not remember how and when she
arrived at a specific location. She finds clothes she does not like in her
closet, and she does not remember having bought them. Her friends are
puzzled because sometimes she acts in a childish, dependent way and at
other times become uncharacteristically aggressive and controlling. These
symptoms are commonly seen in which if the following disorders?
A. Dissociative amnesia
B. Depersonalization disorder
C. Korsakoffs dementia
D. Dissociative identity disorder

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E. Schizophrenia
10.
A man, 35 years old, has not worked for 2 years, ushered her
brother to the health center with symptoms of cold and hot bodies since 3
days ago. When asked about his complaint , the patient replied, My body
is hot and my nose runny. But my mother was not to the market. In fact,
the kindergarten children .... yes doctor ? What is pycatric symptoms
shown in this patient?
A. Loss accociation
B. Incoherent
C. Word salad
D. Flight of ideas
E. Irrelevant
11.
10 months old baby girl was taken by a neighbor came to the
emergency room. The child complained occasionally crying since morning.
Her mother has a story of mental disorders, just sittling with empty eyes
while carrying her child, her husband worked as migrant workers. On
physical examination found signs of dehydration, hypernatremia, the
temperature is 38oC, the baby allegedly not given food and drink. After
being given IV fluid and drink, the baby became quiet. What event that
have occurred on the baby?
a. Physical abuse
b. Emotional abuse
c. Sexual abuse
d. Neglect
e. Child maltreatment
12.
After witnessing a violent argument between her parents, a young
woman develops sudden blindness but does not appear as ___ as would be
suspected by this development. Her pupils react normally to the light and
she manages to somehow avoid obstacles when walking. Her parents, who
now in the middle of a bitter divorce, put aside their differences to focus
on their daughters illness. Which of the following is the most likely the
diagnosis?
a. Factitious disorder
b. Malingering
c. Somatization disorder
d. Conversion disorder
e. Histrionic personality disorder
13.
_5 year old male is brought to hospital as he was found to be
trashing his apartment and throwing things from his window. He claims
that everything in his house contaminated and that voices are instructing
him to get rid of all his possessions. He admits that this has been going on
for a week. He agrees to a drug test and the results are negative for all
drugs. A week after admission, however, he makes a dramatic recovery
and is now completely back to normal. What was the medicine he got
when he was admitted to hospital?
a. Haloperidol 1x0.5 mg
b. Chlorpromazine 1x50mg
c. Stelazine 1x75mg
d. Resperidone 1x50mg
e. Aripprazole 1x1 mg

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14.
Woman aged 20 years, come to the ER escorted by her husband
with complaints depressed, sad, sleeplessness and irritability. She also
feels not close to her newborn baby 7 days ago. What disorder
experienced by the patient above?
a. Gangguan penyesuaian
b. Episode depresi sedang
c. Postpartum depression
d. Baby blues
e. Mood swings
15.
Ms. K, 26 yo, unmarried come to a clinic with complaints of feeling
less sharp nose, the symptoms is felt repetitive, preokupasi imagine the
appearance of the less so often do reconstructive surgery to plastic
surgeons but does not relieve the symptoms. The case above mostly
comorbid with:
a. Social phobia
b. Substance abuse
c. Alcohol abuse
d. Depressive disorder
e. Psychotic disorder
16.
At one time, many police officers have miss conduct the weapons
that they have in charge. Finally, the police institution decided to obtain
information regarding a police officer tendency to actwithout thinking first.
In such situation, what kind of tests that need to be prioritized?
a. Intelegensi
b. Kepribadian
c. Daya konsentrasi
d. Neuropsychology
e. Kebohongan
17.
A woman 30 yr was taken to hospital by his family get angry and
do not sleep for a week. History hospitalized eight months ago for the
same symptoms. Planned provision of drugs to prevent recurrence by
controlling mood. What is the therapy for the patient mentioned above?
a. Carbamazepine 1x10 mg
b. Dilantin 1x40 mg
c. Lithium 2x200 mg
d. Haloperidol 1x5 mg
e. Resperidon 1x100 mg
18.
A 24 yo medical student travels abroad for his elective. While going
back to his residence late at night, he is hold to a gunpoint by two masked
figures asking for his money. His promptly hands his wallet and the
assailants run away. He returns home but upon arrival, he feels numb and
becomes fearful. The following day, he has recollections of the events but
is no longer troubled by it. What is your diagnosis?
a. Reaksi berkabung normal
| English: Abnormal grief reaction
b. Acute stress reaction
c. Post-traumatic stress disorder
d. Gangguan penyesuaian
e. Depressive disorder
19.
A man, 66 yr, working as traders come to the clinic with complaints
from family that patient easily forgot things since 5 months ago. The
patients family said patient initially forgot where to put stuff, then the

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patient begin to have difficulty to calculate and manage finances. Last

month, the patient began to have difficulty to work due to the complaint.
MMSE examination was done in the clinic. Right statement about the signs
and symptoms of abnormalities in the cortex:
A. Lokasi tidak memengaruhi modalitas kognitif yang terganggu | English:
The location does not affect cognitive modality impaired
B. Korteks frontal bertanggungjawab terhadap fungsi atensi dan
eksekutif
C. Singuli gyrus did not play a role in cognitive function
D. Disorder of the occipital cortex resulting in short term memory
disorders
E. Parietal cortex responsible only to the calculation functions
20.
A woman 35 yo came to the ER complaining of feeling fear when in
public places. Patients felt heart palpitations, chest pain, choking and was
going to die. The complaints arise suddenly and last up to several
minutes. From cardiac examination found no abnormality. What is the right
treatment?
a. Clobazam 1x50 mg
b. Sertraline 1x50 mg
c. Alprazolam 1x1 mg
d. Esotalopram 1x2 mg
e. Lorazepam 1x20 mg
21.
Miss A, 26 yo, unmarried, come to the clinic with complaints of
bloating, nausea, difficulty swallowing, pain in the arm and legs, shortness
of breath not related to the activities and complaints of feeling itchy
feeling, as well as patches on the skin and have complicated medical
history and imaging. Also found suffering psychological and interpersonal
problems stand out in this disorder. Miss A has always moved around a
doctor (doctor shopping) because of the physical complaints. There is no
evidence that supports the existence of a physical illness. What is the
likely diagnosis in the case above?
a. Conduct disorder
b. Phobia disorder
c. Hypochondriac disorder
d. Panic disorder
e. Somatization disorder
22.
....
a. Residual schizophrenia
b. Schizophrenia hebephrenic
c. Narcissistic personality disorder
d. Delusional disorder
e. Severe depressive episode with psychotic symptoms
23.
Seasonal circadian rhythm has been implicated as the etiology of
which of the following psychopathologies?
a. Major depression
b. Schizophrenia
c. Borderline personality disorder
d. Panic disorder
e. Obsessive compulsive disorder
24.
A 50 yo man notes that several times per week he has hallucination
of the smell of burning rubber. He is diagnosed with partial complex ____

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(sepertinya seizures). Which of the following regions is most likely to show

a discharging focus on EEG?
a. Parietal lobe
b. Temporal lobe
c. Frontal lobe
d. Thalamus
e. Occipital lobe
25.
A 38 yo male is described as loner by his family as he does not
seem to have any close friends. He usually spends his time alone at house
because he becomes extremely anxious around other people. When
talking to others, he feels that they are being nice to his face but that
theres an alternative agenda. He likes to dress in silver clothing because
he feels it brings him closer to cosmic forces. What is his diagnosis?
a. Schizoaffective disorder
b. Schizotypal disorder
c. Bipolar affective disorder
d. Residual schizophrenia
e. Simple schizophrenia
26.
Miss K, 26 yo, unmarried come to a clinic with complaints of feeling
less sharp nose. The symptoms is felt repetitive, preokupasi imagine the
appearance of the less so often do reconstructive surgery to plastic
surgeons but does not relieve the symptoms. What is the most appropriate
diagnosis for the case above?
a. Body dysmorphic disorder
b. Malingering
c. Somatoform disorder
d. Hypochondriac disorder
e. Generalized anxiety disorder
27.
A man, 16 years old brought by his parents with feelings anxious
after hearing the voice calling his name yesterday evening just before he
sleep. The term the symptoms experienced by man mentioned above is
A. hypnopompic hallucinations
B. tactile hallucinations
C. auditory hallucinations
D. hypnagogic hallucinations
E. pseudo hallucinations
28.
A male patient aged 45 years with renal failure and diabetes, came
with his family with complains agitated, screaming and talking chaotic
accompanied by jumping out of bed until fall. Patient complains saw a
white shadow cross in front of him and would strangle his neck. Patient
feel in an isolated place, dark and unaccompanied by his family. What is
the cause of the symptom?
A. drug withdrawal
B. intracranial problems
C. endocrine problems
D. metabolic problems
E. systemic infection
29.
A man, age 25 years old, came to heath centre by saying that he
was in danger of being killed by his neighbours. He claimed to be a
governor officer although in fact he had nothing to do. He also cannot
work and do not dare to leave the house, disturbed sleep and did not want

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to shower. This goes on for two months. On physical examination, there

were no abnormalities. What is the most appropriate psychiatric
symptoms found?
A. illusion
B. delusion
C. depersonalization
D. derealisation
E. depression
30.
A man of 25 years was taken to the emergency room by the police
because he was found screaming in the street. Patient claiming that he will
and has the power to fix all the evil in the world. He also complaint that his
mind would be out of control. According to hospital records, he had been
hospitalized three times last year for the same complaint. What is the
diagnosis?
A. schizophrenia catatonic
B. schizophrenia hebephrenic
C. delusional disorder
D. bipolar affective disorder
E. depression disorder
31.
A 30 years old woman came to psychiatric outpatient clinic with her
family, complained of unpassionate, difficulty in sleeping, loss of selfconfidence, feeling of useless since 1 month before. Patient was diagnosed
having depressive disorder. Which of the following antidepressant act
selectively on serotonin reuptake?
A. amitriptyline
B. amoxapine
C. bupropion
D. esotalopram
E. isocarboxazide
32.
A man 30 years old, was taken to hospital by his family with
complain of sleep deprivation, irritable, overly excited and acting strangely
for several things. He also stated to have belief the world is flat and the
government tried to keep this fact in order not to be disseminated. What
disorder experienced by the patient?
A. bipolar effective disorder
B. catatonic schizophrenia
C. depressive episode with psychotic symptoms
D. delusional disorder
E. schizoaffective disorder
33.
A man, 40 years old, working as a teacher with history of psychiatric
treatment came to the emergency room because of angry. Patient feel no
need medication and what happened is something real instead of
nuisance. Insight into the patient mention above is
A. insight 1
B. insight 2
C. insight 3
D. insight 4
E. insight 5
34.
A man, 60 years old, working as traders came to the clinic with
complaints from family the patient easily forgot things since 5 months
ago. The patients family said patient initially forgot where to put stuff,

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then the patient begin to have difficulty to calculate and manage finance.
Last month, the patient have difficulty to work due to the complaint. MMSE
examination was done in the clinic. Which statement is true about the
MMSE
A. complex and complete scoring system, so it does not need further
examination
B. can assess the function of language, memory, visuospatial and
executive
C. the disadvantage is not able to assess the function of attention
D. can assess the patient with loss of consciousness
E. the maximum value is 30
35.
A man, 30 years old, was taken to hospital by the family with
complaints of sleep deprivation, irritable, overly excited and acting
strangely for several things. He also stated to have belief the world is flat
and the government tried to keep this fact in order not to be disseminated.
What is the treatment for the above?
A. olanzapine 1x 10mg
B. haloperidol 1x 0.5mg
C. lithium 1x 50mg
D. carbamazepine 1x 25mg
E. risperidone 1x 0.5mg
36.
A 40 yrs man, stocky body, work as hunter, and orginate from Peru
Latin America. Before leaving for hunting, he always chew some leaves to
give strong on hunting trip. When the leaf is chewed and then absorbed
by the body then he felt the body feels strong, vibrant, can stand for
hunger, .. that the goal successfully . What is the chewed leaves?
A. canabis sativa
B. papaver somniferum
C. psilocybin mexicana
D. cata edulis
E. erythroxylum coca
37.
A 35 yrs old man came to psychiatry outpatient clinic with his
family , complained of having bradykinesia , rigidity, and tremor after
taking antipsychotic medication for about 6 months. What drug should be
given to this patient for relieving the symptoms?
A. bromocriptine
B. dipthenhidram
C. sertraline
D. trihexyphenidil
E. adrenalin
38.
A mother, age 32, came to the ER with symptoms ponding that
occurs suddenly. The complaint has lasted less than 3 months ago
accompanied by complaints sweating, shortness of breath, choking, fear of
death and fear of becoming insane. On physical examination found no
abnormalities. What is the other symptom often accompany in the above
case?
A. depression
B. halucinatiom
C. insomnia
D. hipobulia
E. raptus

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39.
A man, aged 28 years was brought to the emergency room after
trying to commit suicide by cutting his wrist with a knife after being
dumped by his girlfriend. He also complained of sleeplessness, despair
and do not have the energy to continue his life. He then getting a drug to
treat the symptoms and complained having nausea. What types of drug
is given to him?
A. fluoxeline
B. Alprazolam
C. stelazine
D. Amitriptiline
E. Maproptilin
40.
A girl age 13 years taken to clinic by her parents, with complaint
often often wake up at night because of nightmares. The complained also
accompanied by ..... in concentration of learning, irritable and angry that
her wishes are not obeyed. According to her parents this changes since
two weeks ago. According to her mother, two months ago her daughter
had been raped by someone boarding at her grandmothers house. During
this time the academic achievement is average, never experiencing
chronic physical disorders such as epilepsy, etc. On physical examination
with normal limits.What is the most likely diagnosis?
A. Gangguan tingkah laku
| Conductdisorder
B. Gangguan stress pasca trauma
C. Ganggan depresi
D. Gangguan kepribadian ambang
E. Gangguan skizofrenia
41.
A 55 y/o man is brought to the physicians office by his wife because
she has noted a personality change during the past three months. While
he is being interviewed, he answers every question with the same three
words. What is the symptom showed by the patient above?
A. Negative symptoms
B. Disorientation
C. Concrete thinking
D. Perseveration
E. Circumstantiality
42.
A 32 y/o woman is seen in an outpatient clinic for the chief
complaint of depressed mood for four months. During the interview, she
gives very complicated explanation and many unnecessary details before
finally answering the original questions. What symptom the patient above
showed?
A. Loose association
B. Circumstantially
C. Neologism
D. Preservation
E. Flight of ideas
43.
Attempted suicide is most often in the form of incomplete suicide
committed by people with diagnosis :
A. Schizophrenia disorder
B. Schizoaffective disorder
C. Depression disorder
D. Anxiety disorder
E. Bipolar disorder

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44.
Seorang pria ditemukan warga terkapar di pantai dengan jarum
suntik masih menempel di tangannya. The patient was immediately taken
to hospital for treatment. After examination found decreased
consciousness, mata kebiruan, kuku kebiruan, lips slightly bluish, pupillary
meiosis, slow weak pulse, BP 100/70, respiration slow and weak. History of
previous physical illness: family information. Also performed urine
examinations. What is the cause of disturbance at the top?
A. Opiates
B. Cocaine
C. Amphetamines
D. Diazepam
E. Steroid
45.
A woman aged 70 yrs was admitted to hospital because of left hip
fractures. Uncooperative patient, while started rehabilitation program, she
follow the instruction, she feels have no passion for learning to walk,
feel offended. Patient felt did not have the ability and fear of falling again,
..... die. Based on the theory of phase Ericsonian ongoing developments in
the patient?
A. Integrity vs despair
B. Intimacy vs isolation
C. Generativity vs stagnation
D. Identity vs diffusion
E. Industry vs inferiority
46.
A man, aged 28 years was brought to the emergency room after
trying to commit suicide by cutting his wrists with a knife after being
dumped by his girlfriend. He also complained of sleeplesness, despair and
do not have the energy to continue his life. What is the defence
mechanism act as a factor in the above case?
A. displacement
B. regression
C. projection
D. sublimation
E. denial
47.
A mother, age 32, came to the ER with symptoms pounding that
occurs suddenly. This complaint has lasted less than 3 months ago. She
also complaint sweating, shortness of breath, choking, fear of death and
fear of becoming insane. On physical examination found no abnormalities.
What is treatment of the above case?
A. haloperidol 1x5mg
B. lorazepam 1x10mg
C. lithium1x200mg
D. alprazolam 1x1mg
E. amitriplin 1x25mg
48.
A man aged 35 years of work's artist, unmarried, sighting ideal body
shape, handsome but complain of feeling uncomfortable existence as man
but feel more comfortable and dressed as a woman. Finally, from
consultation with a plastic surgeon. In conclusion he will be carried out the
operaton ..... requirements are met. What disorder is experienced by the
man above?
A. transsexualism

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B. voyeurism
C. fetishism
D. homosexual
E. trans fetishism
49.
A man, 28 years was brought to the emergency room after trying to
commit suicide by cutting his wrists with a knife after being dumped by his
girlfriend. He also complained of sleeplesness, despair and do not have
the energy to continue his life. He then getting a drug to treat the
symptoms. What therapy have good efficacy in dealing with anxiety
symptoms but can have the effect of tolerance and addicition?
A. fluoxeline
B. alprazolam
C. aripiprazole
D. stelazine
E. amitripilin
50.
A woman (35) came to clinic and tell an untold story that when she
was 15, she was attacked by a group of men on the way home from
school. ..... took turns screaming abuse at her and then they each raped
her. Finally they tried to stab her to death and would almost certainly have
succeeded when police arrived on the scene. For months after this
horrifying event, she was not herself, she was unable to keep the
memories of the atrtack in mind. At night she would have terrible dreams
of rape, and would wake up screaming. What is the symptoms she had at
night?
A. intrusion
B. dissociative
C. avoidance
D. hyperarousal
E. hypervigilance
51.
A 36 year old woman is being evaluated in the sleep lab. She is
noted to have a decreased
latency of REM. Which of the following
disorders is the women most likely suffering from?
A. schizophrenia
B. major depression
C. panic disorder
D. obsessive-compulsive disorder
E. posttraumatic stress disorder
52.
Rina, a high school student who always get first ranked on the class,
wanted to continue her education to college but she is still confused by
the ..... chosen. What is the appropriate psychological assessment for her?
A. intelligensi
B. inventori minat dan bakat
C. kreativitas
D. neuropsikologi
E. kemampuan atensi
53.
A woman aged 20 years came to the ER escorted by her husband
with complaints depressed, sad, sleeplessness and irritability. She also
feels ..... and inability to care for her newborn baby 1 month ago. What
treatment should be given to the patient above?
A. sertraline 1x0.5mg
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B. escitalopram 1x50mg
C. fluoxetine 1x10mg
D. duloxetine 1x2mg
E. venlavaxine 1x10mg
54.
A woman, 32 years old brought by her family to a general practice
doctor. According to the family, patient often leaves the houses. She often
shopping goods and distributed them to the people she meet. Patient
previously often locked herself in her room since 3 months ago. What is
the diagnosis?
A. gangguan schizotypal
B. gangguan waham
C. gangguan obsesif kompulsif
D. gangguan tingkah laku
| Conduct disorder
E. gangguan afektif bipolar
55.
Which of the following findings is associated with non-REM (NREM)
sleep?
A. penile tumescence
B. apnea
C. narcolepsy
D. dreaming
E. night terrors
56.
A woman aged 20 years, comes to the ER escorted by her husband
with complaints depressed, sad, sleeplessness and irritability. She also
feels ... and inability to care for her newborn baby 1 month ago. What is
the impact to the baby?
A. Mudah memiliki teman di sekolah
B. Kepercayaan diri tinggi
C. Menjadi mandiri
D. Mengalami gangguan depresi di usia muda
E. Tidak mudah sakit
57.
A woman 28 yo, came to the clinic with a chief complaint the
muscles are tense and difficult to concentrate. Complaints accompanied
by waking up at night and always worried about the future of their
children, school fees, the countrys economic situation worsens, the global
.... continues. Patient have a 1 year old child, and her husband was a
successful businessman. Complaints arise after her child is 6 months old.
What is the diagnosis?
A. Gangguan skizoafektif
B. Gangguan cemas menyeluruh
C. Gangguan agorafobia
D. Gangguan bipolar
E. Gangguan depresi
58.
A woman 40 years came to clinic escorted by her brother with
complaints not excited, alool and sometimes wanted to die after a
divorce ..... and son went with her husband. History never worked
energetically tirelessly despite the lack of rest. What is the treatment of
the above?
A. Sertraline
B. Fluoxetine
C. Quetiapine

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D. Carbamazepine
E. haloperidol
59.
A woman, age 29 years taken by her husband to ER with complaint
that an angel in the form of winged 12-year old boy enters her house. .....
has come from God to announce to her that she should divorce her
husband, that all her sins are forgiven, and that she has been sent to bring
to them penance and conversion. Filled with joy, she is about to take the
angel by the arm to caress him, when he flies out the window. Symptom of
patient above?
A. Waham kendali
B. Waham kejar
C. Waham bersalah
D. Waham keagamaan
E. Waham kebesaran
60.
A 22 year female with a well-established life, work as designer and
many men in love with her. But she does not care about these men and
actually ..in the same sex. Normal physical examination. Physical illness
previously denied. What disorder she experienced?
A. Homosexual
B. Transexual
C. Lesbian
D. Electra-complex
E. Bisexual
61.
Woman aged 20 years, come to the ER escorted by her husband
with complaints depressed, sad, sleeplessness and irritability. She also
feels not close to her newborn baby 7 days ago. How often do the
disorders happen?
A. 10-20 %
B. 30-40 %
C. 50-60 %
D. 70-80 %
E. 90-100 %
62.
A 50 years man with foreign nationality, discovered by villas guards
sits unsteadily, nausea, vomiting, body trembling, talking chaotic, difficult
to ....., kept pointing to the wall of villa and saw a lot of ants on the wall. At
times the patient agitated and thrashing. Eventually the patient
immediately .... villa to hospital for treatment. On physical examination
found tattered clothes, slightly decreased skin turgor, tremors in the arms,
body shaking. Family said that the patient has long had a habit of coming
to cafes. What cause of this situation?
A. Opiat
B. Alkohol
C. Kokain
D. Ganja
E. Amfetamin
63.
After being struck on the head by a four-byfour piece of wood, a
previously serious and dependable constructive worker starts making
inappropriate remarks to his coworkers, is easily distracted and loses his
temper over minor provocations. What part of his brain has been
damaged?
A. Occipital lobe
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B. Temporal lobe
C. Limbic system
D. Basal ganglion
E. Frontal lobe
64.
Seorang anak broken home, diajak oleh temannya untuk mencari
hiburan dengan mengkonsumsi zat berbentuk kristal putih, zat apakah itu?
amfetamin/sabu/cocain
65.
Seorang anak broken home, diajak oleh temannya untuk mencari
hiburan dengan mengkonsumsi zat berbentuk kristal putih, efek yang
ditimbulkan adalah....stimulan/euforia
66.
Seorang wanita mengalami gejala depresi. Dokter meresepkan obat
amitriptilin. Cara kerja amitriptilin adalah...
A. Inhibit serotonin reuptake
B. Inhibit serotonin and norepinephrine reuptake
C. Inhibit serotonin metabolism
D. Inhibit serotonin and dopamine metabolism
67.
Wanita 40 tahun, sering dikeluhkan oleh temannya karena terlalu
gemuk, sehingga ia memutuskan untuk membeli obat penurun berat
badan yang beredar luas di toko. Isi obat itu adalah....
A. Kafein
B. Amfetamin
C. Kokain
D. Ganja
E. Opiat
68.
Wanita 32 tahun, dibawa ke UGD dengan keluhan cemas
berlebihan. Gejala muncul kurang lebih 3 bulan, jantung berdebar,
keringat dingin, takut mati, takut gila. Apa diagnosisnya?
A. Gangguan panik
B. Gangguan cemas menyeluruh
C. Gangguan depresi
69.
Wanita 32 tahun, dibawa ke UGD dengan keluhan cemas
berlebihan. Gejala muncul kurang lebih 3 bulan, jantung berdebar,
keringat dingin, takut mati, takut gila. Apa treatmentnya?anti panic
70.
Penyebab dari Korsakoff syndrome adalah....
A. Infeksi sistemik
B. Gangguan metabolik
C. Thiamine deficiency
D. ...
E. Trauma brain injury
71.
Pria berusia 40an tahun, belum menikah, pengusaha sukses.
Setelah dikonseling ternyata homoseksual. Keluarga tidak ada yang
mengetahui. Kelainan yang terjadi di fase:
A. Oral phase
B. Oedipus phase
C. Anal phase
D. Phalic phase
E. Latent phase
72.
Indikasi penyuntikan antipsikotik intramuskular adalah...
A. Agitasi berlebihan
73.
Seorang laki-laki ditemukan di jalan dengan baju compang camping
(diketahui schizophrenia). Anda sebagai dokter sebaiknya:
A. Melewatinya

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B. Melaporkan ke dinas sosial

74.
Gangguan tidur yang terdapat pada fase NREM adalah...teror
tidur/somnambulisme
A. Insomnia primer
B. Apnea
C. Hipersomnia primer
75.
Seorang pekerja kantor sekarang tidak suka naik lift. Ia merasa
tidak aman dan tidak ingin keluar rumah. Ia merasa hanya rumahnya
tempat paling aman. Diagnosis?
A. Agoraphobia
76.
Seorang wanita merasa hidungnya tidak bagus, ingin operasi bedah
plastik. Dokter bedah plastik menolak. Apa treatment psikologis yang
perlu diberikan:
A. Counseling
B. ...
C. Psychoeducation therapy
D. Exposure therapy
E. Psychodynamic therapy
77.
Diantara berikut ini mana saja yang termasuk pemeriksaan kognitif?
A. Consciousness, atensi, bahasa, memori
B. Atensi, bahasa, memori, eksekusi
C. Consciousness, atensi, memori, visuospatial
78.
Siswa kelas 2 SD, akan tidak naik kelas untuk kedua kalinya. Apa tes
yang dapat dilakukan?
A. Tes intelegensi
B. Tes konsentrasi
79.
Mimpi lama, terbangun ketakutan, terbangun pada fase NREM.
Diagnosis?
A. ...
B. Night terror
C. Insomnia
D. ...
E. Parasomnia
80.
Ada tes psikologis yang akan dilakukan, salah satu peserta adalah
orang Perancis. Pelaksana tes meminta bantuan kepada orang yang
mengerti bahasa Perancis. Apa risiko yang tidak bisa dicegah oleh
pelaksana tes?
A. Penerjemah memberitahukan clue soal
B. Penerjemah mempunyai ikatan emosional dengan peserta
C. ...
D. ...
E. Peserta tidak jadi tes
81.
Seorang pria mengalami rigiditas dll setelah mengonsumsi obat
antipsikotik. Obat antipsikotik yang paling sering menyebabkan gejala ini
adalah...
A. Haloperidol
82.
Seorang wanita 30 tahun datang dengan gejala marah-marah dan
tidak bisa tidur selama seminggu. Sebeumnya pernah masuk RS 8 bulan
yang lalu dengan gejala yang sama. Obat yang dapat diberikan untuk
mencegah kekambuhan dan mengendalikan suasana hati adalah?
A. Carbamazepine
B. Dilantin

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C. Lithium
D. Haloperidol
E. Risperidone
83.
Obat yang bekerja meningkatkan GABA-mediated chloride ion
channel opening adalah?
A. Diazepam
B. Phenobarbital
84.
Yang termasuk SSRI?
A. Escitalopram
85.
Obat antidepresi bekerja dengan mempengaruhi neurotransmitter
apa?
86.
seorang ibu datang ke dokter dengan keluhan jantung berdebar,
berkeringat, takut mati dan takut gila. Apa defence mechanismnya?
A. reaction formation
B. undoing
C. somatisasi
D. eksternalisasi
E. displacement
87.
Seorang laki laki ditangkap sekuriti bank karena mengatakan bahwa
dia pewaris bank tersebut. Setelah dikinfirmasi polisi ternyata tidak ada
hubungan apapun. Apa diagnosis Anda?waham grandiose
88.
Seorang laki laki mengaku sebagai pendeta namun penampilannya
tidak mendukung (kotor, tidak terurus). Sia memakai cincin di jarinya.
Oleh keluarga diceritakan bahwa dia juga pernah depresi dan menangis,
sehingga tak dapat kerja sejak 6 bulan lalu. Diagnosis?skizoafektif tipe
depresi
89.
Seorang laki-laki tabrakan, dia dapat sembuh tapi anaknya
meninggal. Setelah 4 bulan dia mengalami gangguan tidak berani naik
mobil lagi. Apa diagnosisnya?PTSD

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