Ini MCQ 2008. Kunci jawabanny ada di halamn terakhir. Untuk jaga2 kalo ternyata soal
 besok diubah. anya untuk baca!baca b. tidak jamin keluar y teman2
MCQ
 Directions" #ach o$ the %uestion or incom&lete statements below is $ollowed by $our
suggested answers or com&letions' select the one (#)* answer in each case
+. ,ne o$ the most im&ortant e-am&les o$ mental disorders caused by organic
changes or abnormalities in the brain are"  A. untingtons disease
 B. Alzheimer's disease
 D. /ett syndrome
2. *he $ist human disease to be cause by unstable trinucleotide re&eat se%uence
 A. *urner syndrome  B. untingtons disease
C. Fragile-X syndrome
 D. own syndrome
 A. (i&olar disorders
 D. untingtons disease
5. ossible routes or mechanisms by which &arental mental health might ha6e an
im&act on their children. Choose the wrong statement"
3. 7enetic $actors (. )ocial im&act
C. Indirect effects of parental symptoms on children
. Im&acts on children mediated less directly' by disru&tions in &arenting  
. #arly onset o$ 3l4heimer disease' is also associated with99
3. *urner syndrome
. untington syndrome
 A. do&amine
 D. gamma!aminobutyric acid =73(3>
 
 A. an ability to change neuronal connection on the basis o$ e-&erience
 B. region that integrate in$ormation $rom multi&le sensory and motor area
C. in$luence o$ beha6ior on motor system  D. sim&le re$le- &athways initiated through brain
8. Cholinergic system o$ di$$use modulatory system in cerebrum can in$luence  A. attention
 B. learning
@. uring slee&' relay neurons in thalamus reduce in$ormation reaching the
cerebrum by  A. modulating its $re%uency
 B. turning o$$ its signal
C. altering membrane &otential  D. decreasing neurotransmitter 
+0. Aanguage skill is the most elaborate  A. emotional state
 B. cogniti6e beha6ior 
C. motor skill
 D. memory &rocessing
Questions no. ++ B + is related to the $ollowing scenario.
3 man in his mid 10s was $ound lying on the ground and brought to the #/ o$ hos&ital by
a &olice o$$icer' because he e-hibited slurred s&eech and irrational beha6ior. 3 history o$
the &atient was im&ossible to obtain because he seemed to be disoriented and delirious and was a&&arently ha6ing 6isual hallucinations. In addition' his tongue and mouth were
6ery dry' making s&eech di$$icult.
++. *he most likely diagnosis o$ the &atient is 9
 A. somato$orm disorder.
 B. slee& disorder 
C. acute &sychosis  D. neurosis
+2. *he sym&toms and signs o$ the &atient are due to dys$unction o$ 9  A. (rocas area
 B. limbic system
+1. is beha6ioral abnormality was &resumably attributable to 9
 
C. damage o$ brain le$t hemis&here
 D. mal$unction o$ sensory area in cerebral corte-.
+5. e e-hibited slurred s&eech. *he normal s&eech center is located in 9
 A. le$t hemis&here  B. right hemis&here
C. limbic system
 D. hy&othalamus
+. allucination that occur in this case' con$irms that ..
 A.  brain can generate in$ormation and out &ut signal in the absence o$
e-ternal in&ut  B. there was a damage in his $rontal lobe
C.  &lasticity o$ neuronal connection on the basis o$ e-&erience
 D. o6er stimulation o$ 6isual association area in cerebral corte-
+;. Moods and dri6es are mostly related to "
3. isual corte- (. )u&erior tem&oral gyrus
C. 3mygdala
. Insula
+?. 3nti&sychotic medication can induced e-tra&yramidal syndrome due to disru&tion o$ "
3. )erotonin reu&take
. Motor corte- $unction
+8. In a&e4s circuit' i&&ocam&us sends $ibers directly to"
3. 3nterior thalamic nucleus
. Mammilary body
+@. Center in the brain described as center o$ language understanding is " 3. (roca 3rea
(. :ernicke area
C. 3uditory corte- . re$rontal corte-
20. 3uditory hallucination might occur i$ there is a lesion in6ol6ing" 3. *em&oral lobe
(. Drontal lobe
 
2+. The efect o undernutrition to brain growth is  A. Hyperactivity in children B. Increasing learning ability C. Decreasing the ultimate number o cells D. Improving dendritic branching
22. An optimal well balanced breakast in children can increase  A. Learning capacity B. Learning behavior C. Interpersonal relationship D. Motor skills
21. ne goal o nutritional rehabilitation in patient with A! is to  A. "orrecting the psychological disturbances B. !ormali#ing eating behaviors C. Determine ritualistic eating behaviors D. Diminish the utili#ation o bad ood
25. The very essential component o treatment or A! and $! rom
nutritional point o view is  A. Diet history B. Assessment o nutritional status C. %egulation o nutrients intake D. !utrition education
2. Autistic children have higher threshold o pain sensation due to the
presence o opioid gliadomorphin which comes rom diet rich in  A. &ood additive B. 'heat (our C. Milk D. )egetables
2;. The &eingold *aiser +ermanente diet may success as supportive diet
therapy in hyperactive children i it is combined with  A. %estriction o sugar B. %estriction o gluten and casein C. %estriction o cafeine D. %estriction o ood additives
2?. In promoting high intellectual development, ade-uate nutrition is
 
28. 3 $amily insisted to &er$orm an auto&tion to a dead $amily' because they did not
admit that he is already dead. Children re$uses to see their EbadF $ather turned to
 be a $unny and kind doll. ,r one a$raid &erson turned to be a E)u&ermanF  A.  &rojection
 B. introjection
C. denial  D. re&resssion
2@. Changing unacce&table im&ulses to other socially ace&table im&ulses
 A. sublimation
 B. introjection
C. re&ression  D. altruistic
10. :hich o$ the $ollowing o$ DreudGs ideas is still im&ortant to &sycho&athology
todayH
 A. *hose thoughts are the basis $or beha6iour.  B. (eha6iour is learned $rom e-&erience.
C. sycho&athology has origins in early e-&erience rather than being a
mani$estation o$ biological dys$unction.
 D. ream analysis.
1+. :hich o$ the $ollowing is an e-am&le o$ re&ressionH
 A. )to&&ing yoursel$ $rom beha6ing the way you want to  B. )u&&ressing bad memories or current thoughts that cause an-iety.
C. )u&&ressing your natural instincts.
 D. )to&&ing others $rom beha6ing ina&&ro&riately.
12. #-am&le o$ sym&toms o$ the (leurers &rimary rank criteria $or schi4o&hrenia
include all the $ollowing e-ce&t  A. Incoherence
 B. y&othymia
C. 3utism
 D. 3mbi6alence
11. )chneiders criteria $or schi4o&hrenia includes all the $ollowing e-ce&t
 A. 3udible thoughts  B. )omatic &assi6ity e-&erience
C. er&le-ity
 D. )udden delusional ideas
15. ebe&hrenic schi4o&hrenia includes all o$ the $ollowing e-ce&t
 A. rominent schi4o&hrenic sym&toms
 B. ,neiroid
 A. )ystematic delusion
 D. isual hallucination
 A. ersonality disorders
 B. Mental retardation
C. ersonality disorders and mental retardation  D. Clinical syndromes and &ersonality syndromes
1?. *he term melancholia now means  A. Mild de&ression
 B. )e6ere de&ression
C. (i&olar de&ression  D. Uni&olar de&ression
18. *he 73D )cale o$ &atients with some danger hurting sel$others
 A. 0!5+
 B. 50!1+
C. 10!2+
 D. 20!++
1@. Manic ty&e o$ the a$$ecti6e disorders includes all o$ the $ollowing e-ce&t
 A. Dlight o$ ideas  B. Dre%uent hallucinations
C. Megalomania
50. In6olutional melancholia includes all o$ the $ollowing e-ce&t
 A. Clearly melancholia sym&toms
 B. rominent schi4o&hrenic sym&toms C. *he delusion is usually nihilistic
 D. )uicidal thought maybe &resent
5+. In6olutional &ara&hrenia includes all o$ the $ollowing e-ce&t
 A. (etter &rognosis than in6olutional melancholia
 B. ,$ten mi-ed with melancholia C. )ystematic delusions
 
 B.  <egati6e sym&toms
C. istory o$ &erinatal trauma  D. Damily history o$ mood disorders
51. )chi4oa$$ecti6e disorder' manic ty&e includes all o$ the $ollowing e-ce&t  A. #lation o$ mood
 B. *y&ically schi4o&hrenic sym&toms
C. Irritability and e-citement  D. /etarded motoric acti6ity
55. )chi4oa$$ecti6e disorder' de&ressi6e ty&e includes all o$ the $ollowing e-ce&t
 A. rominent delusion  B. *y&ically schi4o&hrenic sym&toms
C. allucinations maybe &resent
 D. oorer &rognosis com&ared with hebe&hrenia
5. In Folie a De!' the $acts includes all o$ the $ollowing e-ce&t
 A. Usually in close relati6es  B. Introduced by Aase%ue and Dalret
C. Induced delusional ideas
 D. ersistent bi4arre delusion
5;. In delusional disorders' all includes o$ the $ollowing e-ce&t
 A. )ystematic delusions
 B. (i4arre and systematic delusions C. remorbid &ersonality tendency to &aranoid
 D. Usually occurs in age around 50 years
5?. *he term dementia &raeco- was introduced by
 A. Morel
 D. #ugene (leurer 
58. *he term schi4o&hrenia was introduced by  A. Morel
 B. Kahlbaum
C. #mil Krae&elin  D. #ugene (leurer 
5@. 7ood &rognosis $or schi4o&hrenia' includes all o$ the $ollowing e-ce&t  A. 7ood &remorbid social' se-ual' and work histories
 B. Aate onset
C. 3cute onset
 
 A. &i/ed and unchangeable ater adulthood B. 2ni-ue or each person C. "an be directly observed D.  The only ocus in psychiatry
+. The concept o normality as a process states that normal behavior  A. Is an ideali#ed 3ction B. 1hows no psychopathology maniestation C. Is between two e/tremes D. Is the end result o interacting systems
2. According to the psychological model, a mental disorder occurred as a result o 
 A. an organic disruption B. e/perience ac-uired beore adulthood C. repetitive maladaptive behavior D. interaction with environment
1. According to ++D456III, a mental disorder must be characteri#ed by  A. 1evere distress B. 1evere disability C. Marked psychopathology D. Marked reality impairment
5. A symptom characteri#ed by conusion o temporal, spatial, and7or personal awareness is
 A. 1tupor B. "oma C.  Twilight state D. Disorientation
. A disorder o discriminative 8udgment will be seen as  A. Diminished ability to act appropriately and e/pectedly with
situation B. 2nable to recall the past e/perience correctly C. &ailure to understand the cause and reason o things happening D. Inability resisting impulse, drive, or temptation
;. A alse interpretation o stimuli is called  A. Delusion B. Hallucination C. Illusion D. &i/ed Ideation
 
8. A (ight o ideas is not characteri#ed by  A. Inability to 3nish ideas B. +ressure o speech C. Distractibility D. Illogical order o words
@. A hallucination that occurred a moment beore sleep, which is oten considered non pathological, is
 A. Hallucination on 1ensory Deprivation B. Hypnagogic Hallucination C. Hypnopompic Hallucination D. &ormication
;0. A persistent, pathological, unrealistic, intense ear o an ob8ect or situation is called
 A. bsession B. +hobia C. Hypochondria D. "onabulation
;+. An unavorable temptation which cannot be eliminated rom one0s mind is called
 A. Intellectual bsession B. "ontrast Thought C. Impulse bsession D. bsessional Image
;2. An autistic thought is de3ned by  A.  The inability to draw conclusive idea B. 2nable to think abstractly C. Illogical and irrational idea D. 2nderstandable only to one0s sel 
;1. 'hich o the ollowing statement concerning %.M sleep is correct9  A. &or adults, the %.M occupied about :; percent o nocturnal
sleep B. All the physiological parameter is normal C.  The more the age, the less the %.M percentage o nocturnal
sleep D. Any occurring dream is clear and meaningul
;5. Di<culty on maintaining sleep can be ound on  A. Depression B. An/iety C. +ain D. "!1 Lesion
;. The diagnostic criteria or !onorganic Insomnia according to ++D456III includes
 
B. Awake when others were asleep, and asleep when others were awake
C. A preoccupied idea that one cannot sleep well D. verly slept and di<culty on staying awake
;;. The diagnostic criteria or 1leep Terrors according to ++D456III includes  A. 2pon awakening, one is ully aware B. 2nable to, or ragmented, recall the reason o awakening C. 2sually occurred at the end o sleep D.  The dream caused discomort
;?. ther nonorganic sleep disturbance does not include the diagnosis o   A. %estless leg syndrome B. $ru/ism C. 1omnambulism D. 1omnilo-uy
;8. *he sym&tom or de$icit a$$ecting 6oluntary motor or sensory $unction cannot' a$ter a&&ro&riate in6estigation' be $ully e-&lained by a general medical condition'
or by the direct e$$ects o$ a substance' or as a culturally sanctioned beha6ior or
e-&erience the &sychological $actors are judged to be associated with the sym&tom or de$icit which &receded by con$licts or other stressors are the
characteristics o$"
. 3cute stress disorder.
;@. 3n inability to recall im&ortant &ersonal in$ormation' usually o$ a traumatic or
stress$ul nature' that is too e-tensi6e to be e-&lained by normal $orget$ulness' is the essential $eature o$"
3. 3mnesia'
. e&ression.
?0. Characteri4ed by the &resence o$ two or more distinct identities or &ersonality
state that recurrently take control o$ the indi6iduals beha6ior accom&anied by an inability to recall im&ortant &ersonal in$ormation that is too e-tensi6e to be
e-&lained by ordinary $orget$ulness' is the essential $eature o$"
3. e&ersonali4ation disorder' (. issociati6e identity disorder'
C. Character disorder'
. ersonality disorder.
?+. *he essential $eature" 3s sudden' une-&ected tra6el away $rom home or ones customary &lace or daily
 
con$usion about &ersonal identity or e6ent that assum&tion o$ a knew identity. *hese
are the syndrome o$"
3. 3mnesia' (. issociati6e amnesia'
. e&ersonali4ation.
?2. EIs a non s&eci$ic res&onse o$ the body to any demandF. *his statement is  &resented by ans )elye as the de$inition o$"
3. 3n-iety'
. Mourning.
?1. *he stages o$ E7eneral ada&tation syndromeF consists o$" 3. 3larm' :arning' 3cting out'
(. 3larm' Dight or Dlight'
?5. (eha6ioral disorder that characteri4ed by" a combination o$ o6eracti6e' &oorly
modulated' beha6iour with marked inattention L lack o$ &ersistent task 
in6ol6ement and &er6asi6eness o6er situations L &ersistent o6er time' is diagnosed as"
3. y&erkinetic disorder'
?. *his sym&tom is not included in the Kle&tomania"
3. /ecurrent $ailure to resist im&ulses to steal objects that are not needed $or &ersonal
use or $or their monetary 6alue' (. Increasing sense o$ tension immediately be$ore committing the the$t'
C. leasure' grati$ication' or relie$ at the time committing the the$t'
. *he stealing is committed to e-&ress anger and 6engeance.
?;. /ecurrent &ulling out o$ ones hair resulting in noticeable hair loss an increasing tension immediately be$ore &ulling out the hair or when attem&ting to resist the
 beha6ior &leasure' grati$ication' or relie$ when &ulling out the hair is the
syndrome o$" 3. Im&ulse!Control disorder'
(. *richotillomania'
C. Intermittent e-&losi6e beha6ior' . yromania.
??. 3 strong and &ersistent cross!gender identi$ication =not merely a desire $or any
 &ercei6ed cultural ad6antages o$ being other se-> is the essential $eature o$"
3. 7ender identity disorder' (. ara&hilia'
 
. Detishism.
?8. 3n enduring &attern o$ inner e-&erience and beha6ior that de6iates markedly $rom the e-&ectation o$ the indi6iduals culture. *his is the general diagnostic criterion
o$"
. ersonality disorder.
?@. *he disorder that characteri4ed most commonly as a di$$use' un&leasant' 6ague
sense o$ a&&rehension' o$ten accom&anied by autonomic sym&toms' is" 3. #motional disorder'
(. 3n-iety disorder'
C. Conduct disorder' . e&ression disorder.
80. *he disorder which not classi$ied as an-iety disorder' is" 3. anic disorder'
(. ,bsessi6e!com&ulsi6e disorder =,C>'
C. e&ression disorder'
8+. 3nti noradrenergic' anti serotonergic' anti histamin' and anti acetylcholine e$$ect
are some the e$$ects o$"
3. 3nti sychotic'
. 3nti hobia.
82. *he &sychic &athological de$ense mechanism that &lay a role on the an-iety
disorder =an-iety neurosis> is" 3. is&lacement'
(. rojection'
81. sychiatric thera&y o$ the &atients consists o$"
3. sycho&harmacological thera&y'
(. #lectro com&ulsi6e thera&y =#C*>' C. sychothera&y'
. 3ll o$ abo6e.
85. Mental ealth a&&roach used by *he Ministry o$ ealth o$ /I"
3. romoti6e' re6enti6e' (. Curati6e'
 
8. *he s&eci$ic thera&y in sychiatry which di$$erentiates it $rom other medical
disci&line' is"
C. Music thera&y'
. eto-i$ication.
8;. )us&ects' without su$$icient basis' that others are e-&loiting' harming' or  decei6ing him or her. *his is one o$ the sym&toms o$ "
3. aranoid &ersonality disorder'
. 3ntisocial =issocial> &ersonality disorder.
8?. eceit$ulness' as indicated by re&eated lying' use o$ aliases' or conning others $or 
 &ersonal &ro$it or &leasure. *his are some o$ the sym&toms o$" 3. aranoid &ersonality disorder'
(. )chi4oid &ersonality disorder'
C. 3nancastic &ersonality disorder' . 3ntisocial =issocial> &ersonality disorder.
88. 'hich o the ollowing is included in somatoorm disorder9 a? 1omati#ation disorder b? "onversion disorder c? Hypochondriasis d? All o the above
8@. !ot a diagnostic criteria or psychosomatic a? There are many physical complains and o various symptoms that
can0t be described as physical disorder, that happened at least >
years b? 2nwilling to take advice rom medical proessional concerning one0s
physical normality c? There is an evidence o disability in social or amilial unction, which
is attributable to the symptoms characteristic and the efect o the
behavior d? There is an evidence o severe an/iety accompanied by mild
depression  
@0. The drug used or somatoorm without physical symptom is a? $eta blocker b? %ivastigmin c? $en#odia#epin d? Lythium
 
d? 1emua benar
@2. 3 boy +2 years old had an alo&ecia on the &arietal' the hairs broken at the di$$erent lengths. is mother said he &ulled his hairs since his $ather died 2
months ago. :hat is the diagnosis $or this &atient H
 A. *richotillomania  B. 3lo&ecia areata
C. *inea ca&itis
 A. 3n-iety
 A. Multi&le e-coriations with 6arious stages.
 B. *he lesion rarely scarring C. *he mostly lesion on the $le-or area
 D. Multi&le e-coriations in same stages
@. <eurotic e-coriations is $re%uently associated with9 .
 A. ,bsessi6e B com&ulsi6e &ersonality
 B. isteric &ersonality
C. Manic B de&ression  D. 3n-iety
@;. *he most common indications o$ anti&sycochotics in dermatology is 9 .  A. elusion o$ arasitosis
 B. *richotillomania
@?. ,ne o$ the &redis&osing $actor o$ &sychosomatic disorder is
 A. *he symbolic meaning o$ an organ
 B. rimary ad6antage o$ being allowed to &ass a duty
C. ,rganic illness not common in the $amily
 D. Constitutional hereditary $orce
 A. Musculosceletal  B. /es&iratory
C. (rain
 D. Cardio6ascular 
 A. e was born $rom &remature gestation
 B. is height is shorter $or his age C. is normati6e de6elo&mental milestones is below $or his age
 D. e does an not say anything at 1 years old
+00. *he mayor genetic cause o$ Mental /etardation is "  A. own syndrome
 B. 3lcoholism syndrome
+0+. 3 child who ha6e IQ score ;' clasi$ied as "
 A. (orderline intelectual $unctioning
 D. )e6ere Mental /etardation
+02. *he Mild Mental /etardation is a&&ro&riate to the $ollowing condition "  A. *hey may learn to sit u&' walk and talk later than other children
 B. *hey may learn to getting dressed and eating later than other 
C. *hey learn to write and read longer than the other   D. *hey may die &rematurely because o$ 3l4heimer disease
+01. *he Moderate Mental /etardation is a&&ro&riate to the $ollowing
condition "
 B. *hey may ha6e a normal li$e e-&ectancy
C. *hey may semiinde&endently with signi$icant su&&&orti6e ser6ices
 D. *hey need intensi6e su&&ort and su&er6ision $or long li$e +05. *he most common $inding in er6asi6e e6elo&mental isorders are "
 A. Im&airments in socialinteraction
 B. Im&airments in mo6ement C. Im&airments in mental $unctioning
 D. Im&airments in hearing
+0. *he er6asi6e e6elo&mental isorders includes all o$ the $ollowing condition' #C#* "
 A. 3utistic disorder 
+0;. *he abnormality &attern o$ beha6ior in autistic disorder is "
a. )tereoty&ic  b. /e&etiti6e
c. y&eracti6e
d. 3ll abo6e +0?. 3 three years old girl with reduced head circum$erence' and loss o$ social!
relatedness who de6elo& stereoty&ed hand mo6ements and ha6e im&aired
language and mental $unctioning' may su$$ers $rom "
 A. 3utistic disorder 
 B. )chi4o&hrenia
C. /ett syndrome
 D. own syndrome +08. *he medication that reduces s&eci$ic sym&toms in autistic disorder is "
 A. alo&eridol
 D. Chlor&roma4ine
 A. isuos&atial
 A. )enescence
 A. o&aminergic cell
++2. Most o$ 3l4heimer drug is included in"  A. Kolinesterase
 B. o&amine inhibitor 
++1. *he normal $orget$ulness o$ elder &eo&le is called"
 A. 3cute $orget$ulness  B. (enign $orget$ulness
C. ementia
 D. MCI
 A. Memory disturbance  B. Aanguage disturbance
C. ementia
 A. 20 B 10
 D. (elow @
++;. rug below that can control manic sym&toms o$ bi&olar disorder is "
3. Aora4e&am
. Carbama4e&ine
++?. #-tra&yramidal signs due to anti &sychotic medication best treated with" 3. Chlor&roma4ine
(. henobarbital
++8. Aithium can be used to treat" 3. 3n-iety
(. e&ression
C. Mania . Insomnia
++@. In penal law o Indonesia @*2H+ B, nobody one who do criminal
case can be punished i he7she in conditionC? a? n drug b? Mental retardation c? ut o control d? Alcoholic addiction
+20. Ater mother delivery her baby, in several hours, she killed
directly her baby, it meansC? a? 1evere post partum syndrome b? Inanticide c? $aby blues d? homicide
+ ( 2 ( 5@ ?1 @? 3
1 ( 2? C + ? @@ C
 
; 10   C  5 ?8 +02 C
? 3 1+   A 3 ?@ ( +01 C
8 ( 12 ( ; C 80 C +05 3
@ C 11 C ? 3 8+ 3 +0
+0 ( 15 ( 8 82 +0;
++ C 1 ( @ ( 81 +0? C
+2 C 1; C ;0 ( 85 +08 (
+1 3 1? ( ;+ C 8 ( +0@
+5 3 18 ;2 8; 3 ++0 3
+ 3 1@ ( ;1 C 8? +++ (
+; C 50 ( ;5 3 88 ++2
+? 5+ 3 ; C 8@ ++1 (
+8 ( 52 ;; ( @0 C ++5 C
+@ 51 ;? C @+ ++ (
22 3 5; ( ?0 ( @5 3 ++8 C
21 ( 5? C ?+ C @ 3 ++@ (
25 58 ?2 C @; 3 +20 (