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CLASS 22005 PSYCH > Ch 2 Physical Exam > Flashcards

Ch 2 Physical Exam Flashcards

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1
Q

Total expression of a person’s emotional response, mood, cognitive functioning

A

Mental Status

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2
Q

Mania

Which acronym of questions should be used?

A

DIG FAST

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3
Q

Type of disorientation

Cerebral trauma, seizures, amnesia

A

Person Disorientation

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4
Q

Type of disorientation

Psychiatric disorders, delirium, and cognitive impairment

A

Place Disorientation

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5
Q

Type of disorientation

Anxiety, delirium, depression, cognitive impairment

A

Time disorientation

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6
Q

Standardized, brief screening tool (takes about 10 minutes to administer) to assess cognitive function and to detect changes over time

Consists of 11 items measuring orientation, registration, attention and calculation, recall, and language

A

Mini-Mental State Exam (MMSE or Folstein Test)

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7
Q

Signs of possible cognitive impairment

A

Significant memory loss

Confusion

Impaired communication

Inappropriate affect

Personal care difficulties

Hazardous behavior

Agitation

Suspiciousness

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8
Q

Ask the patient to tell you the meaning of a fable, proverb, or metaphor

A

Abstract reasoning

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9
Q

Ask the patient to do simple arithmetic without paper and pencil within 1 minute

A

Arithmetic calculation

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10
Q

Ask the patient to write his/her name and address, or a dictated phrase

A

Writing ability

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11
Q

Ask the patient to tie their shoe lace or comb their hair

A

Execution of motor skills

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12
Q

Memory Test

Ask the patient to listen and then repeat a sentence or a series of numbers

A

Immediate recall

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13
Q

Memory test

Give the patient a short time to view four or five objects, saying you will ask about them in a few minutes

Ten minutes later, ask the patient to list the objects

A

Recent memory

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14
Q

Memory test

Ask the patient about verifiable past events

A

Remote Memory

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15
Q

Memory loss may results from:

A

Disease

Infection

Temporal lobe trauma

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16
Q

Ask the patient to spell the word WORLD forward and backwards or say the days of the week

Ability to perform arithmetic calculation

A

Attention span

17
Q

Impaired judgment may indicate:

A

Mental retardation

Emotional disturbance

Dementia

Psychosis

18
Q

Determine whether there is any difficulty or discomfort in phonation (volume, quality or pitch)

A

Voice quality

19
Q

Evaluate spontaneous speech for pronunciation and ease of expression (slurring, stuttering, hesitations)

A

Articulation

20
Q

Abnormal articulation includes:

A

Imprecise pronunciation of consonants

Slurring

Difficulty articulation a single speech sound

Repetitions

Stuttering

21
Q

Ask the patient to follow simple one and two step directions

A

Comprehension

22
Q

The patient’s intentions or perceptions should be clearly conveyed

A

Coherence

23
Q

Pantomime or word substitution to avoid revealing that a word was forgotten

A

Circumlocution

24
Q

Repetition of a word, phrase, or gesture

A

Preservation

25
Q

Disordered words or sentences

A

Flight of ideas or use of loose associations

26
Q

Words with meaning only to the patient

A

Neologisms

27
Q

Word choice based on sounds so that words rhyme in a nonsensical way

A

Clang association

28
Q

Repetition of another person’s words

A

Echolalia

29
Q

A speech disorder that can be repetitive or expressive, include hesitations and other speech rhythm disturbances

It can results from facial muscle or tongue weakness or from neurologic damage to brain regions controlling speech and language

A

Aphasia

30
Q

Speaking without prompting

A

Spontaneous speech

31
Q

Rhythm of speech

A

Prosody

32
Q

Type of diagnosis that should be given

A

Preliminary diagnosis (avoid making hard diagnoses)

33
Q

Similar to other notes but includes aspects of the mental status exam that you perform

A

Psychiatry note

CLASS 22005 PSYCH (6 decks)

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