Clinical Medicine Flashcards

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1
Q

What kind of thought process is characterized by “moving from one idea to another, usually with some type of link between thoughts”?

Which mental status change might this indicate?

A

Flight of ideas

Mania (when severe)

Vs. loose associations, where there is no link between ideas; may be found in schizophrenia

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2
Q

What kind of thought process is characterized by “shifts from one topic to another without any apparent logical connection”?

Which mental disorder might it indicate?

A

Loose associations (derailment)

Schizophrenia

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3
Q

“Flight of ideas” belongs in which portion of the mental status exam?

  1. Appearance
  2. Speech
  3. Thought process
  4. Thought content
  5. Cognitive function
A

C. Thought process

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4
Q

On the MOCA, what skill is assessed when we ask a patinet to tap their pencil every time we say the letter “A”

A

Attention (vigilance)

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5
Q

On the MOCA test, which skill is assessed when we ask the patient to draw a clock?

A

Visuoconstructional skills

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6
Q

​Which of the following is true of The Montreal Cognitive Assessment (MoCA):

  1. Instructions should be read verbatim
  2. Does not take into account a patient’s level of education
  3. Is only valid when conducted by a trained clinical psychologist
  4. Is used to distinguish dementia from depression
  5. May only be used by those who have paid a licensing fee
A

A: Instructions should be read verbatim

  • Education is accounted for: add 1 to the final score for patients with 12 or fewer years of education
  • Cannot distinguish dementia and depression
  • Free online
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7
Q

On the MOCA, what skill is assessed when we ask a patient to explain how an “orange and a banana are alike”?

A

Abstraction

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8
Q

On the MOCA, what skill is assessed when we ask a patient to name as many words as they can that begin with the letter “B”?

A

Verbal fluency

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9
Q

On the MOCA, what skill is assessed when we ask a patient to repeat numbers forward and backward?

A

Attention

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10
Q

What is the difference between mood and affect?

A
  • Mood
    • Patinet’s subjective report of their emotional state
  • Affect
    • Clinician’s objective description of the patient’s emotional state
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11
Q

Which part of the MOCA assesses executive functioning?

A

Path finding, cube drawing, clock drawing

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