DSM, MMSE Flashcards

1
Q

the majority of patietns diagnosed with ADHD initially presented to

A
  • primary care
  • pediatrics
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2
Q

What is the mental status exam

A
  • initial psychiatric assessment
  • used to describe patient’s current state of mind
    • 12 domains
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3
Q

list the 12 domains of the mental status exam

A
  1. appearance
  2. alerteness and orientation
  3. speech
  4. motor behavior
  5. mood and affect
  6. attention
  7. memory
  8. perception
  9. insight
  10. judgement
  11. thought content
  12. thought processess
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4
Q

What does the domain alertness and orientations assess

A
  • level of consciousness
  • A&O to
    • person
    • time
    • place
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5
Q

What does the domain speech assess

A
  • observe speech production
    • sponatneous speech and language tests
  • consider
    • rate, volume, quantity, type
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6
Q

What does the domain mood assess

A
  • patients subjective description of his or her emotional state in his or her own words
  • sustained emotion that affects a persons view of the world
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7
Q

What does the domain affect assess

A
  • emotion conveyed via non-verbals
  • an observable feeling or tone expressed through voice, facial expression and demeanor
    • described by clinician, not patient
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8
Q

what are the 4 categories of memory

A
  1. remote memory: childhood
  2. recent remote memory: current events within the past few months
  3. recent memory: breakfast
  4. immediate retention and recall: 6 digit test
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9
Q

What does the domain perception assess

A
  • sensory awareness of objects in the environment and their interrelationships
  • also refers to internal stimuli
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10
Q

hallucinations

A

false sensory perception not associated with real external stimuli

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11
Q

misperception or misinterpretation of a real external stimuli

A

illusion

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12
Q

a persons subjective sense of being unreal, strange, or unfamiliar

A

depersonalization

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13
Q

a subjective sense that the environment is strange or unreal

A

derealization

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14
Q

formication

A

the feeling of bugs crawling on or under the skin

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15
Q

What does the domain insight assess

A
  • awareness that symptoms or disturbed behaviors are normal or abnormal
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16
Q

process of comparing and evaluating alternatives when deciding on a course of action

A
  • judgement
  • pt makes sounds, reasonable, responsible decisions
17
Q

What does the domain thought content assess

A
  • when the patient thinks about and the focus of thier concerns
  • extent to which they believe their thoughts/conviction
18
Q

fixed, false, personal beliefs that are not shared by other members of the person’s culture

A
  • delusions
    • cant be corrected by reasoning
19
Q

recurrent, uncontrolable thoughts, images, or impulses. prominant, not false thoughts

A

obsessions

20
Q

repetitive behaviors or mental acts that a person feels driven to perform

A

compulsions

21
Q

persistent, irrational, exaggerated fear of a specific stimulus or situation

A

phobias

22
Q

What does the domain thought processes assess

A
  • quantity, tempo, and coherence of thought
  • how a patient’s thinks
23
Q

what is the basis to formulate any psychiatric diagnosis

A

Mental status examination

24
Q

what is a brief neuropsychological test to screen for dementia

A

mini mental state examination