First Aid for the Psychiatry Clerkship - "Examination and Diagnosis" Flashcards
The HPI should contain information about the current episode, including ________________.
symptoms, duration, stressors, context, and impairment of function
The last thing implies how their work, education, or hobbies have been impacted.
In general, start patient interviews by ________________.
asking open-ended questions and carefully noting how the patient responds (this will form the bulk of your MSE)
A great question to ask in taking a history is “Why are you seeking ______________?”
help today (particularly important if the problem has been going on for a while)
Go through the mental status exam (MSE).
- General
- Appearance
- Behavior
- Mood
- Affect
- Thought content
- Thought process
- Perceptual disturbances
- Speech
- Language
- Insight
- Judgment
The caveat on MSEs is that they should not take into account _____________.
past MSEs
Abstract reasoning is often tested using ______________.
proverb interpretation
What are some qualifiers that you might list under behavior?
- Cooperative/uncooperative
- Antagonistic
- Charming
- Eager to please
- Guarded
- Childish
What are some important things to note about affect?
- Is it full range or limited?
* Is it appropriate to context?
What are “clang associations”?
When a patient says words that rhyme with the last word… like “I’ve been in bed. It’s hurts my head. My cat’s been fed.”
List some common delusions.
- Paranoia/persecution
- Grandiosity
- Reference (i.e., thinking everything’s about you)
- Religious
- Somatic (e.g., thinking you have cancer)
- Thought broadcasting
List some of the things that go under thought content.
- Paucity vs. abundance
- Delusions
- SI / HI
- Phobias
- Obsessions
- Compulsions
List some things that go under insight.
- Denial
- Blaming others
Insight is often charted as full/partial/none.
Describe judgment.
The ability to predict the outcome of our actions and act in your own best interest.
“Looks older than age” is often listed under ______________.
appearance
The mini-mental state examination (MMSE) is a simple test that includes the following: _________________.
- Orientation (person, place, time, event)
- Memory (registering three words immediately and again five minutes later)
- Concentration (serial 7s)
- Language (naming, repetition)
- Complex command
- Visuospatial ability
