Mental State Exam Flashcards
1
Q
Sections of MSE
A
Appearance Behaviour Mood Speech Thoughts Beliefs Perceptions Suicide/Homicide Cognitive Function Insight
2
Q
Appearance
A
Height/build
Clothing
Personal hygiene
Make up/jewellery/etc
3
Q
Behaviour
A
Greeting Non verbal cues Gesturing Abnormal movements Cooperative/rapport
4
Q
Mood
A
Eye contact
Affect
Mood rating (subj & obj)
Psychomotor function (retarded, agitated)
5
Q
Speech
A
Spontaneity Volume Rate Rhythm Tone Dysarthria Dysphasia
6
Q
Abnormal thoughts
A
External manifestation of thoughts Phobias Obsessions Flights of ideas Formal thought disorder Knight's move, derailment, loosening
7
Q
Types of formal thought disorder?
A
Broadcast Echo Insertion Blocking Withdrawal
8
Q
Abnormal Beliefs
A
Preoccupations
Overvalued ideas
Delusional beliefs
9
Q
Delusion definition?
A
Fixed, false belief out with societal and cultural norms
10
Q
Abnormal perception
A
Illusions Hallucinations (pseudo, true)
11
Q
Types of hallucinations?
A
Auditory Visual Somatic/Tactile Olfactory Gustatory
12
Q
Suicide/Homicide
A
ALWAYS ASK Ideation Intent Plan (vague/detailed/already in motion) Also homicidal risk
13
Q
Cognitive function
A
Orientation Attention/concentration Short term memory Long term memory Perform objective tests if concerned
14
Q
Insight
A
Best seen as a spectrum Varies over course of illness 3 questions: - are symptoms due to illness? - Is this a mental illness? - Do they agree with the treatment/Mx plan?
