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J Psych > Mental state exam (MSE) > Flashcards

Mental state exam (MSE) Flashcards

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1
Q

first thing you do in MSE

A

write down patients name, DOB/DHI, date, time, your name and signature

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2
Q

what is the pneumonic for remembering the categories of MSE

A

ASEPTIC

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3
Q

A =

A

appearance and behaviour

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4
Q

S =

A

speech

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5
Q

P =

A

perception

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6
Q

T =

A

thoughts

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7
Q

E =

A

emotion - mood and affect

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8
Q

I =

A

insight

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9
Q

C =

A

cognition

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10
Q

what do you comment on in appearance

A 
age, BMI, gender, race
grooming - neat/disheveled  
clothes - bright/dark 
posture - slumped 
self harm?
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11
Q

what do you comment on in behavior

A 
eye contact 
rapport 
appropriate behavior? engagement with Qs?
body language 
withdrawn/agitated
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12
Q

what do you comment on in speech

A

fast/slow
pitch - monotomous
interruptible/pressured?
amount - increased or decreased

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13
Q

interruptible speech

A

mania

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14
Q

what do you comment on in emotion

A

mood - how are THEY feeling (use own words)

affect - how do they appear to you 
flat, low, depression
anxious, irritated, angry 
elated 
euthymic (normal)
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15
Q

what do you comment on in perception

A

hallucinations - 2nd person, 3rd person, visual

delusions - religious, grandiose

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16
Q

what do you comment on in thoughts

A

form - flowing, logical, tangential, flight of ideas, knights move thoughts
passivity phenomena - thought interference eg thought insertion/blocking/broadcasting/withdrawal
content - negative, suicidal, their own thoughts?

17
Q

what do you comment on in insight

A

yes or no (can ask)

18
Q

what do you comment on in cognition

A

can do MMSE/adenbrookes if time

orientation - day, date, time, place, building, name, age DOB
concentration and attention - months of year in reverse order
memory - anterograde (recent), retrograde (past), personal

19
Q

flight of ideas

A

quickly changing topic of conversation, but understand how they got there

in mania

20
Q

knights move thought

what does it occur in

A

quickly changing topic of conversion, don’t know how they got form A to B

in schizophrenia

21
Q

what does rhyming and punning of words occur in

A

mania

22
Q

3rd person auditory hallucination

what does it occur in

A

people speaking about you across the room

schizophrenia

23
Q

verbigeration

A

obsessive repetition of random words

24
Q

delusion

A

a belief that is fixed and falsely held, conflcits with reality

25
Q

paranoia

A

feeling of being threatened eg someone watching you, or acting against you, with no proof/rationale why

26
Q

gedakenlantwerden

A

hallucination with voices speaking their thoughts at the same time they think them

27
Q

folie a deux

A

delusions shared by 2 people closely related eg married couples

28
Q

psychomotor retardation

what does it occur in

A

slowing of movements eg speech, walk

depression

29
Q

flashback

what does it occur in

A

flashback - re-experiencing of event, NOT just a memory

PTSD

30
Q

depersonalisation

A

cant feel emotion

31
Q

mitgehen

A

excessive movements, eg slight nudge would cause exaggerated movement

32
Q

nilhilistic delusions

what syndrome are they associated with

A

delusions of having no organs/being dead (nil = none)

cotards syndrome

33
Q

psychomotor agitation

what does it occur in (3)

A

rapid speech, restlessness, pacing around room, tapping toes

psychosis, mania, anxiety

34
Q

hallucination

A

false sensory perception without external stimulus eg seeing people in your house

35
Q

psuedohallucination

A

hallucination but you know its not real

36
Q

illusion

A

false sensory perception of real external stimulus eg mistaking a shadow for a person

37
Q

tactile hallucination occurs in

A

alcohol withdrawal

38
Q

visual hallucinations occur in

A

organic cause eg tumour, lewy body dementia, delirium (think of people in care home)

J Psych (14 decks)

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