Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Y3 Psychiatry > Mental State Examination > Flashcards

Mental State Examination Flashcards

1
Q

what is the difference between the information in a history and an MSE?

A 
history = patients account 
MSE = your observations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what eight things are assessed in an MSE?

A 
appearance 
behaviour 
speech 
affect + mood 
thoughts 
perception 
cognition 
insight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what kind of things are you looking at in the patients appearance as part of the MSE?

A 
body habitus
grooming 
attire 
posture 
injuries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what kind of things are you assessing when it comes to speech in an MSE?

A

rate
amount
tone
volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is a patients mood?

A

how they feel in the moment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is a patients affect?

A

your observation of how the patient appears and reacts throughout the interview

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

name five ways you could describe a patients affect

A 
reactive (normal)
unreactive (no change) 
incongruent (inappropriate
blunted (no extremes)
flattened (low baseline)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what three things need to be assessed when checking cognitive function?

A

orientation in time, place and person
concentration
memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is autobiographical memory?

A

memory of personal events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is retrograde memory?

A

memory of past events e.g. historical events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is anterograde memory?

A

memory of new events e.g. remembering a list of objects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what three types of memory can be assessed as part of a cognitive assessment?

A

autobiographical
retrograde
anterograde

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are you assessing when looking at the patients insight in an MSE?

A

do the know they are unwell? and why?and do they accept that they need treatment?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is a hallucination?

A

a perception which occurs in the absence of an external stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the three types of auditory hallucinations?

A

second person
third person
thought echo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is a second person auditory hallucination?

A

a voice that is directly addressing the patient

17
Q

what is a third person auditory hallucination?

A

a voice which discusses the patient or provides a running commentary on their actions

18
Q

what is a thought echo auditory hallucination?

A

a voice that repeats the patients own thoughts out loud

19
Q

what are visual hallucinations often associated with?

A

altered consciousness

20
Q

what are the two groups of visual hallucinations?

A

simple - flashes of light etc.

complex - faces, figures etc.

21
Q

what is the passivity phenomena?

A

when behaviour is experienced as being controlled by someone else rather than by the individual

22
Q

what abnormalities are often seen in patients with passivity phenomena, and what are these areas normally responsible for?

A

parietal and cingulate cortex abnormalities on PET

involved in interpretation of sensory information

23
Q

what is a thought disorder?

A

when there is a problem with the formation of thoughts

24
Q

how is a thought disorder identified?

A

through evidence found in the patients speech/writing

25
Q

name three thought disorders

A

flight of ideas
loosening of associations
neologism

26
Q

what happens in flight of ideas?

A

the patient jumps from topic to topic with recognisable but inappropriate links

27
Q

what happens in loosening of associations?

A

patients speaks illogically and vaguely so it is difficult to follow and no information is really given

28
Q

what is knight’s move thinking?

A

when there are jumps between topics that have no logical connection

29
Q

what is neologism?

A

an abnormality of speech in which the patient either makes up new words or uses existing ones in bizarre ways

30
Q

what is a delusion?

A

a false belief or a belief held on false grounds

will be firmly held no matter what

31
Q

what needs to be considered when a patient presents with a delusion?

A

if this is having a functional impact on their lives

32
Q

what themes are seen in delusions in depression?

A 
disease
nihilism
poverty 
sin 
guilt
33
Q

what themes are seen in delusions in schizophrenia?

A

control
persecution
religion
love

34
Q

what themes are seen in delusions in mania?

A

grandiosity
persecution
religion

Y3 Psychiatry (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions