Brainscape's Knowledge GenomeTM

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


See full index

OSCE > Mental state Examination > Flashcards

Mental state Examination Flashcards

1
Q

Appearance

A 
General elements such as attire and sign of self neglect
Facial expression
Tatoos and scars
Evidence of substance misuse
Possibly relevant physical disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Behviour

A 
Cooperation, rapport, eye contact
Social behaviour
Apparent responses to possible hallucination or unobserved stimuli
Over activity
Under activity
Abnormal activirty
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Agitiation

A

Combination of pyshic anxiery and excessive, ouorose less motor activity

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

Compulsion

A

Sterotyped action that the patient cannot resist performing repeatedlt

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

Disinhibiton

A

Loss of control over normal social behaiour

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

Motor retardation

A

Decreased motor activity, usually a combination of fewer and slower movements

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

Posturing

A

Maintainence of bizarre gait or limb positions for no valid reasons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Speech

A 
Articulation (stammering, dysarthria)
Quantiity (mutism, garrulosness)
Rate (pressured, slowed)
Volume (whispering, shooting)
Tone and quality (accent emotionality)
Fluency (staccato, monotonous)
Abnormal language (neologism, dysphasia, clanging
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Clang associations

A

Thoughts connected by their similar sound rahte than by meaning

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

Echolalia

A

Sensless repetition of the interviwer’s words

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

Mutism

A

Absence of speech without impaired conciousness

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

Neologism

A

Invented word, or a new meaning for an established word

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

Pressure of speech

A

Rapid, excessive, continious speech

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

Word salad

A

Meaningless string of words, often with loss of grammatical construction

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

Mood

A

Variabke iver time

How has your mood been lately

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

Blunting

A

Loos of normal emothional sensitivty to expierneces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Catastrophic reaction

A

An extreme emotional and behavioural over-reaction to trivial stimulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Flattening

A

Loss of range of normal emotional responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Incongruity

A

Mismatch between the emotional expressiona dn the associated thoguh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Lability

A

Superficial, rapidley changing and poorly controlled emotions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Thought form

A

As with speech this is not an assessment of what the patient is thinking about but how they think about it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Circumstantiality

A

Trivia and digressions impairing the flow but not direction of thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Cenrete thinking

A

Inability to think abstractly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fliught of ideas

A

rAPID SHIFTS FROM ONE IDEA TO ANOTHER, RETAINING SEQUENCING

25
Q

Loosening of associations

A

Logical sequence of ideas impaired. Subtypes include knight’s move thinking, derailment, thought blocking and in its extreme form word salad

26
Q

Perseveration

A

Inability to shift from one idea to the next

27
Q

Pressure of thought

A

Increased rate and quantitiy of thoughts

28
Q

Thought content

A

Main themens and subjects occupying the patient’s mond

29
Q

Hypochondriasis

A

Unjustified belief in suffering from a particular disease in spite of appropriate examination and reasssurance

30
Q

Morbid thinking

A

Depressive ideas

31
Q

Phobia

A

Senslesss avoidance of situation, objecr or activity stemming from a belief that has caused an irrational fear

32
Q

Preoccupation

A

Beliefs that are not inhertly abdnormal but which have come to dominate the patient’s thinking

33
Q

Ruminations

A

Repeptivie, intrusive, senseless thoughts or preoccupations

34
Q

Obsessions

A

Ruminations that persist despite resistance

35
Q

Delusion

A

An abnornal belief held with total conviction which is maintained in spite of proof or ligcal argument to the contrary and is not shared by others from the same culture

36
Q

Delusional perception

A

Delusion that arises fully formed the false interpretation of a real perception

37
Q

Magical thinking

A

An irrational belief that certain actions and outcomes are linked, often culturally determined by folklore or custom

38
Q

Overvalued ideas

A

Beliefs that are held, valued, expressed and acted on beyond the normn fro the culture to which the person belongs

39
Q

Thought broadcastin

A

Belief that the patients thoughts are heard by others

40
Q

Thoguht insertion

A

elief that thoughts are being placed in the patients head from outisde

41
Q

Thought withdrawl

A

Belief that thoughts are being removed from the patients head

42
Q

Depersonalisation

A

Subjective expeiirence of feeling unreal

43
Q

Derealisation

A

Subjective experience that the surrounding environent is unreal

44
Q

Hallucination

A

False perception that is an understandable misinterpreation of a real stimulus in the external world

45
Q

Pseudohallucination

A

A flase perception that is percieved as part of one’s internal expiernce

46
Q

Cognition

A 
If the hsitory and observation suggest a cognitive deficit it must be evaluated by standard tests
Level of consciousness
Orientation
Memory
Attention and concentration
Intelligence
47
Q

Level of concioussness

A

Mental disorders are rarely associared with areduced level of consciousness such as drowsiness stupor or coma. The exception is delerium

48
Q

Oritentation

A

Key aspect of cognitive function being particular sensivie to impairment
Check orientation to time, place and person by evaluating their knowledge of the current time and date, recognition of where they are and identification of familiar people

49
Q

Memory

A

Divided into 3 elements
Registration is tested by asking the patient to repeat after you the names fo 3 unrelated objects
Short term memory
Long term memory

50
Q

Insight

A

Degree to which a patient agrees that they are ill
Recognition that abnormal mental expiericnes are in fact abnormal
Agreement that. these abnormalities amount to a mental illness and acceptance of the need for treatment

51
Q

Risk assessment

A

Who is at risk
Nature of the risk
Lieklihood of the risk

52
Q

Collateral hisotry

A

IMportant whnever assessment is limited by: Physical illness, acute confusional state or dementia
Severe learning disability or other mental disorder imparing communication
Disturbed, aggressive or otherwise uncooperative behaviour

53
Q

Abberviated mental test

A 
Age
DOB
Time
Year
Hospital name
Recognition of 2 people
Recall address
Dates of first world war
Name of the monarch
Count backwards 20-1
54
Q

General morbitidity has

A

General health questionnaire

55
Q

Mood dirsorders

A

Hospital anxiety and depression scale

Beck Depression Inventroy

56
Q

Alcohol

A

CAGE questionnaire

57
Q

CAGE

A

Cut down: Have you ever felt you should cut down on your drinking
Annoyed: Have people annoyed you by criticising your drinking
Guilty: Have you ever felt bad or guilty about driving
Ever: Do you ever have a drink first thing in the morning to steady you or help your hangover

58
Q

FAST

A

1- Men: How often do you ahve eight or more drinks on one occasion
Women: How often do you have six or more drinks on one occasion
2- How often during the last year have you been unable to remember what happened the night before because you had been drinking
3- How often during the last year have you failed to do what was normally expected of you because of drinking
4- In the last year, has a relative or friend, or a doctor or other heath worker been concerned about you drinking or suggested you cut down

OSCE (45 decks)

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