Mental State Examination Flashcards

1
Q

List the components of a mental state examination (ASEPTIC)

A

Appearance + behaviour
Speech
Emotion (mood + affect)
Perception (hallucinations)
Thought
Insight
Cognition

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2
Q

What is the difference between viewing a patient objectively and subjectively?

A

Objectively: without emotions or feelings, just purely what’s there in front of you (fact)
Subjectively: taking into account emotions and wider interpretation

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3
Q

List aspects of behaviour in a patient you should look out for

A

Appropriate to situation
Agitation/irritation
Overfamiliar
Eye contact
Rapport and attitude

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4
Q

List aspects of speech in a patient you should look out for

A

Pace/rate
Volume
Tone
Articulation
Vocabulary

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5
Q

List different thought disorders

A

Flighting ideas
Thought poverty
Thought blocking
Tangential thought
Loosened association
Circumstantiality

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6
Q

What are neologisms?

A

Abnormality of speech where patient combines words/phrases in illogical ways that have idiosyncratic meaning to the patient

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7
Q

How is a patient’s insight assessed?

A

Awareness of one’s own symptoms
Attribution of symptoms to mental illness
Appraisal of consequences
Acceptance of treatment

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8
Q

Normal value on MMSE?

A

> 24

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9
Q

Normal value on MOCA?

A

> 26

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