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Psychiatry > Mental State Examination > Flashcards

Mental State Examination Flashcards

1
Q

What are the components of a mental state examination

A 
Appearance
Behaviour
Speech
Mood
Affect
Thoughts
Perception
Cognition 
Insight
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2
Q

Appearance

A 
Do they look their age?
Physique
Clothing
Evidence of drug abuse
Tattoos
Neglect
Facial Expression
Signs of physical illness
posture
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3
Q

Behaviour

A 
Description of what the patient is doing
Is it appropriate
Psychomotor agitation
Eye contact
Attitude/rapport
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4
Q

Speech

A 
Form
Pressure
Poverty
Spontaneous
Latency
Rate, tone, volume
Articulation
Accent
Sudden ilences
Vocab
Stammar, dysarthria
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5
Q

Mood

A

Objective and subjective

Neutral, euthymic, dysphoric, euphoric, anxious, angry, apathetic

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6
Q

Affect

A

Congruent/incongruent

Intensity- normal, blunter, exagerated

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7
Q

Perception

A

Hallucinations
DelusionIllusions
Derealisation/depersonalisation

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8
Q

Thoughts

A

Form
Tempo
Thought disorder
Flight of ideas

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9
Q

Cognition

A 
serial 7s
Digit span
orientation
memory- remote, recent
language
visuospatial
calculation
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10
Q

Insight

A

Four A’s Awareness of symptoms
Attribution to mental disorder
Appraisal
Acceptance of treatment

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11
Q

What is anautognosia

A

Pts not aware of their symptoms

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12
Q

What is dysautognosia

A

Patient does not attribute their symptoms to a mental disorder

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13
Q

What is thought blocking

A

Occurs when the patient will be speaking and suddenly go silent as their thoughts have just stopped

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14
Q

What is knights move thinking

A

Thoughts jump from one topic to another with no connection between them

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15
Q

What is tangential thinking

A

Wandering from topic and never returning or giving info requested
A -> G -> B

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16
Q

What is circumstantiality

A

Give excessive unnecessary detail when answering a question but the person does eventually answer the question
ie goes round in a circle

17
Q

what is a neologism

A

patient makes up new word or phrase using existing words or phrases in bizarre ways which have no generally accepted meaning but are meaning full to the patient eg paperskate= pen, headshoe=hat

18
Q

Preoccupation

A

An idea/beliefe which is not fixed or intrusive but has an undue prominence in the persons mind

19
Q

Overvalued idea

A

an unreasonable sustained belief that is hel with less delusion intensity eg hypochondriasis

20
Q

obsessions

A

undesired, unpleasant intrusive thought that cannot be suppressed

21
Q

What is a delusion

A 
fixed false belief
inappropriate to social background
held firmly in the face of a logical argument
not modified by experinec
usually very individualised

Psychiatry (18 decks)

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