Brainscape's Knowledge GenomeTM

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


See full index

Psychiatry SB > Mental State Examination > Flashcards

Mental State Examination Flashcards

1
Q

what should be included in a past psychiatric history

A 
Existing diagnosis/diagnoses
Timescale / duration 
Symptoms in previous episodes
Effect on function
Previous contacts
Admissions/detentions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the components of the MSE

A 
Appearance and Behaviour 
Speech
Mood and Affect (including suicidality)
Thoughts (form and content) 
Perception 
Cognition 
Insight
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what should be included in appearance

A 
age 
physique 
dress
evidence of self neglect 
effort with appearance 
signs of ill health
posture 
facial expression
Physical Features of Alcoholism or Drug Abuse

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

what should be included in behaviour

A
  • Psychomotor agitation/ retardation
  • Eye contact
  • Attitude/Rapport; Cooperative/ uncooperative, hostile, guarded, suspicious
  • appropriateness of behaviour in patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what should be included in speech

A 
form of speech 
rate
volume
tone 
articulation
sudden silences 
stammer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the names of types of speech that can be comment on in MSE

A

pressure or poverty of speech

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

how does mood compare to affect

A

mood = how the patient thinks they are

affect = how you think they are

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

what should be included in mood

A

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

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

what should be included in affect

A

Congruent/ incongruent

Intensity – normal, blunted, exaggerated, flat, heightened

Extent to which affect changes – restricted, labile, reactive

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

what must be included in mood and affect

A

suicidality

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

what needs to be asked in relation to suicidality

A

Suicidal ideation – active or passive

Thoughts of life not worth living

Thoughts of wanting to harm self, methods, plans

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

what is psychosis

A

mental health problem that causes people to perceive or interpret things differently from those around them.

This might involve hallucinations or delusions.

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

how can you understand the patients thought form

A

Inferred from patients speech or described

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

what are conditions that can be seen in thought of MSE

A

Flight of ideas

Poverty of thought

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

what are formal thought disorder

A 
thought blocking 
loosening of associations
knights move thinking
tangential thinking
circumstantiality 
neologisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are problems in thought content

A

preoccupations
overvalued idea
obsessions
delusion

17
Q

how does the different types of thought content differ

A

preoccupations
- not fixed, false or intrusive but have an undue prominence in person mind

overvalued idea
- An unreasonable, sustained belief that is held with less than delusional intensity

obsessions - An undesired, unpleasant intrusive thought that cannot be suppressed

delusion - next flash card

18
Q

what is the definition of delusion

A
  • Fixed, false belief
  • Inappropriate to the patient’s socio-cultural background
  • Firmly held in the face of logical argument or evidence to the contrary
  • Not modified by experience or reason
  • Usually very individualised / of great personal significance
19
Q

what are the themes of delusions

A

Grandiose
Paranoid
Nihilistic
Bizarre

20
Q

what is included in the perception part of MSE

A

Derealisation/ depersonalisation, déjà vu

Illusions

Hallucinations

21
Q

what is definition of hallucination and how can they present

A

Perception in the absence of an external stimulus

visual, auditory, olfactory, gustatory, tactile

22
Q

what information is vital to find out in an auditory hallucination

A 
2nd or 3rd person?
Number of voices?
Gender?
Content?
Running commentary
Thoughts spoken aloud?
Do the voices command the patient?
Do they feel compelled to act on them?
23
Q

what is looked for in cognition in MSE

A 
Attention and concentration
Orientation
Memory
Calculation
Language (name + repeating objects)
Visuospatial functioning
Executive functioning
24
Q

what are the options for formal cognitive testing

A

MMSE (out of 30)
ACE-R (out of 100)
MOCA (out of 30)

25
Q

what are the 4A’s of insight

A

Awareness of one’s own symptoms (absence - anautognosia)

Attribution of symptoms to mental disorder appropriately (absence –dysautognosia)

Appraisal or analysis of consequences of such symptoms

Acceptance of treatment

26
Q

what is the way thought works in formal thought disorders; normal, tangential, circumstantiality

A

normal
A&raquo_space; B

Tangential
A&raquo_space; F&raquo_space; C

Circumstantiality
A&raquo_space; A1&raquo_space; A2&raquo_space; A3&raquo_space; B

27
Q

what is a neologisms

A

abnormality of speech in which the patient makes up a new word or phrase or uses existing words which have no generally accepted meaning but which have idiosyncratic meaning to the patient.

e.g. headshoe for hat

Psychiatry SB (23 decks)

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