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YEAR 3 PSYCH > Mental State Examination > Flashcards

Mental State Examination Flashcards

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1
Q

what are the parts to a mental state examination

A

ABS-MAT-PCI

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2
Q

what does ABSMATPCI stand for

A 
appearance
behaviour
speech 
mood
affect
thoughts
perception
cognition
insight
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3
Q

what is a disorder of form of thought

A

evidence from the patients speech or writing that there is an abnormality in the way their thoughts are linked together

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4
Q

what is flight of ideas

A

when words are associated together inappropriately and the patient wanders far from the original theme so speech loses its aim
- the patient jumps from one topic to the next but there is a link for example rhyme, environmental trigger or punning

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5
Q

what is loosening of associations

A

speech will be muddled, illogical, difficult to follow and cannot be clarified. The patient may speak freely but also vaguely so no information is given despite no. of words used.

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6
Q

what is knights move thinking

A

may be seen with loosening of associations

- when patient moves from topic to topic with no logical connection between them

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7
Q

what is a word salad

A

severe form of loosening of associations

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8
Q

what is a neologism

A

patient makes up a new word or phrase or uses existing word or phrase in a bizarre way which have no generally acceptable meaning but which have idiosyncratic meaning to the patient

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9
Q

what is circumstantiality

A

conversation drifts but comes back to point

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10
Q

what is tangentality

A

conversation drifts and doesnt come back to point

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11
Q

what is preservation

A

involuntary repetition of ideas and thoughts when subject has been changed

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12
Q

how do mood and affect differ

A

mood is a prolonged prevailing state or disposition and is what the patient describes
affect is the mood applied to things - how the patients feelings change in relation to surroundings

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13
Q

____ is what the patient describes

_____ is what you observe

A

mood is what the patient describes (subjective)

affect is what you observe (objective)

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14
Q

what is passivity phenomena

A

behaviour is experienced as being controlled by an external agency rather than by the individual

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15
Q

what is a delusion

A

false belief
that is inappropriate to the patients socio-cultural background
that is firmly held in the face of logical argument or evidence to the contrary

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16
Q

what delusions are typical in depression

A 
nihilism
guilt
poverty 
sin
disease
17
Q

what delusions are typical in schizophrenia

A 
religion
love
persecution
reference
control
18
Q

what delusions are typical in mania

A

grandiosity
persecution
religion

19
Q

what are preoccupations

A

thoughts in an individuals mind but not fixed, false or intrusive

20
Q

what are over valued ideas

A

nature of thought is unreasonable but patient is able to stop thinking about them

21
Q

what is an illusion

A

normal sensory stimuli is misinterpreted

22
Q

what is a hallucination

A

perception which occurs in the absence of external stimuli - an experience, a delusion is a belief

23
Q

describe the experience of a hallucination

A

experienced as originating in real space, not just in thoughts
same qualities as a normal perception
not subject to conscious manipulation

24
Q

what is 2nd person auditory hallucinations

A

voices speaking to the patient

25
Q

what is 3rd person auditory hallucinations

A

voices speaking about the patient

26
Q

what is thought echo

A

patient experiences own thoughts spoken or repeated out loud

27
Q

what are visual hallucinations associated with

A

organic cause/altered consciousness

28
Q

what is Formication

A

somatic hallucination - feeling of insets crawling under the skin

29
Q

what is depersonalisation

A

body is strange or unreal

30
Q

what is derealisation

A

objects in external world are strange or unreal

31
Q

what 3 things should you think about in cognition

A

orientation to time place and person
concentration
memory

32
Q

what is the difference between retrograde and anterograde memory

A

retrograde is past events

anterograde is new memories

33
Q

what is thought broadcasting

A

everyone knows what you are thinking

34
Q

what is thought insertion

A

someone is putting thoughts into my head

35
Q

what would be deemed full insight

A

presents with symptoms, considers symptoms to be due to mental illness, accepts diagnosis and treatment

36
Q

give 4 types of thought interference

A

thought blocking
thought withdrawal
thought broadcasting
thought insertion

37
Q

give 4 types of passivity experience other than thought

A

volition - made action
affect - made feelings
impulse - made urges
somatic - influence on body

38
Q

what is busiprone

A

5HT1A agonist - anxiolytic effect

takes a long time to work

YEAR 3 PSYCH (14 decks)

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