Mental State Examination And Psychiatric Interview Flashcards

Question 1

Q

Psychiatric interview

Length of i/v.:-_______ mint. ( average ________ mint)

Answer

A

15-90

45-60

Question 2

Q

Psychiatric examination

Consist of two parts:-

________
____________

Answer

A

History
Mental Status

Question 3

Q

Psychiatric examination

Consist of two parts:-

History:- is the chronologic story of the pt.’s life from _______ to __________ .

Mental Status:- is a cross-section of pt.’s ___________ and represents the sum total of the ___________ and __________ at the moment, and for future comparison

Answer

A

birth to present

psychological life

psychiatrist’s observation

impressions

Question 4

Q

Psychiatric History

Identifying data:- name, age, sex, religion, marital status, education, address, occupation, ____________ and ___________

Chief complaint (cc):- brief statement in “ pt.’s own words” of why he is in hospital or seen in consultation. “ what seems to be the problem?”.

Answer

A

source of referral and information.

Question 5

Q

Psychiatric history

History of Presenting complain (HPC):- development of symptoms from time of onset to present, relationship to events, stressors, drugs, change from previous level of functioning. h/o previous hospitalization and treatment.

________________/______________ :- psychosomatic, medical, neurological illness, extent of illness, treatment, outcome, hospital etc.

Answer

A

Past Psychiatric / Medical Illness

Question 6

Q

Psychiatric history

__________ History:-

Birth & Infancy:- hx. of pregnancy delivery as known by pt., developmental landmarks- standing, walking, talking, temperament.
- Childhood:- feeding habits, toilet training, conduct and behavior, personality- shy, outgoing
  relationship with parent or caregivers, peer. Fear,
  separation, night-mares, bedwetting.
- Adolescence:- peer & authority relationship, school, drug
  use, puberty.
- Adulthood:- work, career, marriage, children, education, finances, religion, legal record.

Question 7

Q

Psychiatric history

__________ History:-

Birth & Infancy:- hx. of pregnancy delivery as known by pt., developmental landmarks- standing, walking, talking, temperament.
- Childhood:- feeding habits, toilet training, conduct and behavior, personality- shy, outgoing
  relationship with parent or caregivers, peer. Fear,
  separation, night-mares, bedwetting.
- Adolescence:- peer & authority relationship, school, drug
  use, puberty.
- Adulthood:- work, career, marriage, children, education, finances, religion, legal record.

Question 8

Q

Psychiatric history

Sexual History:- sexual __________, _______,__________,__________, ____________

Premorbid personality:- sociable, extrovert, friends, hobbies, habits, tense, anxious, short tempered, perfectionist, easy going, other’s opinion.

Answer

A

development

orientation, masturbation, anorgasmia, p.m.ejaculation.

Question 9

Q

Psychiatric History

BIODATA
PCs
HPC
______________ History
______________ history
______________ History
______________ History
______________

Answer

A

Past Psychiatric History
Family history
Personal History
Sexual History
Premorbid personality

Question 10

Q

General Appearance:-

   * unkempt and disheveled  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ ,
   * pin-point pupils  \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,
   * withdrawn, psychomotor retardation  \_\_\_\_\_\_\_\_\_\_\_\_.

Answer

A

organic mental disorder

narcotic addiction

depression

Question 11

Q

Behaviour :-

fixed posturing, odd behavior ____________,
hyperactive __________,_____________ ,
hypoactive _____________,
tremor ___________.

Answer

A

schizophrenia

mania, stimulant (cocaine)

depression

anxiety

Question 12

Q

General Appearance:-

   * \_\_\_\_\_\_\_\_\_\_\_\_\_  organic mental disorder,
   * \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  narcotic addiction,
   * \_\_\_\_\_\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_  depression.

Answer

A

unkempt and disheveled

pin-point pupils

withdrawn, psychomotor retardation

Question 13

Q

Behaviour :-

_________,_____________  schizophrenia,
_____________  mania, stimulant (cocaine),
_______________  depression,
_____________  anxiety.

Answer

A

fixed posturing, odd behavior

hyperactive

hypoactive

tremor

Question 14

Q

Attitude during interview:-

suspiciousness  ____________ ,
seductive  ______________________ ,
apathetic  ___________________

Answer

A

paranoia

hysterionic traits

Organic Mental Disorder

Question 15

Q

Attitude during interview:-

______________  paranoia,
____________  hysterionic traits,
*____________  Organic Mental Disorder

Answer

A

suspiciousness

seductive

apathetic

Question 16

Q

Mental Status

Affect:-
_________ associated with ______ – labile, blunt, flat, appropriate to content, inappropriate, la belle indifference.

changes in affect  ____________.

Answer

A

Feeling tone ; idea

schizophrenia

Question 17

Q

Mental Status

Speech:-

pressured  ________ .

*Slurred  _____________

paucity  ________.

Answer

A

manic

Organic Mental Disorder

depression

Question 18

Q

Mental Status

Speech:-

*__________  manic.
*__________  Organic Mental Disorder
*____________  depression.

Answer

A

pressured

Slurred

paucity

Question 19

Q

Mental status

Hallucinations

Visual  _________
auditory _______________
tactile  __________,_______________.

Answer

A

organicity

schizophrenia

cocaine, delirium tremens (DT).

Question 20

Q

Mental status

Perceptual disorders:-
- Hallucinations
– Illusions. – __________ or ____________
- déjà vu, macroposia, feelings of ___________.

Answer

A

Hypnopompic or Hypnagogic.

unreality

Question 21

Q

Mental Status

Thoughts Disorders:-
a- Forms:-_____ directed, loosening of ________ , flight of _______, circumstantial, __________,___________ ,_______ association, perseveration, ability to ________.

Answer

A

goal; association; ideas

knight’s move; derailment

clang ; abstract

Question 22

Q

Thoughts Disorders:-
a- Forms

loose of association  ___________,
flights of idea  ______.
inability to abstract  ________ and ___________

Answer

A

schizophrenia

mania

schizophrenia & Organic Mental Disorder.

Question 23

Q

Mental Status
Thoughts Disorders:-

b- content:- _________ – Thought _________ or __________ . – ideas of _______ . – __________.– ______ or ________ ideas.

Answer

A

Delusions

broadcasting or insertion

reference; obsessions

suicide or homicide

Question 24

Q

Mental Status
Thoughts Disorders:-
b- content:
* Delusion congruent with mood  __________ = ___________.
* Mood-incongruent delusion  ____________.

Answer

A

Grandiose; elated

schizophrenia

Question 25

Q

Delusions –

List 7 examples

Answer

A

persecutory, paranoid, guilt, grandiose, nihilistic, infidelity, hypochondriasis

Question 26

Q

Mental Status
Cognitive functions/sensorium:-

* clouded consciousness .  \_\_\_\_\_\_\_\_\_\_\_\_\_\_

Answer

A

Organic Mental Disorder

Question 27

Q

Organic Mental Disorder

orientation to ________ remain intact longer than _______ or __________.

Answer

A

person

time or place

Question 28

Q

Mental Status

cognitive functions
Memory:-

Can be ______,______, or ___________

Answer

A

Remote (long-term)
Recent
Immediate (short-term)

Question 29

Q

Mental Status

cognitive functions
Memory:-

* Alzheimer’s  \_\_\_\_\_\_ remain longer than \_\_\_\_\_\_\_\_.
* confabulation  leads to \_\_\_\_\_\_\_\_ in memory.
   
* organic mental disorder .  \_\_\_\_\_\_\_\_ lost before \_\_\_\_\_\_\_\_.

Answer

A

remote; recent ; filling gaps

recent; remote

Question 30

Q

Mental Status

cognitive functions
Memory:-

* loose of memory  anxiety, \_\_\_\_\_\_\_,\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_\_

anterograde M. loss  seen in ________ e.g. ______
- retrograde M loss  after ________.

Answer

A

dissociative, conversion, organicity

drugs use; Benzo

trauma

Question 31

Q

Mental status: Cognitive Function

Attention & Concentration:-
* poor  seen in _______,_______
* impaired  seen in ________.

Answer

A

anxiety, depression.

OMD

Question 32

Q

Mental status: Cognitive Function

Knowledge:-
* check ______________ to r/o __________.

Answer

A

Educational level

mental retardation

Question 33

Q

Mental status: Cognitive Function

Judgment:-

 * impaired in \_\_\_\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_\_ , low I.Q.

Answer

A

OMD, schizophrenia, intoxication

Question 34

Q

Judgment:-
ability to _________________________________________

Answer

A

understand relationships b/w facts and draw
conclusions.

Question 35

Q

Mental status

Insight:-

* Impaired in \_\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_\_\_ , low I.Q.

Answer

A

OMD, pychosis