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Junior Psychiatry > Mental State Examination And Psychiatric Interview > Flashcards

Mental State Examination And Psychiatric Interview Flashcards

1
Q

Psychiatric interview

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

A

15-90

45-60

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2
Q

Psychiatric examination

Consist of two parts:-

________
____________

A

History
Mental Status

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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

A

birth to present

psychological life

psychiatrist’s observation

impressions

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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?”.

A

source of referral and information.

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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.

A

Past Psychiatric / Medical Illness

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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.
A

Personal

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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.
A

Personal

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8
Q

Psychiatric history

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

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

A

development

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

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9
Q

Psychiatric History

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

A

Past Psychiatric History
Family history
Personal History
Sexual History
Premorbid personality

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10
Q

General Appearance:-

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   * withdrawn, psychomotor retardation  \_\_\_\_\_\_\_\_\_\_\_\_.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

organic mental disorder

narcotic addiction

depression

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11
Q

Behaviour :-

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

schizophrenia

mania, stimulant (cocaine)

depression

anxiety

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12
Q

General Appearance:-

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

unkempt and disheveled

pin-point pupils

withdrawn, psychomotor retardation

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13
Q

Behaviour :-

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

fixed posturing, odd behavior

hyperactive

hypoactive

tremor

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14
Q

Attitude during interview:-

  • suspiciousness  ____________ ,
  • seductive  ______________________ ,
  • apathetic  ___________________
A

paranoia

hysterionic traits

Organic Mental Disorder

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15
Q

Attitude during interview:-

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

suspiciousness

seductive

apathetic

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16
Q

Mental Status

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

  • changes in affect  ____________.
A

Feeling tone ; idea

schizophrenia

17
Q

Mental Status

Speech:-

  • pressured  ________ .

*Slurred  _____________

  • paucity  ________.
A

manic

Organic Mental Disorder

depression

18
Q

Mental Status

Speech:-

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

A

pressured

Slurred

paucity

19
Q

Mental status

  • Hallucinations

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

A

organicity

schizophrenia

cocaine, delirium tremens (DT).

20
Q

Mental status

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

A

Hypnopompic or Hypnagogic.

unreality

21
Q

Mental Status

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

A

goal; association; ideas

knight’s move; derailment

clang ; abstract

22
Q

Thoughts Disorders:-
a- Forms

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

schizophrenia

mania

schizophrenia & Organic Mental Disorder.

23
Q

Mental Status
Thoughts Disorders:-

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

A

Delusions

broadcasting or insertion

reference; obsessions

suicide or homicide

24
Q

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

A

Grandiose; elated

schizophrenia

25
Q

Delusions –

List 7 examples

A

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

26
Q

Mental Status
Cognitive functions/sensorium:-

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

Organic Mental Disorder

27
Q

Organic Mental Disorder

orientation to ________ remain intact longer than _______ or __________.

A

person

time or place

28
Q

Mental Status

cognitive functions
Memory:-

Can be ______,______, or ___________

A

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

29
Q

Mental Status

cognitive functions
Memory:-

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

remote; recent ; filling gaps

recent; remote

30
Q

Mental Status

cognitive functions
Memory:-

* loose of memory  anxiety, \_\_\_\_\_\_\_,\_\_\_\_\_\_\_,\_\_\_\_\_\_\_\_\_\_
  • anterograde M. loss  seen in ________ e.g. ______
    • retrograde M loss  after ________.
A

dissociative, conversion, organicity

drugs use; Benzo

trauma

31
Q

Mental status: Cognitive Function

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

A

anxiety, depression.

OMD

32
Q

Mental status: Cognitive Function

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

A

Educational level

mental retardation

33
Q

Mental status: Cognitive Function

Judgment:-

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

OMD, schizophrenia, intoxication

34
Q

Judgment:-
ability to _________________________________________

A

understand relationships b/w facts and draw
conclusions.

35
Q

Mental status

Insight:-

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

OMD, pychosis

Junior Psychiatry (15 decks)

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