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Psychiatry > Mental state examination / cognitive assessments > Flashcards

Mental state examination / cognitive assessments Flashcards

1
Q

What is the difference between mood and affect

A
  • mood = what the patient feels, unconscious feeling

- affect = how they appear to you, observational, visual

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2
Q

What does insight mean in a mental state examination?

A
  • what does the patient feel is wrong

- what is the cause

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3
Q

What is a hallucination

A

-A perception which occurs in the absence of an external stimulus

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4
Q

What is an auditory hallucination?

A
  • Like inner speech - Supplementary motor area hippocampus – parahippocampal gyrus
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5
Q

Types of auditory hallucinations?

A
  • third person
  • second person
  • echo of inner thought
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6
Q

When assessing a patients speech what are you considering?

A
  • rate
  • amount
  • tone
  • volume
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7
Q

flight of ideas?

A
  • patient jumping from thought to thought

- connected in ideas

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8
Q

loosening of associations vs flight of ideas?

A
  • flight of ideas you can see the connection between jumping of thoughts
  • loosening of associations you can’t see the connection between topics
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9
Q

neologism?

A
  • new words or phrases
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10
Q

What is disruptive mood dysregulation disorder?

A
  • young person with severe recurrent temper outbursts
  • inconsistent with developmental level
  • 3 or times per week
  • for a year
  • age 6-18
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11
Q

Categorical vs dimensional?

A
  • categorical = absent or present

- dimensional = certain point on a continuum

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12
Q

What classification system is used in USA?

A
  • DSM classificaiton

- names disorders and describes them in specific terms

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13
Q

What classification is used in rest of world?

A
  • ICD 10 classificiation

- identifies symptoms that indicate the presence of a disorder

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14
Q

What code is psychiatric disorders given in the ICD10?

A
  • F code
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15
Q

Subjective mood?

A
  • how individual describes their mood
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16
Q

What is objective mood?

A
  • how the health professional assesses patient’s mood
17
Q

2 categories of form of thought?

A
  • flight of ideas

- loosening of associations

18
Q

In the MOCA test what score is considered normal?

A
  • greater than 26/30
19
Q

First line pharmacological treatment for dementia?

A
  • acetylcholinesterase inhibitors (donepezil)

- Memantine (2nd line)

20
Q

What is explicit memory?

A
  • conscious memory
21
Q

What is episodic memory

A
  • events and experiences
22
Q

What is semantic memory

A
  • facts and concepts
23
Q

What is implicit memory

A
  • unconscious
24
Q

What is anterograde amnesia?

A
  • difficulty in acquiring new material and remembering events since onset of illness
25
Q

What is retrograde amnesia?

A
  • difficulty in remembering information prior to the onset of illness
26
Q

Define dementia?

A
  • syndrome due to disease of the brain
  • disturbances of higher cortical functions (memory, thinking, orientation, comprehension, calculation, learning, language and judgement)
27
Q

What does cognitive screening include?

A
  • memory
  • attention and concentration
  • executive functioning
  • visa-spatial
  • language
28
Q

What assessment is used for delirium?

A
  • 4AT
  • Alertness
  • AMT- 4(Age, dob, place, year)
  • Attention
  • acute/fluctuating
29
Q

MMSE is a score out of?

A
  • 30
30
Q

ACE-III is a score out of?

A
  • 100
31
Q

What is formulation?

A
  • psychological theory to describe a patients problems?
32
Q

Different models of formulation?

A
  • 5 Ps
  • CBT model
  • Medical model
33
Q

What is the 5 Ps of formulation

A
  • presenting
  • precipitating
  • predisposing
  • perpetuating
  • protective
34
Q

What is the medical model formulation?

A
  • presenting symptoms
  • biological signs
  • diagnosis
  • prognosis
  • treatment
35
Q

What is CBT model in formulation?

A
  • Emotions
  • behaviours
  • thoughts

Psychiatry (6 decks)

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