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Physical Exam Midterm & Final > Mental Status Exam > Flashcards

Mental Status Exam Flashcards

1
Q

What are the components of the MSE

A

Attention, memory, orientation, perceptions, though process/content, insight, judgment, affect, mood, language, higher cognitive functions

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2
Q

What is perceptual disturbance?

A

Not interpreting what is happening in the real world properly; having delusions

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3
Q

What is insight

A

Personal awareness and understanding

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4
Q

What is judgement

A

Evaluation of personal and external situations and their decision making

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5
Q

What is affect

A

Observable changes in the person; AKA wear their emotions on their sleeve; can’t tell this when a pt walks in

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6
Q

What about the pts language do you need to evaluate

A 
Pace
Rate
Tone
Level of coherence
Proper structure and expression
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7
Q

What is higher function

A

Higher level of thinking, rationalization, and understanding

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8
Q

What percent of the US population is affected by serious mental illness

A

6%

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9
Q

What percent of US outpatients suffer from ANY mental illness

A

20-30%

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10
Q

What are the common mood disorders seen in primary care

A

Depression, bipolar, dysthymia

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11
Q

Why is it important to identify and treat mood disorders

A

These pts have suicide rates 8X higher than normal population

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12
Q

What are common anxiety disorders seen in primary care

A

Panic disorder, GAD, PTSD

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13
Q

What are common somatoform disorders seen in primary care

A

Conversion disorder, body dysmorphic, & pain disorder

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14
Q

What % of symptoms are unexplained by organic causes in studies of somatoform disorders

A

30%

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15
Q

What do mental disorders often emerge as? Give examples

A

Often emerge as somatic complaints such as fatigue, pain, palpitations, reproductive complaints, vertigo, MSK, HA, & GI

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16
Q

What do you always need to consider/rule out when pt presents with mental issue

A

Always first r/o organic and pharmacological causes

17
Q

What should trigger a MSE being performed

A 
Medically unexplained physical SxS
High SxS count (somatic/all over)
High severity of the complaint when organic causes are ruled out
Chronic pain
Recent stressor
Difficult encounters
Low self rating of health
Frequent use of healthcare services
Substance abuse
Cognitive complaints of any sort
18
Q

What is the difference between lethargy and obtundation

A

Obtundation is much more severe, pt is unconscious

19
Q

When accessing posture and motor behavior what do you need to look for

A

Agitation, slowing, restlessness, expansive movements

20
Q

What areas need to be evaluated when accessing pts appearance and behavior

A 
Level of consciousness
Posture & motor behavior
Dress, grooming, personal hygiene
Facial expressions
Manner, affect, & relationship to persons/things
21
Q

When accessing pts speech and language what do you need to note/look for

A

Rate
Articulation (dysarthria vs aphasia)
Fluency

22
Q

When accessing a pts mood what is the red flag or main thing you need to note

A

Suicidal ideation (ideas, plans, attempts)

23
Q

What are illusions & what are they seen with

A

They are misinterpretations of real stimuli

Occur with grief, PTSD, & schizophrenia

24
Q

What are hallucinations and what are they seen with

A

They are non-real sensory perceptions

Occur with alcoholic psychosis & PTSD

25
Q

When accessing cognitive function what is orientation, attention, remote memory, recent memory, and new learning ability

A

Orientation = where are they in time and space
Attention = ability to focus
Remote memory = occurs late in dementia
Recent memory = aka short term memory; impaired in amnesia, delirium, & dementia
New learning ability = use of new info recall (new address, word recall)

26
Q

What are the higher cognitive functions

A

Information and vocabulary, calculation, abstract thinking, and constructional ability

27
Q

When is calculation function deteriorated

A

Deteriorates in dementia

28
Q

What does MMSE stand for

A

Mini mental status exam

29
Q

What is the MMSE

A

Screening tool for cognitive dysfunction or dementia

30
Q

What is the maximum points possible for the MMSE

A

30 points possible

31
Q

What is the difficulty in scoring the MMSE

A

It may be affected by age and pt level of education

32
Q

What is a “normal score” for an 18-69 y/o pt with a high school education

A

28-29

33
Q

What is a “normal score” for an 18-69 y/o pt with a college level education

A

29

Physical Exam Midterm & Final (11 decks)

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