Mental Status Exam

Question 1

ABC STAMP LICKER

Answer 1

A- Appearance
B- Behavior
C- Cooperation
S- Speech
T- Thoughts
A- Affect
M- Mood
P- Perception
L- Level of Consciousness
I- Insight
C- Cognitive Ability
KE- Killer endings
R- Reliability

Question 2

Catatonia

Answer 2

Behavioral disturbance (B) marked by 1) abnormal motor increase/decrease and 2) decreased engagement

Question 3

Catatonia - Abnormal motor (4)

Answer 3

1) Moderate Decrease - catalepsy
2) Severe Decrease - Stupor
3) Simple Excess - Agitation
4) Complex Excess - Mannerisms and Stereotyping

Question 4

Catatonia - Decreased Engagement (2)

Answer 4

Negativism: lessened engagement
Mutism: severe lack of engagement (like family on couch staring ahead)

Question 5

Types of Abnormal Thought (4)

Answer 5

• Circumstantial (get to point eventually)
• Tangential (go on tangents)
• Derailment (Flight of Ideas + Looseness of Association)

Question 6

Flight of Ideas

Answer 6

Sentences make sense but not paragraph, overall message

Question 7

Looseness of Association

Answer 7

Neither sentences nor paragraphs make sense, “word salad”

Question 8

Thought disruption- Disturbances of Association (5)

Answer 8

1) Clang Association: rhyming sounds with no meaning
2) Echolalia: repeat what you hear
3) Perseveration: “record skipping”- thought process stuck on repeat
4) Neologisms: Made up words (Trumpisms)
5) Non-sequiturs: answer doesnt pertain to Q

Question 9

Thought “Pros and Cons”

Answer 9

Pro: Prosody (normal speech lilt)
Dyprosody: abnormal speech rhythm

Cons: content

• killer endings
• delusional thoughts
• obsession

Question 10

Affect- TIRCA: Type, Intensity, Range, Change pattern, Appropriateness, La Belle Indifference

Answer 10

Intensity: in normal zone or blunted/flat (below normal zone)
Range: Upper/lower limits of peaks/troughs- normal or constricted?
Change Pattern: slope of peaks (fast or slow change). labile = abnormally quick change, over-controlled = too slow.
Appropriateness: Mood congruent vs incongruent (do peaks match intense emotion?)
La Belle Indifference: indifferent to something you should react to like broken arm. Mood incongruence seen in conversion disorder

Question 11

Perception - Hallucination vs Illusion

Answer 11

Hallucination: any sensory modality, totally made up
Illusion: mistake real thing for something made up