Mental Status Exam Flashcards

1
Q

When to preform a MSE

A
Risk assessment
admission
changes in patient
after procedures
every shift
ongoing
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2
Q

Five Categories of Mental status Exam

A
General Description (appearance/speech/motor activity/interaction during interview)
Emotional State (mood/affect)
Experiences (Perception)
Thinking (thought content/process)Sensorium/Cognition (loc/memory/concentration/calculation/information/intelligence/judgment/insight)
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3
Q

General Description

A

observed
eye contact
posture

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4
Q

Motor Activity
Akathisia
Bradykinesia
Catatonia

A

excessive activity (pacing, wringing hands)
retardation (slowing reactions)
muscular rigidity

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5
Q

Mood

A

subjective report of emotional state by patient

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6
Q

Mood questions

if suicide suspected

A

non-leading
how is your mood
asking to rate mood
should directly ask about thoughts of self-harm

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7
Q

Affect

Abnormal examples

A
observed
flat
restricted/blunted
labile
incongruent/inappropriate
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8
Q

Hallucinations

A

false sensory experience

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9
Q

Command hallucinations

A

tell patient to do something

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10
Q

Illusions

A

distorted perception to an existing sensory stimuli

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11
Q

Delusion

A

fixed, false belief

paranoid, grandiose or somatic (health related usually)

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12
Q

thought broad-casting

A

thoughts occur and can be heard by others

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13
Q

Thought Content

A

asked about

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14
Q

Thought Process

A

observed

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15
Q
Abnormal Thought Processes
Circumstantial
Tangential 
Flight of Ideas
Loose Associates
Word Salad
Neologisms
Thought Blocking
Perseveration
A

unnecessary details before reaching goal
never reach goals but thoughts associated
rapid speech/abrupt topic changes
disrupted speech due to lack of association between thoughts
words totally unrelated
new ords created by patient
interruption in flows of speech
repetition of same words/phrases (not usual filler words)

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16
Q

Remote Memory

A

past events, time, place of birth, age of family members

17
Q

Pseudodemtia

A

depressed patient

18
Q

Immediate Memory

A

Recall memory

19
Q

Mental Status examination represents

A

current snapshot of clinical problems of the patient