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MEDICINE 2.0 > Mental Status Terms > Flashcards

Mental Status Terms Flashcards

1
Q

pt believes that he/she would like to think a thought in his/her head, but someone else is physically preventing him/her from doing so

A

Thought blocking

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2
Q

defect in articulation of speech due to disorder of neuromuscular control; maybe lingual, labial, pharyngeal, laryngeal, or cerebellar

A

Dysarthria

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2
Q

limited variability of emotion

A

Restricted, constricted range

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2
Q

few emotions expressed, low intensity

A

Blunted

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3
Q

memory over years

A

Remote memory

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4
Q

implies denial of disease and is due to loss of perception of the affected part, usually a paralyzed limb; lesions in frontal and parietal lobes

A

Anosognosia

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5
Q

quantity of speech produced (excessive speech)

A

loquacious

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6
Q

alternate between stupor and hyperactivity; may show catalepsy, echopraxia, echolalia

A

Catatonia

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6
Q

pt’s ability to make wise decisions, especially in everyday activities and social matters– self-care, self-welfare, personal relationships

A

Judgment

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7
Q

responds when spoken to, may drift to sleep if no stimulation

A

Lethargic

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7
Q

loss of appreciation or identification of a body part; lesions of the parietal lobe

A

Autotopagnosia

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7
Q

pt believes others are working against him/her; often secretly, conspiratorially

A

Paranoia

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8
Q

phonation

A

Articulation

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9
Q

emotional intonation of speech; variations in stress, pitch and rhythm

A

Prosody

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10
Q

pt believes that his/her thoughts are audible by others

A

Thought broadcasting

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10
Q

Areas in the inferior temporal visual association cortex are important for recognition of

A

color and shape as well as the recognition of faces.

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11
Q

motor restlessness, uncomfortable if he keeps still

A

Akisthesia

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13
Q

awake, fully aware and responsive; normal waking consciousness

A

Alert

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14
Q

pt involuntarily copies others’ movements

A

Echopraxia

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16
Q

= stuporous but takes body positions physically imposed by examiner

A

Waxy flexibility, catalepsy

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16
Q

There is an acute onset of severely impaired fluency (often mutism), which cannot be accounted for by corticobulbar, cerebellar,or extrapyramidal dysfunction

A

Aphemia

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17
Q

unnecessary digression, wanders from point, with unreasonably excessive detail, but eventually returns to the main “stream” of thought

A

Circumstantiality

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17
Q

stream of processing seems to stop suddenly, pt may suddenly stop speaking; can be an arrest in thought, or hallucinatory material grabbing pt’s attention

A

Blocking

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18
Q

inability to recognize simple objects by palpation; lesions in the parietal lobe

A

Tactile agnosia

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19
Q

ordinary external events (bystander conversations, radio, TV) have special significance secretly intended for the pt but pt questions whether or not it is true

A

Ideas of reference

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20
Q

pt believes in magic cause-and-effect

A

Magical ideation

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21
Q

emotion displayed, what the interviewer observes

A

Affect

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21
Q

The major region for expressive language is

A

Broca’s area

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22
Q

sudden loss of muscle tone, esp. with emotional arousal

A

Cataplexy

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23
Q

while one is falling asleep

A

Hypnogogic

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23
Q

pt believes that a person, part of the pt’s body, part of the world does not exist; “I lost my body in my childhood and now I do not have a body“

A

Nihilism

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23
Q

The dominant parietal lobe is important for (which is the formation of the idea of a complex purposeful motor act)

A

praxis

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25
Q

pt is unresponsive or may show abnormal response to voice or pain

A

Coma

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26
Q

inability to use tactile sensations alone to identify letters or numbers “drawn” on palm

A

Agraphesthesia

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26
Q

pt believes that he/she would like to think a thought in his/her head, but someone has physically removed the thought

A

Thought withdrawal

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27
Q

inability to identify objects based on tactile sensations

A

Astereognosis

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28
Q

pt believes he/she has a defect or disease

A

Somatic

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28
Q

The principle area for receptive language is

A

Wernicke’s area

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29
Q

rapid shifting between usually related thoughts; speech may be pressured

A

Flight of ideas

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30
Q

pt continues to repeat idea, phrase, or word; trouble shifting to a new idea

A

Perseveration

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31
Q

important for perception and interpretation of sensory information especially somatosensory information

A

Parietal Lobes

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32
Q

emotional tone the pt subjectively feels

A

Mood

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33
Q

expressed emotion sensibly follows from the precipitating stimuli

A

Appropriateness, responsiveness

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33
Q

ideas which dominate pt’s thought, more voluntary than obsessions

A

Preoccupations

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34
Q

condition of disturbed sound, rhythm or tonal quality of speech. Paralysis of one or both vocal cords may produce hoarseness

A

Dysphonia

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35
Q

higher order deficit, cannot sequencing a multi-step task but each elemental step is ok

A

Ideational apraxia

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37
Q

The combination of ACALCULIA (impairment of simple arithmetic), DYSGRAPHIA (impaired writing), FINGER ANOMIA (an inability to name individual fingers such as the index or thumb), and RIGHT-LEFT CONFUSION (an inability to tell whether a hand, foot, or arm of the patient or examiner is on the right or left side of the body)

A

Gerstmann’s Syndrome

38
Q

pt voluntarily copies others’ movements

A

Mimicry

38
Q

where one word follows next based only on rhyming; e.g. “I want to say the play of the day, ray, stay, may I pay”

A

Clang association

39
Q

pt believes that he/she has unusual talent, virtue, insight, identity

A

Grandiosity

40
Q

pt initiates speech on his/her own, not just in response to conversation

A

Spontaneity

40
Q

words or phrases that have meaning only to the person using them)- in schizophrenic pts

A

Self-directed neologisms

41
Q

type or intensity shifts suddenly, rapidly

A

Labile

42
Q

use of proverbs

A

Abstraction

43
Q

excessive motor activity

A

Hyperkinesia

44
Q

feeling that an event has already been lived through

A

Deja vu

45
Q

a sensory perception despite no physical external stimulus

A

Hallucinations

45
Q

important for attention, executive function, motivation, and behavior. Tests for this lobe’s function include working memory (digit span, spelling backward), judgment, fund of knowledge, task organization and set generation such as naming lists of things in a certain category

A

Frontal Lobes

46
Q

pt sees life events as punishments for previous misdeeds, real or imagined

A

Persecution

47
Q

thoughts appear nonsensical, unrelated to one another; complete loosening of associations

A

Rambling

47
Q

Projections from the occipital lobe to the superior temporal-parietal area are important for

A

perceiving motion of objects

49
Q

inability to percieve the meaning of sound despite the absence of deafness

A

Auditory agnosia

50
Q

the topics one thinks about

A

Thought content

52
Q

tactile hallucination of insects crawling over the skin

A

Formication

54
Q

is the best indicator of a patient’s overall pre morbid intellectual capacity

A

Vocabulary

56
Q

while one is waking up

A

Hypnopompic

57
Q

Clinical tests for this lobe’s function include tests for agnosia (such as inability to identify objects by tactile exploration), apraxia (inability to perform purposeful motor acts on command) and constructional apraxia (inability to draw objects which require use of visual spatial organization).

A

Parietal Lobes

58
Q

the movement of thought, the dynamics of how one thought connects to the next

A

THOUGHT PROCESS

59
Q

one thought sensibly leads to another reasonable thought

A

Tight associations

60
Q

quantity of speech produced minimal speech, as in monosyllabic and unelaborated responses to questions

A

Poverty (Amount)

60
Q

strongly-believed idea, others would clearly see as false

A

Delusions

61
Q

important for perception of visual information

A

occipital lobes

63
Q

inability to execute a planned motor act in the absence of paralysis

A

Apraxia

65
Q

parts of environment feel unreal, somehow altered

A

Derealization

66
Q

involuntary, unwelcome ideas persistently intrude on thinking, demand pt’s attention even though pt may recognizes ideas as irrational

A

Obsessions

68
Q

normal movement between emotions

A

Stable

70
Q

Variations of melodic stress and intonation influence the meaning and impact of spoken language

A

Aprosodia

71
Q

nonsense words or real words nonsensically; e.g. “I fribish the cot,” “I table the stairs“

A

Neologisms

72
Q

important for emotional response (amygdala and its connections to the hypothalamus and frontal lobes) and memory (hippocampus and limbic connections). Clinically the main tests for function are those of memory, particularly declarative memory.

A

Temporal Lobes

74
Q

cannot perform learned motor acts properly; the most common apraxia

A

Ideomotor apraxia

75
Q

thought process is apparent and understandable

A

Coherent

77
Q

expressed emotion fit what patient is saying, doing

A

Concordance

78
Q

normal variation of emotions during exam

A

Full range

80
Q

capacity to identify and recall one’s identity and place in time and space

A

Orientation

81
Q

visual perceive and reconstruction of spatial relationships;

A

Visuospatial function

82
Q

pt awareness that he/she has problems, what they are, and their implications

A

Insight

83
Q

feeling unfamiliar in a situation the pt. knows should be familiar

A

Jamais vu

84
Q

fund of knowledge and overall assessment of general intelligence

A

GENERAL KNOWLEDGE

84
Q

analysis is well founded, makes sense

A

Logical

85
Q

a wrong perception of a real physical external stimulus; e.g. mistaking a shadow for a man

A

Illusions

86
Q

An anomic aphasia accompanied by dysarthria or a fluent aphasia with hemiparesis should raise the suspicion of a?

A

subcortical lesion site

88
Q

memory over seconds, minutes: ASSESS by asking pt to repeat three words or numbers

A

Immediate memory

89
Q

pt believes that another person, often of higher social status, is in love with him/her

A

Erotic delusions

91
Q

difficulty lies in comprehension talk in jargon; maybe unaware of his disability

A

Sensory dysphasia

92
Q

sensory experience and its immediate interpretation

A

Perception

93
Q

thinking stays on target

A

Goal-directed

94
Q

ease with which pt appears to produce speech

A

Fluency

95
Q

same as above, but does not return to the original main “stream” of thought

A

Tangentiality

97
Q

showing pt simple objects and asking him to name them

A

Visual agnosia

98
Q

difficult to rouse, may groan or become restless to brief pain

A

Stuporous

99
Q

This generic term designates a complex motor deficit that cannot be attributed to pyramidal, extrapyramidal, cerebellar, or sensory dysfunction and that does not arise from the patient’s failure to understand the nature of the task

A

Apraxia

100
Q

affect is even less intense than blunted; pt may appear inanimate

A

Flat

101
Q

Overall state of arousal, readiness, alertness; preparedness to respond to environment

A

LEVEL OF CONSCIOUSNESS

102
Q

one thought leads to another somewhat less reasonable thought

A

Loose associations

104
Q

difficulty lies in production understands simple questions or requests but finds difficulty in replying

A

Motor dysphasia

105
Q

may awaken to voice but is minimally responsive when doing so

A

Obtunded

106
Q

Damage to ___________ in the right hemisphere can interfere with speech prosody and can lead to syndromes of aprosodia.

A

perisylvian areas

107
Q

totally incomprehensible, gibberish, real words may be admixed with neologisms

A

Word salad

108
Q

pt believes that ordinary external events (bystander conversations, radio, TV) have special significance secretly intended for the pt

A

Delusions of reference

109
Q

pt merely repeats what is said to him/her

A

Echolalia

110
Q

pt is awake but immobile and mute, may or may not have reduced awareness of environment

A

Stupor

111
Q

memory over mins, hours, days; ASSESS by asking about events of the past 48 hours

A

Recent memory

113
Q

pt believes that he/she is thinking thoughts that are actually someone else’s thoughts, somehow physically places into the patient’s head

A

Thought insertion

114
Q

pt feels detached, unreal, physically altered; e.g. out of body, body part altered, cut off from other people

A

Depersonalization

115
Q

The non-dominant parietal lobe is particularly important for

A

visual-spatial function

MEDICINE 2.0 (1 decks)

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