MSE

Question 1

Appearance and behaviour

Answer 1

Appearance - age, appear stated age, clothes, neglect, flamboyant, seductive, formal

Behaviour - arousal, rapport and engagement, concentration, eye contact, body language, invasion of personal space, responding to hallucinations, unusual features eg tremor, slowed

Question 2

Speech

Answer 2

rate
rhythm
volume
tone
quantity 

mania - pressured, loud, flight of ideas
schizophrenia - incoherent, word salad
MDD - poverty, monotonous
autism - little communication, one topic

Question 3

Emotion (affect)

Answer 3

Affect - observable expression of emotion

quality - sad, elated, agitated, hostile
range - labile, restricted (mildly reduced affect), blunted, flat (no emotion)
appropriateness - congruent to mood
intensity

Question 4

Emotion (mood)

Answer 4

subjective internal state of feeling

depressed, euthymic, angry, etc

what patient says their mood is

Question 5

Perception (thought)

Answer 5

Suicidal 
delusions
preoccupations
obsessive 
violent

Question 6

Define:
hallucination 
delusion
pseudo hallucination 
illusion

Answer 6

hallucination: sensory perception in absence of stimulus
delusion: fixed false belief
pseudo hallucination: patient is aware they are not real
illusion: false perception of a real stimulus

Question 7

Define the following types of delusions: 
paranoid
grandeur
delusions of reference 
interference 
passivity

Answer 7

paranoid / persecutory: belief they are being persecuted
grandeur: special powers or position
delusions of reference: event is uniquely related to patient
interference: thought broadcasting / insertion / withdrawal
passivity: controlled by an external force

Question 8

Define the following types of delusions:
jealous
somatic
misidentification 
nihilistic
cotard's

Answer 8

jealous: delusions of unfaithfulness
somatic: delusions of disease or illness
misidentification: capgras (person is replaced by identical imposter), Fregoli (multiple people are one person)
nihilistic: deny existence of things
Cotard’s: they are dead

Question 9

Types of FTD (7)

Answer 9

derailment: thoughts wander from loosely related to completely unrelated with no link
flight of ideas: continuous flow of speech with abrupt leaps between ideas
tangential: never reach goal / answer
circumstantial: unneccsary detail
word salad: nonsensical
clang association: related by rhyme or alliteration
neologism: made up words

Question 10

Insight and judgement

- definitions

Answer 10

Insight: do they know they have a mental illness

judgement: problem solving ability, what to do in times of crisis

Question 11

Cognition

• 3 components
• tools to assess

Answer 11

LOC, orientation, attention

MMSE, FAB