MSE

Question 1

What is the MSE

Answer 1

An examination type that is limited to what is observed - used to identify whether report and action matches.
MSE gives detailed snapshot of patient

Question 2

How many categories is in MSE

Answer 2

5 categories
- General Appearance
- Judgement and Insight
- Emotion
- Thought
- Cognition

Question 3

What falls under General Appearance

Answer 3

Appearance - clients grooming, facial expression , eye contact, their manner of dress

Speech - Content and delivery
Rate, tone, spontaneity
Range of intonation
Volume
Any deficits noted

Attitude - clients level of cooperativeness and how the client reacts to clinician

Question 4

Emotions are divided into 2 categories which are?

Answer 4

Mood and Affect

Mood - Sustained feeling tone that prevails over time
Depth, length of time, degree of fluctuation
Quality, e.g., sad, anxious, elevated
* In describing mood it is essential to be specific

Affect - Behavioral/observable manifestation of mood
Appropriateness
Intensity
Range/mobility
Reactivity

Question 5

Thought process consists of ?

Answer 5

Manner of organization and formulation of thought
Stream and rate
Goal-directedness and continuity
E.g., circumstantial, tangential, blocking, word
salad

Question 6

What is part of thought content

Answer 6

Delusions, e.g. paranoid, persecutory, ideas of reference
Obsessional thoughts
Overvalued ideas

Question 7

What are delusions
Name the types of delusions

Answer 7

Delusions are false fixed beliefs split into primary and secondary delusions
Primary - unrelated to disorder: insertion, thought broadcasting, world destruction
Secondary - Based on psychological experiences, include delusions derived from hallucinations
Persecution, jealousy, guilt, love , poverty and nihilism

Most common is delusion of persecution

Question 8

Perception houses what factors
(Part of thought)

Answer 8

Hallucinations - Hallucinations, which are
perceptual experiences that have no external stimuli
(Auditory, visual, tactile, olfactory, gustatory)
Illusions - false impression that results from a real stimulus
Depersonalization - a patient’s feelings that he is not himself that there is something different about himself that he cannot account for
Derealization - which expresses a patients’ feeling that
the environment is somehow different or strange but she cannot account for
these changes.

Question 9

What is tested for under the cognitive exam

Answer 9

1. Consciousness
2. Orientation
3. Attention and Concentration
4. Memory
5. Visuospatial ability
6. Abstractions and conceptualization

Question 10

Consciousness

Answer 10

Level of alertness
E.g., normal alertness Unconscious Coma

Question 11

Orientation

Answer 11

Time, place, and person
Cognitively intact person can generally give or approximate date and month of the year
Disorientation to place and time may point to organic problems
Disorientation to person = mostly not cognitive disorder, but e.g dissociative disorder or malingering

Question 12

What is attention and concentration

Answer 12

Attention: ability to focus and direct one’s cognitive activity in a physiologically aroused state
Concentration: ability to maintain attention for a period

Question 13

Memory is divide into how many parts

Answer 13

Three parts
Registration -

Question 14

Memory is divide into how many parts

Answer 14

Three parts
Registration - ability to repeat information immediately
Registration should always be ascertained before testing other parts of memory
Short term memory - refers to the storage of information beyond the immediate (registration) period
Long term memory - usually divided into procedural and declarative memory

Question 15

Judgement is

Answer 15

Capacity to make appropriate decisions and appropriately act on them in social situations

Question 16

Insight

Answer 16

Client’s recognition that they are ill
Understanding that problems are not normal
Understanding need for treatment
Understanding effect of behaviour on other people