MSE

Question 1

DEFINITION

Answer 1

patients current state of mind at time of evaluation

Question 2

appearance and behaviour
ABCDEFG

Answer 2

Abnormal behaviours or movement
(mannerism,tremors,stupor)

Built (nourishment)
Cleanliness,conc,consciousness,cooperation
Dressing,distractibility
Eye contact ( eye smile)
Facial expression
Gait

Question 3

speech

Answer 3

language spoken
amount
vol
tone
flow
comprehension of speech
relevance
coherence

Question 4

Mood

Answer 4

have have u been feeling lately?
-normal
-elated
-depressed
-irritable
-anxious

Question 5

Affect (what examiner observes)

Answer 5

type: normal,anxious,depressed,elated,irritable,detached,apathy

range: normal
broad and expansive (mania)
constricted affect (depression)
blunted effect
flat effect (complete loss of facial expression)

appropriateness/congruity of affect:appropriate to thought content/unappropriate

consistency of affect:consistent or labile( mania,frontal lobe lesions)

Question 6

abnormal thought content

Answer 6

delusions
racing thoughts
depressive thoughts
suicidal thoughts
worries
obsessions
preoccupation
phobias
hypochondriasis

Question 7

perceptual disturbances

Answer 7

hallucination
illusions
depersonalization/derealization

Question 8

testing cognitive func

Answer 8

now i would like to ask some questions to test your brain functions.some of these questions might seem silly to u. please cooperate

Question 9

orientation: awareness to surroundings

Answer 9

time:
1.without looking at the watch,approximately what time is it now
2.what day is it today?
3.today’s date?
4.current month?
5.current year?

place:
1.what building is this?
2.where is this building located,name the town/city
3.which floor are we in

person:
1.recognize two people in the room

Question 10

memory:ability to recall a past event or experience
immediate: just now
recent:last 24 hrs
remote:b4 last 24 hrs

Answer 10

1.five minutes memory test
mention name of 5 objects,ask patient to repeat immediately aft u have fin.inform that u will ask again aft 5 min.repeat the 5 objects aft 5 min ( ball,cat,apple,doll,egg)

2.digit span test
i will mention some numbers,repeat aft me (digit forward up to 5),then (digit backwards up to 5)
2,7
6,5,9
1,7,5,2
8,5,2,7,4
( forwards-4,backwards 3 is acceptable)

c.testing remote memory:
year of Malaysian independence (1957)
1st PM of malaysia

Question 11

attention and conc
attention- immediate focus
concentration- sustained conc

Answer 11

1.serial substaction test
100-7 ,5 times
40-3,5 times
20-1 until 0
can u minus 7 fr 100 and the answer u minus another 7,and cont doing it for 5 times

2.naming forward and backwards
can u name the days in a week forward and backward

3.spelling forward and backward
spell WORLD/DUNIA forwards and backward

Question 12

concrete thinking- perceive info tru 5 senses

abstract reasoning- perceiving info in the mind

-test of frontal lobe function

Answer 12

1.proverb interpretation
what is the meaning of dont judge a book by its cover

what is the similarity between apple and orange

Question 13

general knowledge

Answer 13

who is Malaysia’s current PM

Question 14

Judgement

Answer 14

what will u do if u see a house on fire
what will u do if u find a stamped envelope with address on the road

Question 15

insight-awareness of one’s illness

-to test compliance*
- predicts prognosis*

Answer 15

1. are u aware/believe that u have an illness or problem

2.do u think that you illness or prob is of psychological origin or due to something wrong within u or due to outside factors

3.are u willing to accept the advice and treatment of the doctor

aware/partially aware/not aware