MSE Flashcards
This aspect of the MSE involves describing the way individuals present themselves, which can give insight to disorders, socio-economic conditions, educational status, and reason for referral.
General description
What are the 4 aspects that are noted in the general description?
Within normal limits
Appearance
Behavior
Attitude
What defines “within normal limits” for the general description?
neat, orderly, well kempt, calm, relaxed, in control, friendly, and cooperative
What category do u mark in the general description if a patient is disheveled, unkempt, odorous, colorless, and has mismatched clothing?
Appearance
Aimless, purposeless, agitation, hyperactive, choreform, and rocking are under what category for the general description?
Behavior
Argumentative, dismissing, defensive, seductive, and cooperation are under what category for the general description?
Attitude
This is the form of speech characterized by brief and empty replies to questions.
Poverty of speech
Echolalia (repating another persons words), palilaia (repeating own words), and Neologisms (invented words) are signs of what 3 conditions?
Autism
Schizophrenia
Alzheimers
This is speech that lacks meaning; after a significant period of listening, there remains no main theme or point.
Poverty of content
This is speech characterized by alterations in the intensity, timing and rhythm, cadence and/or intonation of words.
(sign of neuro problems)
Dysprosody
This is speech characterized by slurred or slow speech that can be difficult to understand.
(sign of meds or neuro problems)
Dysarthria
This speech involves repeating or prolonging a word, syllable or phrase, or stopping during speech and making no sound for certain syllables.
(stress, fatigue, or excitement)
Stuttering
This is described as the patients suubjective report indicating how they are feeling.
Mood
“climate”
Why is it important to account for the freuqency, intensity, duration, and fluctuation of moods?
some diagnostic criteria depends on the duration of Sx and on mood fluctuations
This is described by the clinicians observations regarding the mood of a patient.
Affect
“weather”
This is the mood description characterized by a normal range of mood, no depresison of euphoria.
Euthymic
This is the mood description characterized by unable to describe the mood or any pleasure
Alexithymia
This is the mood description characterized by general dissatisfaction, sadness, or anxiety
Dysphoric
This is the mood description characterized by an apprehensive anticipation of danger
Anxious
This is the mood description characterized by psychopathological sadnes
depression
This is the mood description characterized by a severe depressed state
Melancholia
This is the mood description characterized by withdrawal from all pleasurable activities
Anhedonia
This is the mood description characterized by lack of feeling, emotion, or concern.
Apathetic
aka me towards psych
This is the mood description characterized by changes between euphoria, depression, and anxiety
Mood swings (labile)
This is the mood description characterized by more cheerful than the normal range.
Elevated
This is the mood description characterized by intese elation, grandiose
Euphoria
This is the mood description characterized by overestimation of self-importance.
Expansive
aka most med students
This is the mood description characterized by mania but less intense
Hypomania
This is the mood description characterized by accelerated thinking, speech, and elation.
Mania
This is the affect description characterized by a full range of emotion
Appropriate
This is the affect description characterized by disharmony between emotion and presentation
Inappropriate
This is the affect description characterized by inappropriate attitude of calm and about a disability
La belle indifference
This is the affect description characterized by reduced intensity of emotion
Restricted/constricted
This is the affect description characterized by more reduciton of emotion than restricted/constricted
Blunted
This is the affect description characterized by absence of affective signs, monotone voice
Flat
This is the affect description characterized by rapid and abrupt changes in emotions.
Labile
This is a description of the way people think, and can be rapid (like mania) or reduced (depression/schizo) or others.
Thought process
This is a fixed false belief.
Delusion
Delusions, perfections, and preoccupations are all factors to what mental process?
Thought content
What form of thought is a specific concern for patients and the public, as a pt could be homocidal or suicidal?
Impulsivity
This is the ability to make a sound, reasoned, and responsible decision or being able to understand the likely outcomes of pro-social or antisocial behavior.
Judgement
This is the ability to be aware and/or having an understanding of the individuals own mental illness.
(assessed by asking the pts to explain their disorder, understand Tx for it, and able to label certain mental events)
Insight
This is the exam that assesses “cognitive impairment” which is the hallmark for dementia.
Mini-Mental State Exam (MMSE)
A score less that what is suspicious for dementia on the MMSE?
< 24
In the MMSE, what is the disturbance of consciousness that is characterized by incomplete clear mindedness, which can be from a coma, dementia, or delirium?
Clouding/obtunded
In the MMSE, what is the disturbance of consciousness that is characterized by lack of reaction to surroundings, which can be from substance abuse?
Stupor
In the MMSE, what is the disturbance of consciousness that is characterized by goofiness at nighttime in old people, and can be from a head injury or metabolic disorder?
Sundowning
In the MMSE, what is the orientation sensorium?
Accurately aware of time, person, and place
Registration, retention, and recall are all components of what portion of the MSSE?
Memory processing
What are the 4 levels of memory in the MSSE?
Immediate (few minutes)
Recent (few days)
Recent past (few months)
Remote (distant past)
In the MSSE, asking the pt to substract #s from 100 in serials of 7 can be used to asses what component?
Attention and Concentration