MSE Flashcards
What are the 5 components of cognitive function?
- executive function
- memory
- calculation
- attention
- concentration
What are the 6 parts of the MSE?
- General appearance
- mood
- affect
- speech/language
- thoughts
- cognition/HIF (higher intellectual functioning)
echopraxia
where the patient copies what you do or things like sounds
dystonia
abnormal tone of a specific muscle group
stereotypy
complex purposeless, repetitive movements
tic
occasional
motor or vocal
choreiform
writhing
akathisia
can’t stop moving
prosody
making additions to the persons speech to express emphasis
pragmatic language
ability to communicate using gestures
Linear thought
- normal
- formulating an idea and making related thoughts around that original idea
Tangential thought
- their next thought will be on a different topic and maybe unrelated
Looseness of association (LOA)
- their next thought is not really related to the original one
flight of idease (FOI)
- their next thought is on a completely new topic
Circumatantiality
they get to the ultimate point of their thought in a non-linear way
word salad
every utterance the patient makes is not coherent
neologism
where the patient makes up a new word and can be a sign of a severe abnormal though
preservation
they keep trying to bring the conversation back to a certain topic
blocking
they can’t get any thoughts out they don’t hae problems with speech/voice
Luria test
- tests executive function
- doctor draws a squiggly line and the patient copies it and what the patient draws correlates to the capacity of their executive function (a longer line means poor executive function, shorter lines can mean low motivation and may be a sign of depression)
What should you ALWAYS do as a doctor !? (i.e., this was repeated many times during this lecture)
- document abnormal findings without concern to the assumed diagnosis–write down what you see without inferring anything from it
