MSE

Question 1

What are the 5 components of cognitive function?

Answer 1

• executive function
• memory
• calculation
• attention
• concentration

Question 2

What are the 6 parts of the MSE?

Answer 2

• General appearance
• mood
• affect
• speech/language
• thoughts
• cognition/HIF (higher intellectual functioning)

Question 3

echopraxia

Answer 3

where the patient copies what you do or things like sounds

Question 4

dystonia

Answer 4

abnormal tone of a specific muscle group

Question 5

stereotypy

Answer 5

complex purposeless, repetitive movements

Question 6

tic

Answer 6

occasional

motor or vocal

Question 7

choreiform

Answer 7

writhing

Question 8

akathisia

Answer 8

can’t stop moving

Question 9

prosody

Answer 9

making additions to the persons speech to express emphasis

Question 10

pragmatic language

Answer 10

ability to communicate using gestures

Question 11

Linear thought

Answer 11

• normal

- formulating an idea and making related thoughts around that original idea

Question 12

Tangential thought

Answer 12

• their next thought will be on a different topic and maybe unrelated

Question 13

Looseness of association (LOA)

Answer 13

• their next thought is not really related to the original one

Question 14

flight of idease (FOI)

Answer 14

• their next thought is on a completely new topic

Question 15

Circumatantiality

Answer 15

they get to the ultimate point of their thought in a non-linear way

Question 16

word salad

Answer 16

every utterance the patient makes is not coherent

Question 17

neologism

Answer 17

where the patient makes up a new word and can be a sign of a severe abnormal though

Question 18

preservation

Answer 18

they keep trying to bring the conversation back to a certain topic

Question 19

blocking

Answer 19

they can’t get any thoughts out they don’t hae problems with speech/voice

Question 20

Luria test

Answer 20

• 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)

Question 21

What should you ALWAYS do as a doctor !? (i.e., this was repeated many times during this lecture)

Answer 21

• document abnormal findings without concern to the assumed diagnosis–write down what you see without inferring anything from it