MSE

Question 1

Which is a limitation of the MMSE? (7x)

Answer 1

MAY FAIL TO DETECT VERY MILD COGNITIVE IMPAIRMENT

Question 2

Question to ask when evaluating for immediate recall (3x)

Answer 2

CAN YOU REPEAT THESE SIX NUMBERS?

Question 3

What task is useful in evaluating a pt’s ability to concentrate? (2x)

Answer 3

PERFORMING SERIAL 7’S

Question 4

On MSE, thought process with lack of goal directedness, excessive details, and difficulty with closure describes a thought pattern of: (2x)

Answer 4

CIRCUMSTANTIALITY

Question 5

Ability to alternate b/w general concepts and specific examples

Answer 5

ABSTRACT REASONING

Question 6

SI, tearful, sad, does not smile, normal prosody, affect?

Answer 6

CONSTRICTED

Question 7

In addition to orientation, attention, calculation, language and registration, what other cognitive domain does the mmse test?

Answer 7

RECALL

Question 8

What is being assessed when patient is asked to repeat words “Apple, table, penny”?

Answer 8

REGISTRATION

Question 9

Which area of MSE relies primarily on patient report?

Answer 9

MOOD

Question 10

Psych MD asked pt “what would you do if you lost your prescription?” This question primarily assesses:

Answer 10

JUDGMENT

Question 11

Psychiatrist asks “How many quarters are in $15?”, examining what ability

Answer 11

COGNITION

Question 12

Which of the following is the most significant problem with the use of the global assessment of functioning scale?

Answer 12

IT CONFOUNDS SYMPTOMS AND FUNCTIONING

Question 13

Which of the following represents a disorder of the content of thought?

Answer 13

OBSESSIONS

Question 14

Communication d/o assoc w/ neurological and psych d/o

Answer 14

MUTISM

Question 15

Asking a patient to recite a series of numbers in reverse order is a standard test of:

Answer 15

CONCENTRATION

Question 16

The difference between an idea of reference and a delusion of reference is that the former is:

Answer 16

HELD WITH LESS CONVICTION

Question 17

The purpose of asking a pt to start at 100 and count backwards by 7’s is to measure which of the following?

Answer 17

CONCENTRATION

Question 18

A disorder of content of thought

Answer 18

PARANOIA

Question 19

Asking a pt, “which one does not belong in the following group: 13 pennies, a piggy bank, and a cow?” is a test of which domain:

Answer 19

ABSTRACT REASONING

Question 20

Asking the patient “how are an apple and an orange alike?” assesses which of the following cognitive functions?

Answer 20

ABSTRACT REASONING

Question 21

Asking a patient to interpret the phrase “Don’t cry over spilled milk” tests what?

Answer 21

ABSTRACT THINKING

Question 22

A pt reports, “undercover agents are all there, and they’re gonna kill me.” Pt’s comment is best described as:

Answer 22

A DELUSION

Question 23

Asking pt what they would do in a hypothetical situation is testing what?

Answer 23

JUDGMENT

Question 24

Why is there limited value of serial sevens as a test of concentration?

Answer 24

SUCCESSFUL PERFORMANCE REQUIRES ARITHMETIC SKILL

Question 25

Disorder of what element of MSE is evidenced by patient repeatedly referring back to the answer to a previous question?

Answer 25

THOUGHT PROCESS

Question 26

Elderly pt with profound apathy, how do you distinguish depression from executive dysfunction?

Answer 26

CLOCK DRAWING

Question 27

Word that pt makes up is a

Answer 27

.

Question 28

The term for abnormally slow speech seen in depression

Answer 28

BRADYLALIA

Question 29

5 days after CABG a 47 y/o M is disoriented to time and place. He identifies his right and left but not that of the examiners. Can draw square and circle but not a clock. This is:

Answer 29

DYSPRAXIA

Question 30

Which of the following statements specifically tests concentration?

Answer 30

SAY THE LETTERS OF THE ALPHABET BACKWARDS STARTING WITH “Z”

Question 31

Fluent speech w preserved comprehension, inability to repeat statements is consistent with what type of aphasia?

Answer 31

CONDUCTION

Question 32

A 62 yo pt is referred for complaints of memory problems. The patient reports feeling more forgetful and gives examples of “losing my keys, handbag, or forgetting the names of aquaintances.” The pt denies any other neurocognitive symptoms. Family members confirm the patient’s report, and feel that this has been a gradual change over the last year. Family members report that the pt is a former hx professor who continues to enjoy intellectual activities and they need to prepare if the patient is going to lose these capabilities as a result of dementia. The standard MMSE would be a relatively insensitive instrument for this patient because it:

Answer 32

HAS A CEILING EFFECT FOR WELL-EDUCATED PERSONS