MSE Flashcards
Which is a limitation of the MMSE? (7x)
MAY FAIL TO DETECT VERY MILD COGNITIVE IMPAIRMENT
Question to ask when evaluating for immediate recall (3x)
CAN YOU REPEAT THESE SIX NUMBERS?
What task is useful in evaluating a pt’s ability to concentrate? (2x)
PERFORMING SERIAL 7’S
On MSE, thought process with lack of goal directedness, excessive details, and difficulty with closure describes a thought pattern of: (2x)
CIRCUMSTANTIALITY
Ability to alternate b/w general concepts and specific examples
ABSTRACT REASONING
SI, tearful, sad, does not smile, normal prosody, affect?
CONSTRICTED
In addition to orientation, attention, calculation, language and registration, what other cognitive domain does the mmse test?
RECALL
What is being assessed when patient is asked to repeat words “Apple, table, penny”?
REGISTRATION
Which area of MSE relies primarily on patient report?
MOOD
Psych MD asked pt “what would you do if you lost your prescription?” This question primarily assesses:
JUDGMENT
Psychiatrist asks “How many quarters are in $15?”, examining what ability
COGNITION
Which of the following is the most significant problem with the use of the global assessment of functioning scale?
IT CONFOUNDS SYMPTOMS AND FUNCTIONING
Which of the following represents a disorder of the content of thought?
OBSESSIONS
Communication d/o assoc w/ neurological and psych d/o
MUTISM
Asking a patient to recite a series of numbers in reverse order is a standard test of:
CONCENTRATION
The difference between an idea of reference and a delusion of reference is that the former is:
HELD WITH LESS CONVICTION
The purpose of asking a pt to start at 100 and count backwards by 7’s is to measure which of the following?
CONCENTRATION
A disorder of content of thought
PARANOIA
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:
ABSTRACT REASONING
Asking the patient “how are an apple and an orange alike?” assesses which of the following cognitive functions?
ABSTRACT REASONING
Asking a patient to interpret the phrase “Don’t cry over spilled milk” tests what?
ABSTRACT THINKING
A pt reports, “undercover agents are all there, and they’re gonna kill me.” Pt’s comment is best described as:
A DELUSION
Asking pt what they would do in a hypothetical situation is testing what?
JUDGMENT
Why is there limited value of serial sevens as a test of concentration?
SUCCESSFUL PERFORMANCE REQUIRES ARITHMETIC SKILL
Disorder of what element of MSE is evidenced by patient repeatedly referring back to the answer to a previous question?
THOUGHT PROCESS
Elderly pt with profound apathy, how do you distinguish depression from executive dysfunction?
CLOCK DRAWING
Word that pt makes up is a
.
The term for abnormally slow speech seen in depression
BRADYLALIA
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:
DYSPRAXIA
Which of the following statements specifically tests concentration?
SAY THE LETTERS OF THE ALPHABET BACKWARDS STARTING WITH “Z”
Fluent speech w preserved comprehension, inability to repeat statements is consistent with what type of aphasia?
CONDUCTION
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:
HAS A CEILING EFFECT FOR WELL-EDUCATED PERSONS
