MSE

Question 1

What are the parts of the MSE?

Answer 1

Appearance
Behaviour
Speech 
Mood
Thought 
Perceptions
Cognition 
Insight

Question 2

What should you comment on in appearance?

Answer 2

Personal hygeien
Clothing
Scars/IVDU
Stigmata of disease

Question 3

What in particular can you comment on about clothing?

Answer 3

Clean?

Suitable for weather

Question 4

What can you comment on in behaviour?

Answer 4

Engagement 
Rapport 
Eye contact
Facial expression 
Body language
Psychomotor activity

Question 5

What is rapport?

Answer 5

A close and harmonious relationship in which the people understand each other

Question 6

WHat is pressure of speech?

Answer 6

Rapid speech which can not be easily interrupted

Question 7

What is mood?

Answer 7

Predomnant subjective internal state over time

Question 8

What is affect?

Answer 8

Immediately expressed + observed emotion

Question 9

What can be commented on in mood?

Answer 9

Subjective mood
Objective mood
Lability of mood
Congruency of affect

Question 10

What is subjective mood?

Answer 10

How they descrive their mood

Question 11

What is objective mood?

Answer 11

How we describe their mood

Question 12

What is lability of affect?

Answer 12

How the affect reacts to changes in conversation

Question 13

What is congruency of affect?

Answer 13

Affect is in keeping with the contents of the thoughts

Question 14

What condition typically shows incongruency of affect?

Answer 14

Schizophrenia

Question 15

What is commented on in thought?

Answer 15

Form
Content
Possession

Question 16

What is commented on in thought form?

Answer 16

Speed
Flow
Coherence

Question 17

What are loose associations?

Answer 17

Moving rapidly from one topic to anther with no apparent connections

Question 18

What are circumstantial thoughts?

Answer 18

Thoughts which include lots of irrelevant and unnecessary details

Question 19

What are tangential thoughts?

Answer 19

Digressions from main conversation topic

Question 20

What is flight of ideas?

Answer 20

Accelerated tempo of speech with lots of topics which are only connected arbitrarily

Question 21

What is thought perseverance?

Answer 21

Repetition of a particular response

Question 22

What is stereotypy?

Answer 22

Repeating the same thing

Question 23

What can be commented on in thought content?

Answer 23

Delusions
Obsessions
Compulsions
Suicidal thoughts

Question 24

What are delusions?

Answer 24

Fixed firm belief that is held despite evidence and is not associated with beliefs/culture

Question 25

What are obsessions?

Answer 25

Repeated thoughts/images/impulses that are out of the persons control and cause unease

Question 26

What are compulsions?

Answer 26

Repetitive behaviours that a patient has to complete despite recognising the irrationality

Question 27

What can be commented on in thought possession?

Answer 27

Thought insetion
Thought withdrawal
Thought broadcasting

Question 28

What can be commented on in thought possession?

Answer 28

Thought insetion
Thought withdrawal
Thought broadcasting

Question 29

What can be commented on in perception?

Answer 29

Hallucinations
Pseudo-hallucinations
Illusions
Depersonalisation 
Derealisation

Question 30

What can be commented on in cognition?

Answer 30

Orientation to

• time
• place
• person

Question 31

What can be used to assess cognition?

Answer 31

MMSE

AMTS

Question 32

What is insight?

Answer 32

Ability of a patient to understand that they have a mental health problem and that what they are experiencing is abnormal