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4C - Psychiatry > MSE Practice > Flashcards

MSE Practice Flashcards

1
Q

MSE Scenarios

Appearance in Depression

A

May begin to neglect personal hygiene and grooming, dresses in drab colours

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2
Q

MSE Scenarios

Behaviour in Depression

A

Agitation, restlessness, marked fatigue, stooped posture and wringing, socially withdrawn and in severe depression psychomotor retardation.

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3
Q

MSE Scenarios

Speech in Depression

A

Decreased rate and rhythm, mutism, increased latency, soft, monotonous.

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4
Q

MSE Scenarios

Affect in Depression

A

Flat, constricted

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5
Q

MSE Scenarios

Mood in Depression

A

Document their mood using the patient’s self report: down, depressed, sad, blue, unhappy

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6
Q

MSE Scenarios

Thought in Depression

A

Poverty of ideas, poor concentration. Content: Thoughts of worthlessness, hopelessness, suicidal ideation, inappropriate guilt. Occasionally mood congruent delusions.

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7
Q

MSE Scenarios

Perception in Psychotic depression

A

Occasionally mood congruent hallucinations

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8
Q

MSE Scenarios

Cognition in Depression

A

Memory gaps due to concentration

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9
Q

MSE Scenarios

Insight in Depression

A

May range from impaired to good

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10
Q

MSE Scenarios

Judgement in Depression

A

Impaired by negative thoughts

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11
Q

MSE Scenarios

Appearance in Anxiety

A

Ranges from fastidious to disheveled

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12
Q

MSE Scenarios

Behaviour in Axiety

A

Psychomotor agitation, tremor, fidgety, hyper-vigilant, frozen with fear, avoidant, limited cooperation

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13
Q

MSE Scenarios

Speech in Axiety

A

Pressured but interruptible or poverty of speech

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14
Q

MSE Scenarios

Affect in Axiety

A

Anxious, scared, labile, irritable, angry

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15
Q

MSE Scenarios

Mood in Axiety

A

Document their mood using the patient’s self report: angry, anxious

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16
Q

MSE Scenarios

Thought in Axiety

A

Perseverative, ruminative, circumstantial. Content: obsessions, concerns regarding danger.

17
Q

MSE Scenarios

Cognition in Axiety

A

Intact apart from concentration and attention

18
Q

MSE Scenarios

Insight in Axiety

A

Impaired as anxiety is fear out of propotion

19
Q

MSE Scenarios

Judgement in Axiety

A

Impaired

20
Q

MSE Scenarios

Appearance in Mania

A

Clothing brightly coloured, flamboyant, attention getting and possibly sexually suggestive

21
Q

MSE Scenarios

Behaviour in Mania

A

Hyperactive, boisterous

22
Q

MSE Scenarios

Speech in Mania

A

Pressure of speech, loud, rapid, difficult to interpret. May be tangential or circumstantial

23
Q

MSE Scenarios

Affect in Mania

A

Euphoric, maybe irritable, labile

24
Q

MSE Scenarios

Mood in Mania

A

Document their mood using the patient’s self report: happy, excited

25
Q

MSE Scenarios

Thought in Mania

A

Accelerated “flight of ideas”, multiple plans but cannot carry them through to completion. Attention: distractible. Delusions related to wealth, power, abilities

26
Q

MSE Scenarios

Perception in Mania

A

Mood congruent hallucinations

27
Q

MSE Scenarios

Cognition in Mania

A

Heightened

28
Q

MSE Scenarios

Insight in Mania

A

See no need for help “never felt better”

29
Q

MSE Scenarios

Judgement in Mania

A

Impulsive

30
Q

MSE Scenarios

Appearance in Psychosis

A

Self neglect, unusual combinations, symbolic, eccentric

31
Q

MSE Scenarios

Behaviour in Psychosis

A

Posturing, catatonia (neurogenic motor immobility), withdrawn, movement disorder secondary to medication

32
Q

MSE Scenarios

Speech in Psychosis

A

Disorganised, poverty of content, perseveration in catatonia

33
Q

MSE Scenarios

Affect in Psychosis

A

Blunted, flat, incongruent

34
Q

MSE Scenarios

Mood in Psychosis

A

Document their mood using the patient’s self report: blunted, flat, incongruent

35
Q

MSE Scenarios

Thought in Psychosis

A

Loosening of associations, blocking, delusions, thought broadcasting, ideas of reference, magical thinking, concrete thinking

36
Q

MSE Scenarios

Perception in Psychosis

A

Hallucinations (auditory are common), command, 3rd person

37
Q

MSE Scenarios

Cognition in Psychosis

A

Memory gaps, false memories (based on delusional beliefs)

38
Q

MSE Scenarios

Insight in Psychosis

A

Impaired

39
Q

MSE Scenarios

Judgement in Psychosis

A

Impulsive

4C - Psychiatry (19 decks)

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