MSE Psych

Question 1

Appearance

Answer 1

Age, sex, ethnicity
Build, physical signs/problems
Dress & self care: appropriate for weather/age; well kept/reasonable self care/unkempt

Question 2

Behaviour

Answer 2

Motor
[1] Speed

[2] Movements

• Repeated movements: mannerisms, stereotypiew, tics, compulsions
• EPSEs
• Catatonic symptoms

[3] Consciousness, face and body language

• Drowsy/alert
• Eye contact, posture

[4] Rapport
- Friendly/hostile/ suspicious

Question 3

Speech

Answer 3

[1] Production

• Rate
• Volume
• Tone - angry/calm/neutral
• Flow - spontaneous, hesitant, uninterruptible
• Quantity
• Quality - dysphasia

[2] Content
- obscene words, neologisms, clang associations, pinning

[3] Form and fluency

• expressive/receptive dysphagia
• Reflective of thought disorder: circumstantial, loosening of associations/knight’s move thinking, word salad, pressure/poverty of speech, thought block, perseveration, tangential speech, flight of ideas, derailment, exholalia

Question 4

Mood

Answer 4

[1] Objective

[2] Subjective

• Affect: Low, elated, irritable, anxious, perplexed
• Variability: Labile, flat/blunted
• Reactive
• Congruity

N = Reactive and neither elated nor depressed (euthymic)