MSE, Schizophrenia Spectrum & Other Psychotic Disorders, Depressive Disorders

Question 1

Mental status examination includes assessment of:

Answer 1

appearance & behavior

relationship to the interviewer

affect & mood

cognition & memory

language

disorders or thoughts

physiologic function

insight & judgement

Question 2

refers to a feeling or emotion, experienced typically in response to an external event or a thought

Answer 2

affect

Question 3

refers to an inner state that persists for some time, w/ a disposition to exhibit a particular emotion or affect

Answer 3

mood

Question 4

amnesia

Answer 4

memory loss

Question 5

dysmensia

Answer 5

distortion of memory

Question 6

retrograde amnesia

Answer 6

loss of memory of past events

Question 7

anterograde amnesia

Answer 7

inability to form new memories

Question 8

confabulation

Answer 8

false memory that the patient believes is true

commonly fill memory gaps

Question 9

aphasia

Answer 9

dysfunction in the patient’s ability to express himself

Question 10

broca aphasia

Answer 10

comprehension is relatively intact but expression dysfluent, sparse, telegraphic, full of circumlocution

Question 11

wernicke aphasia

Answer 11

comprehension is affected, expression, thought fluent, rambles, lacks meaning, full of errors

Question 12

Can sleep deprivation precipitate or accentuate psychiatric disorders?

Answer 12

yes

Question 13

the use of verbal means to influence beneficially another person’s mental & emotional state

Answer 13

psychotherapy

Question 14

Which disorder involves delusions about plausible events, such as being persecuted, having a serious illness, or having a secrete relationship with another person?

Answer 14

delusional disorder

Question 15

In delusional disorder, is the patient’s function markedly impaired?

Answer 15

no

patients are not overly bizarre & thought process is generally organized

Question 16

What is the time frame for brief psychotic disorder?

Answer 16

1 day to 1 month

Question 17

What is the time frame for schizophreniform disorder?

Answer 17

1 month to 6 months

Question 18

What is the time frame for schizophrenia?

Answer 18

> 6 months

Question 19

What is schizophrenia characterized by?

Answer 19

psychosis

disintegration of abilities to think logically & maintain normal social behavior

Question 20

What are some positive symptoms of schizophrenia?

Answer 20

delusions

hallucinations

disorganized speech

grossly disorganized or catatonic behavior

Question 21

What are some negative symptoms of schizophrenia?

Answer 21

diminished emotional state

avolition

Question 22

Which disorder is characterized by a baseline of psychosis with inter-episode mood symptoms, with at least a 2 week period with the absence of mood symptoms & just psychotic symptoms?

Answer 22

schizoaffective disorder

Question 23

What are some mood symptoms seen in schizoaffective disorder?

Answer 23

depression

mania

hypomania

mized states

Question 24

What may range from marked unresponsiveness to marked agitation?

Answer 24

catatonia

Question 25

5 or more of the following are need to diagnose what?

depressed mood most of the day, nearly every day

markedly diminished interesting or pleasure

significant weight loss (> 5%)

insomnia or hypersomnia

psychomotor agitation or retardation

fatigue or loss of energy nearly every day

feelings of worthless

excessive/inappropriate guilt

dimished ability to think or concentration

reccurent thoughts of death/suicide

Answer 25

major depressive disorder

Question 26

How long do symptoms need to be present to diagnose major depressive disorder?

Answer 26

during the same 2 week period & represent a change from previous functioning

Question 27

In major depressive disorder, at least one of the symptoms is either _______ or ______.

Answer 27

depressed mood

or

loss of interest or pleasure

Question 28

What is the time frame for persistent depressive disorder?

Answer 28

symptoms for most of the days (more days than not) for at least 2 years

Question 29

What are some symptoms of persistent depressive disorder?

Answer 29

poor appetite or overeating

insomnia or hypersomnia

low energy or fatigue

low self-esteem

poor concentration or difficulty making decisions

feelings of hopelessness

Question 30

Do the symptoms of persistent depressive disorder cause clinically significant distress or impair social/occupational areas of functioning?

Answer 30

yes

Question 31

Which disorder included, in the majority of menstrual cycles, at least 5 symptoms must be present in the final week before the onset of menses, starte to improve within a few days after the onset, and become minimal or absent in the week post menses?

Answer 31

premenstrual dysphoric disorder