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Psych Rotation > OSCE > Flashcards

OSCE Flashcards

1
Q

Components of Mental Status Exam (12)

A 
Appearance
Behavior
Speech
Mood
Affect
Thought Process
Though Content
Perceptual Disturbances
Cognition
Memory
Insight 
Judgement
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2
Q

Components of Cognition assessment (4)

A

Level of consciousness
Orientation (person, place, date, situation)
Attention/ Concentration
Abstraction

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3
Q

Components of Memory (3)

A

Registration
Short term recall
Fund of knowledge

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4
Q

Patient’s awareness of their illness & need for treatment

A

Insight

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5
Q

Patient’s ability to deal with their problems in an appropriate manner

A

Judgement

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6
Q

Appearance includes (5)

A 
Apparent age
Dress
Current physical positioning 
Notable features
Grooming/Hygiene
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7
Q

Behavior includes (6)

A 
Cooperative or not
Hostility or not
guarded or relaxed
eye contact
Psychomotor retardation/agitation
tremors
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8
Q

Components of speech (5)

A 
Rate (elevated, regular, slow, pressured)
Rhythm (conversational)
Volume (loud/soft/moderate)
Articulation (dysarthria/stuttering)
Latency (long/short)
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9
Q

Components of Affect (4)

A

Mood congruent
Euthymic/dysphoric/euphoric
Range (full, flat, blunted, constricted, intense)
Labile or not

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10
Q

Types of thought processes (4)

A

Linear and goal directed
Circumstantial
Tangential
Flight of ideas (loose associations)

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11
Q

Types of Thought contents (5)

A

Delusions
SI/HI
Phobias
Obsessions

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12
Q

Types of perceptual disturbances (4)

A

AH
VH
RIS
Depersonalization/Derealization

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13
Q

How to test:
Registration
Short term recall

A

Repeat 3 words back to me

Recall 3 words after 5 minutes

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14
Q

How to test:

Fund of knowledge

A

POTUS x4

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15
Q

How to test:

Abstraction

A

How are an apple and orange alike?
How are a bike and train alike?
Explain the you can’t judge a book by its cover

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16
Q

How to test:

Attention/ Concentration

A

World forwards/backwards

Days of the week backwards

17
Q

List the 6 components of MOCA

A

orientation (person, place, time)
recall ( 3 words immediate/5min)
attention (months of the years backward)
language (naming 2 items/ repeat no if, ands, or buts)
abstraction
Visuospatial: Draw a cube
Executive function (draw a clock reading 3:30)

18
Q

One good question for OCD

A

Do you worry a lot about checking, cleaning, or counting things a lot?

19
Q

What are thoughts of reference?

A

A delusion about being sent messages directly (ex: Anchor man sending me secret messages on the news)

20
Q

What is thought broadcasting?

A

A delusion that one’s thoughts can be heard by others

21
Q

What is psychomotor retardation?

A

Bradykinesia/moving slowly

22
Q

What is psychomotor agitation?

A

Movements that serve no purpose.
(ex: pacing around the room, tapping toes, or rapid talking)

often occurs with mania or anxiety.

23
Q

What is the standard introduction to the OSCE

A

Introduce self; Confirm name/age; how’d you like to be addressed; set. agenda; what brings you in; tell me more

24
Q

What is the basic outline for the History of a psychiatric patient? (11)

A

What brings you in?
Psych ROS: MDD, Mania, PTSD, Panic, Psychosis, OCD
Past Psych: Dx, Psych Meds, Hospitalizations, Attempts, Violence, access to guns, O/P Psychiatrist
PMH
Current Meds
Allergies
Family Psych History
Substance Use Hx: Nic, Caff, MJ, Alcohol, IVDU, Other
Social Hx: married, kids, education, employment, religion, legal Hx, past traumas/abuse
ROS: is applicable
Mental Status Exam

25
Q

Components of Past Psych Hx (7):

A 
Past psych Diagnosis, 
Psych Meds, 
Hospitalizations, 
Suicide Attempts, 
Violence, 
access to guns, 
O/P Psychiatrist
26
Q

Components of Social Hx (8):

A 
married, 
kids, 
education, 
employment, 
religion, 
legal Hx, 
past traumas/abuse
Substance use

Psych Rotation (7 decks)

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