OSCE Flashcards
Components of Mental Status Exam (12)
Appearance Behavior Speech Mood Affect Thought Process Though Content Perceptual Disturbances Cognition Memory Insight Judgement
Components of Cognition assessment (4)
Level of consciousness
Orientation (person, place, date, situation)
Attention/ Concentration
Abstraction
Components of Memory (3)
Registration
Short term recall
Fund of knowledge
Patient’s awareness of their illness & need for treatment
Insight
Patient’s ability to deal with their problems in an appropriate manner
Judgement
Appearance includes (5)
Apparent age Dress Current physical positioning Notable features Grooming/Hygiene
Behavior includes (6)
Cooperative or not Hostility or not guarded or relaxed eye contact Psychomotor retardation/agitation tremors
Components of speech (5)
Rate (elevated, regular, slow, pressured) Rhythm (conversational) Volume (loud/soft/moderate) Articulation (dysarthria/stuttering) Latency (long/short)
Components of Affect (4)
Mood congruent
Euthymic/dysphoric/euphoric
Range (full, flat, blunted, constricted, intense)
Labile or not
Types of thought processes (4)
Linear and goal directed
Circumstantial
Tangential
Flight of ideas (loose associations)
Types of Thought contents (5)
Delusions
SI/HI
Phobias
Obsessions
Types of perceptual disturbances (4)
AH
VH
RIS
Depersonalization/Derealization
How to test:
Registration
Short term recall
Repeat 3 words back to me
Recall 3 words after 5 minutes
How to test:
Fund of knowledge
POTUS x4
How to test:
Abstraction
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
How to test:
Attention/ Concentration
World forwards/backwards
Days of the week backwards
List the 6 components of MOCA
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)
One good question for OCD
Do you worry a lot about checking, cleaning, or counting things a lot?
What are thoughts of reference?
A delusion about being sent messages directly (ex: Anchor man sending me secret messages on the news)
What is thought broadcasting?
A delusion that one’s thoughts can be heard by others
What is psychomotor retardation?
Bradykinesia/moving slowly
What is psychomotor agitation?
Movements that serve no purpose.
(ex: pacing around the room, tapping toes, or rapid talking)
often occurs with mania or anxiety.
What is the standard introduction to the OSCE
Introduce self; Confirm name/age; how’d you like to be addressed; set. agenda; what brings you in; tell me more
What is the basic outline for the History of a psychiatric patient? (11)
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
Components of Past Psych Hx (7):
Past psych Diagnosis, Psych Meds, Hospitalizations, Suicide Attempts, Violence, access to guns, O/P Psychiatrist
Components of Social Hx (8):
married, kids, education, employment, religion, legal Hx, past traumas/abuse Substance use
