psychiatry

Question 1

what is the mental state examination

Answer 1

structured assessment of the patient’s behavioural and cognitive functioning

Question 2

what does the mental state examination consist of

Answer 2

dressing
speech
mood
perceptions
thought content
thought form
insight
cognition

Question 3

what is adjustment disorder caused by
how long does it take to resolve

Answer 3

recent psychosocial stressors (illness/change of scenery)
mood liability and preoccupation on stressors
resolves usually after 6 months
rarely get psychotic symptoms

Question 4

what are the characteristics of psychotic depression and risk factors

Answer 4

recent psychosocial factors
older age and chronic medical conditions are risk factors
no core features (anhedonia/anergia)
typically see a mood congruent psychosis (delusions of nihilism, guilt, Cotards syndrome)

Question 5

what is BPSD
behavioural and psychological symptoms of dementia

Answer 5

known history of vascular insults to brain
delusions and hallucinations can be seen
ongoing vascular risk and advancing age
normal MoCA score
no cognitive concerns
typically a feature of more advanced disease

Question 6

where is post stroke psychosis most commonly seen

Answer 6

right sided middle cerebral artery lesions affecting frontal and temporal regions

Question 7

what are the most commonly reported psychotic symptoms of post stroke psychosis

Answer 7

delusions
- most delusions of a persecutory or jealous type (Othellos syndrome)
fixed false belief not understandable within the persons sociocultural setting

Question 8

what are the most common perceptual abnormalities

Answer 8

auditory hallucinations followed by visual management