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OSCEs > psychiatry > Flashcards

psychiatry Flashcards

1
Q

mental state exam subheadings

A 
appearance
behavior
speech 
mood
thoughts
beliefs
percepts
suicide/homicide
cog function 
insight
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2
Q

MSE: appearance

A

height/build
clothing: approp, inapprop, kempt
personal hygeine: clean, unshaven, malodorous

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3
Q

MSE: behaviour

A

engagement and rapport
eye contact
gesturing: normal, expansive, bizare
psychomotor activity: retardation, fidgeting
abnormal movements: tremor, chorioathetoid movements

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4
Q

MSE: speech

A

rate: fast, slow
quantity: very little vs a lot
tone: monotonous
volume
fluency and rhythm: stammering, stuttered, slurred

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5
Q

pressure of speech

A

flight of ideas

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6
Q

slowed speech

A

psychomotor retardation - delayed response

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7
Q

minimal/absent speech

A

depression

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8
Q

excessive speech

A

mania

schizophrenia

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9
Q

MSE: mood

A

mood
affect
congruity of affect
psychomotor function: retarded, agitated

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10
Q

MSE: abnormal thoughts

A

thought form: speed, flow and coherence

thought content: delusions, obsessions, overvalued ideas

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11
Q

formal thought disorders

A 
broadcast
echo 
insertion 
block 
withdrawal
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12
Q

flow and coherence of thoughts

A

flight of ideas
thought blocking
neologisms

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13
Q

MSE: abnormal beleifs

A

preoccupations
delusional beliefs
overvalued ideas

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14
Q

MSE: abnormal precepts

A

illusions
hallucination
pseudo-hallucination

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15
Q

MSE: suicide/homicide

A

must ask about suicidal thoughts
ideation
intent
planning

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16
Q

MSE: cognitive function

A

orientated in time, place, person
attention + concentration
short and long term memory
if concerned: MMSE, MOCA, MSQ

17
Q

MSE: insight

A

are symptoms due to illness
is it a mental illness
do you agree w Rx/Mx plan?

18
Q

psychiatric history taking subheadings

A 
presenting complaint 
systemic enquiry 
past psychiatric Hx
PMHx
medications 
FHx
social history 
forensic history 
personal history + premorbid personality
19
Q

psychiatric systemic enquiry

A 
mood: depressed, euthymic, elevated 
anxiety/panic symptoms 
memory problems/confusion 
abnormal thought content: odd ideas, paranoia, obsessions
perceptual abnormalities, hallucinations
risk to self, others
insight into illlness
20
Q

past psychiatric history

A 
prev episodes, diagnoses, contacts
prev Rx: psychological, drugs, physical 
inter-episode functioning 
prev hosp admissions
attempted suicide, DSH
prev detensions
21
Q

forensic history

A

contact w police? charged w a crime?
offences incl sentences
recidivism

22
Q

psychiatric personal history

A 
developmental milestones
early life
schooling 
relationships
financial 
friendships, hobbies, interests
premorbid personality

OSCEs (18 decks)

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