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5- Mental status exam

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licituvo's version from 2017-03-14 00:51

Section 1

Question Answer
systematic method to gather behavioral and psychological data that is then processes, analyzed and integrated to determine whether or not a diagnosis of a formal psychatric disease should be madeMSE
When is MSE performed?each time patient is evaluated
How is the MSE doneby listening and observing behavior
Who conducts MSEall physicians regardless of specialty need to be competent
Components of MSEGABA, mood, affect, speech, thought processes, thought content and perception, sensorium, cognition, insight, judgement
emotional state a patient experiences internallymood
dysphonicsad, depressed
euthymicnormal
euphorichappy and giddy
the outward expression of the patients internal emotional stateaffect
mood is the __________, affect is the ___________symptom, sign
refers to manner in which thoughts are connected or associated, "train of though"thought processes
normal thinking should begoal directed, with sequential thoughts having logical connections
looseness of associations talk then pothold, way off subject but can self direct or stay with new topic
flight of ideastypical in mania, farther off target, loosely threaded words
echolaliaechoing other person
clangrhyming words
word salad mixture of random words that, while arranged in phrases that appear to give them meaning, actually carry no significance.
describes the nature of the patient's thoughtsthought content
disorders of thought content are divided into 2 broad categories:obsessions and compulsions
fixed false beliefs from which the patient cannot be dissuaded, despite evidence to contrarydelusions
obsessions and compulsionspreoccupations
presence of perceptual problems includeshallucinations and illusions
perceiving something in absence of an actual sensory stimulushallucinations
misinterpretation of a tangible stimulusillusion
common cause of auditory hallucinationpsychiatric illness
common cause of visual hallucinationorganic illness or drug withdrawl
common cause of tactile hallucinationformacation- bugs crawling- sign of drug withdrawl
describes level of alertness of the patientsensorium
above averagemore than highschool
average knowledgehigh school grad
below average knowledge8th grade or below
clock drawing test can be used for cognition test
patient insight of their illnessinsight
how to assess judgementassess on material gathered throughout interview, determine wheter they understand consequences of their actions
memorize

Section 2

Question Answer
1GABA
2mood
3affect
4speech
5thought process
6thought content/ perception
7sensorium
8cognition
9insight
10judgement
memorize

 

Question Answer
politeGABA
good eye contactGABA
psychomotor activityGABA
dysphoricmood
"I feel sad"mood
mumblingspeech
constrictedaffect
labileaffect
congruency noted here between affect and moodaffect
Looseness of associationthought process
flight of ideasthought process
clang and echolaliathought process
word saladthought process
hallucinationsthought content
delusionsthought content
suicidalthought content
goal directed thoughtsthought process
level of alertnesssensorium
somnolentsensorium
obtundedsensorium
memorycognition
fund of knowledgecognition
clock drawing testcognition
understanding of illnessinsight
rated as good, fair and poorinsight and judgement
understanding of consequences for actionsjudgement
did they seek treatment on ownjudgement
memorize