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Flashcards in Mental Status Examination Deck (20)
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1
Q

What is the definition of “mental status”?

A

Total expression of a person’s emotional responses, mood, cognitive function, and personality

2
Q

A person’s mental status is closely linked to what other neurological process?

A

Executive functioning

3
Q

What neurological functions are processed in the frontal lobe?

A

Speech formation, emotions/affect, drive, awareness of self, short-term memory, goal-oriented behavior

4
Q

What neurological functions are processed in the parietal lobe?

A

Sensory perception, spatial sense and navigation

5
Q

What neurological functions are processed in the temporal lobe?

A

Perception/interpretation of sounds, Wernicke’s area, integration of behavior, emotion, personality, long-term memory

6
Q

What neurological functions are processed in the limbic system?

A

Survival behaviors, reactions to emotions and expression by affect linked to the frontal lobe

7
Q

What characterizes dementia?

A

Deteriorating cognition, behavior, and functional independence

8
Q

Dementia is usually related to what kind of brain change?

A

Structural disease, usually atrophy

9
Q

Dementia affects 3-11% of adults over what age?

A

65

10
Q

What is the DEMENTIA mnemonic for its causes?

A

Drugs/toxins, endocrine, metabolic/mechanical, epilepsy, nutrition/nervous system, tumor/trauma, infection, arterial

11
Q

How is delirium different from dementia?

A

Delirium is an ACUTE confusional state accompanied by a disorder of PERCEPTION (SUDDEN, FLUCTUATING, REVERSIBLE)

12
Q

What factors can affect the mental status examination (MSE)?

A

Culture differences, educational backgrounds, language barriers

13
Q

How long does the mini mental status examination take?

A

10 minutes

14
Q

What are the components of the MMSE?

A

Orientation, immediate/short-term memory, concentration, arithmetic ability, language, praxis (learning)

15
Q

What is the traditional threshold score for the MMSE?

A

23 or greater (scores 0-23 argue strongly for a dementia diagnosis)

16
Q

Why is it important for chiropractors to do MSEs?

A

Emotional/behavioral changes are often the first sign of organic brain disease, and we see them more frequently than other providers

17
Q

Does a poor score on the MSE mean that the patient is not competent with activities of daily living?

A

NO (could have a high school and have difficulty with normal daily activities and vice versa)

18
Q

What are the limitations of the MSEs?

A

1 interpretive bias 2 false-negative rates high 3 demographics and culture issues 4 less sensitive

19
Q

Where should the MSE be included in our patient’s report?

A

Neurology section of narrative history

20
Q

Does the MMSE require a separate CPT code?

A

NO; it is considered a component of the neurological portion