Flashcards in MSE Deck (46)
What is the difference between a formal and informal mental status exam?
-Formal = set of question
-Informal = listening for things as you ask about other things
What are the major components of the informal mental exam? (11)
-Attitude toward exam
(JA, A BAPTISMS)
What is mood?
Subjective emotional experience of the patient
What is affect?
Objective assessment of the patient's emotional responsiveness, as inferred from facial expressions and/or behavior
What is the thinking part of the MSE?
-Logical vs illogical
-Goal directed vs not
What is the perception of the MSE?
-Derealization or depersonalization
What is the insight of the MSE?
Do they understand their condition
What are the three major indications for a full mental status exam?
If there is concern that a patient
-Has any type of organic brain dysfunction
-Is functioning so poorly to need hospitalization
True or false: cognition tests (e.g. serial 7s) are a part of the full MSE
True or false: a full MSE is rarely indicated in the outpatient setting
Are direct questions asked in an informal MSE?
Not usually--based on responses to normal outpatient questions
True or false: the appearance part of the MSE can include clothing, grooming etc
What are the parts of the overt behavior of the MSE?
-Includes patients' motor behavior, mannerisms, etc
What is the attitude part of the MSE?
Describes the patient's attitude toward the examiner
What is the speech part of the MSE?
Describes the patient's physical characteristics of the patient's speech (e.g. volume, speed, impairments, etc)
True or false: thinking process is distinct from content
What is circumstantial thinking?
Extraneous information that are irrelevant, but comes back to original thought
What is the tangential thinking?
Thinking that does not lead back to the original thought
What is derailment / loose associations?
Loss of the logical connection between ideas or sentences as they are being spoken
What is clang associations?
Linking words together based on sound, rather than content
What is the flight of ideas?
Jumping from topic to topic quickly that are only loosely assocaited
What is perseveration?
Repetition of the same words to ideas over and over, despite the conversation moving on
What is a non-bizarre delusion? What about bizarre?
Delusions that are plausible
Bizarre = delusions that are implausible
What is the judgement bit of the MSE?
Is the patient able to understand the likely consequences of behavior and make decisions accordingly
What is the consciousness/alertness bit of sensorium?
Overall level of awareness of the environment
What is the orientation bit of sensorium?
Person place and time
What is the concentration bit of sensorium?
Capacity to focus on the conversation or can formally assess with serial 7s
What is the memory bit of sensorium? (3)
-Immediate-repeat a series of number
-Recent--Recall events from a few minutes to a few days ago
-Remote--Recall events from years ago
What is the fund of knowledge bit of sensorium?
Recall for basic facts about the world