2. Mental state examination

Question 1

MSE

Answer 1

Appearance
Behaviour
Speech
Mood
Thoughts
Perceptions
Cognition
Capacity
Insight

Question 2

Extrapyramidal features caused by antipsychotics:

Answer 2

Akathisia
Parkisonism
Tardive dyskinesia

Question 3

Akathisia

Answer 3

Unpleasant restlessness causing agitation

Question 4

Parkinsonism

Answer 4

Shuffling gait, slow movement, rigidity

Question 5

Tardive dyskinesia

Answer 5

Rhytmic involuntary movements of the face, limbs, trunk

Question 6

Subjective mood

Answer 6

How the patient says they are feeling

Question 7

Objective mood

Answer 7

What do you think about their emotional state

Question 8

Variability of the mood

Answer 8

Labile (Changeable, unexpected), or flat/blunted (lack of normal variability)

Question 9

Affect:

Answer 9

Outward feeling of emotion/thoughts

Question 10

Primary delusions:

Answer 10

Arise out of the blue in someone with no prior symptoms

Question 11

Secondary delusions:

Answer 11

Occur when delusions frow and build on each other into an elaborate system.

Question 12

Systematized delusions:

Answer 12

Occur when delusions frow and build on each other into an elaborate system.

Question 13

Partial delusions:

Answer 13

Not held quite as firmly, person acknowledges some doubt.

Question 14

Grandiose delusions

Answer 14

Feeling you are extremely important, special, powerful

Question 15

Persecutory delusions

Answer 15

Others are targeting or harming you

Question 16

Hypochondriacal:

Answer 16

You have a specific illness

Question 17

Nihilistic

Answer 17

Something vitally important is missing (organs rotting, being dead)

Question 18

Hallucinations

Answer 18

Perception in the absence of a stimulus

Question 19

Hallucination types

Answer 19

Auditory, visual, touch, olfactory, gustatory

Question 20

Illusions:

Answer 20

Altered perception of a real object

Question 21

Depersonalization:

Answer 21

Person feels unreal, detached, emotionally distant

Question 22

Derealization:

Answer 22

World feels unreal (like a film set)