2: Mental state examination Flashcards Preview

Psychiatry Week 1 2018/19 > 2: Mental state examination > Flashcards

Flashcards in 2: Mental state examination Deck (13)
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1

Is a mental state examination the same as a history?

No, history is patient's account

MSE is a technical description

2

When is a mental state examination carried out?

At the same time as the history

3

What is the difference between mood and affect?

Mood - subjective, how the patient feels when you ask them, recorded in the patient's own words

Affect - objective, how you think the patient appears throughout the interview

4

How do you describe a patient's affect?

Affect itself

How it varies throughout the interview

5

Can mood and affect be different?

Yes

6

What is a reactive affect?

Normal swings between "happy" and "sad"

7

What is a flattened affect?

Negative affect can be seen but positive affect doesn't come out to same degree, even if patient says they're in a good mood

8

What is a blunted affect?

Affect which doesn't vary much throughout the interview

9

Which psychiatric illness is a flattened affect a feature of?

Depression

10

What is an unreactive affect?

Persistently negative affect

11

What is a labile affect?

Exaggerated swings between positive and negative

12

Which psychiatric disorder is a labile affect a feature of?

Bipolar disorder

13

How can cognitive function be tested?

ACE-III questions

i.e orientation, concentration, memory