L3: Psychiatric History & Mental State Examination

Question 1

How to approach a Psychiatric Patients?

Answer 1

Question 2

Differences between Psychiatric interview & Medical Interview

Answer 2

Question 3

History of Past Psychiatric & Medical History should include ……

Answer 3

• Chronological account of past psychiatric problems/episodes (if present)
• If the patient’s baseline of mental health was attained.

Question 3

Items of History Taking in Psychiatry

Answer 3

Question 4

History of Present Illness Should include ….

Answer 4

Question 4

Developmental History

Answer 4

• Physical and intellectual ability at early stages of life.
• Life values, habits, goals before he/she becomes ill

Question 5

what is mental state examination analogous to in internal medicine?

Answer 5

analogous to performing a physical examination in internal medicine.

Question 6

Assessment of Speech

Answer 6

Question 6

Assessment of appearence & Behaviour

Answer 6

Question 7

Mental State Examination

Answer 7

Question 8

what is Mood?

Answer 8

The emotion that the patient tells you he feels or is conveyed nonverbally.

Question 9

What is Affect?

Answer 9

an assessment of how the patient’s mood appears to the examiner according to the following dimensions

Question 10

Assessment of Affect

Answer 10

Question 11

Examples of Assessment of Mood & Affect

Answer 11

Question 12

Characters of Thought Process

Answer 12

• This is the patient’s form of thinking, how he or she uses language and puts ideas together.
• It describes whether the patient’s thoughts are logical, meaningful, and goal-directed.
• It does not comment on what the patient thinks, only how the patient expresses his or her thoughts.

Question 13

Examples of disorders of thought process

Answer 13

Question 14

what disorders of thought are common in schizophrenia?

Answer 14

Word salad and Neologism

Question 14

Examples of disorders of Thought content

Answer 14

Question 15

what disorders of thought are common in Mania?

Answer 15

Clang association, Flight of ideas loosening of associations

Question 16

what are examples of delusions?

Answer 16

Question 17

Assessment of Sensorium & Cognition

Answer 17

Question 17

Def & Types of Hallucinations

Answer 17

• Sensory experiences not based in reality
• Canbe: visual, auditory, tactile, gustatory, olfactory, Vestibular

Question 18

Def & Examples of Illusions

Answer 18

• Inaccurate perception of existing sensory stimuli

Example of illusion: Wall appears as if it’s moving

Question 19

Clinical Examples of Assessment of Sensorium & Cognition

Answer 19

Question 20

what is **Insight**?

Answer 20

- This is the patient's level of awareness and understanding of his or her problem.

Question 21

Types of problems in Insight

Answer 21

complete denial of illness or blaming it on something else.

Question 22

Def of **Judgment**

Answer 22

- This is the patient's ability to understand the outcome of his or her actions and use this awareness in decision making.

Question 23

How to assess **Judgment**?

Answer 23

You can ask, "What would you do if you smelled smoke in a crowded theater?"

Question 24

Diagnostic Aids in Psychiatry

Answer 24

- Mini Mental Status Examination **(MMSE)** - Intelligence Tests - Personality Assessment Tests

Question 25

what is Mini Mental Status Examination **(MMSE)**?

Answer 25

It is a simple, brief test used to assess cognitive functioning.

Question 26

Areas included in Mini Mental Status Examination **(MMSE)**

Answer 26

Question 27

Charaters of **Intelligence Tests**

Answer 27

- When we want to assess patients mental health and intelligence. - They are carried out by the psychologist.

Question 27

Result of Mini Mental Status Examination **(MMSE)**

Answer 27

- The MMSE totals to 30 points, and a score of less than 24 implies cognitive impairment, which may suggest dement or delirium.

Question 28

Types of **Intelligence Tests**

Answer 28

1. Wechsler Adult Intelligence 2. Scale Stanford-Binet Test (children)

Question 29

How to Deal with a delusional Patient?

Answer 29

Question 29

How to Deal With a Violent Patient?

Answer 29

Question 30

Personality Assessment tests

Answer 30

Question 31

How to Deal with a depressed Patient?

Answer 31