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Y3R3 - Psychiatry 🧠 > L3: Psychiatric History & Mental State Examination > Flashcards

L3: Psychiatric History & Mental State Examination Flashcards

1
Q

How to approach a Psychiatric Patients?

A
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2
Q

Differences between Psychiatric interview & Medical Interview

A
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3
Q

History of Past Psychiatric & Medical History should include ……

A
  • Chronological account of past psychiatric problems/episodes (if present)
  • If the patient’s baseline of mental health was attained.
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3
Q

Items of History Taking in Psychiatry

A
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4
Q

History of Present Illness Should include ….

A
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4
Q

Developmental History

A
  • Physical and intellectual ability at early stages of life.
  • Life values, habits, goals before he/she becomes ill
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5
Q

what is mental state examination analogous to in internal medicine?

A

analogous to performing a physical examination in internal medicine.

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6
Q

Assessment of Speech

A
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6
Q

Assessment of appearence & Behaviour

A
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7
Q

Mental State Examination

A
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8
Q

what is Mood?

A

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

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9
Q

What is Affect?

A

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

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10
Q

Assessment of Affect

A
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11
Q

Examples of Assessment of Mood & Affect

A
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12
Q

Characters of Thought Process

A
  • 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.
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13
Q

Examples of disorders of thought process

A
14
Q

what disorders of thought are common in schizophrenia?

A

Word salad and Neologism

14
Q

Examples of disorders of Thought content

A
15
Q

what disorders of thought are common in Mania?

A

Clang association, Flight of ideas loosening of associations

16
Q

what are examples of delusions?

A
17
Q

Assessment of Sensorium & Cognition

A
17
Q

Def & Types of Hallucinations

A
  • Sensory experiences not based in reality
  • Canbe: visual, auditory, tactile, gustatory, olfactory, Vestibular
18
Q

Def & Examples of Illusions

A
  • Inaccurate perception of existing sensory stimuli

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

19
Q

Clinical Examples of Assessment of Sensorium & Cognition

A
20
Q

what is Insight?

A
  • This is the patient’s level of awareness and understanding of his or her problem.
21
Q

Types of problems in Insight

A

complete denial of illness or blaming it on something else.

22
Q

Def of Judgment

A
  • This is the patient’s ability to understand the outcome of his or her actions and use this awareness in decision making.
23
Q

How to assess Judgment?

A

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

24
Q

Diagnostic Aids in Psychiatry

A
  • Mini Mental Status Examination (MMSE)
  • Intelligence Tests
  • Personality Assessment Tests
25
Q

what is Mini Mental Status Examination (MMSE)?

A

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

26
Q

Areas included in Mini Mental Status Examination (MMSE)

A
27
Q

Charaters of Intelligence Tests

A
  • When we want to assess patients mental health and intelligence.
  • They are carried out by the psychologist.
27
Q

Result of Mini Mental Status Examination (MMSE)

A
  • The MMSE totals to 30 points, and a score of less than 24 implies cognitive impairment, which may suggest dement or delirium.
28
Q

Types of Intelligence Tests

A
  1. Wechsler Adult Intelligence
  2. Scale Stanford-Binet Test (children)
29
Q

How to Deal with a delusional Patient?

A
29
Q

How to Deal With a Violent Patient?

A
30
Q

Personality Assessment tests

A
31
Q

How to Deal with a depressed Patient?

A

Y3R3 - Psychiatry 🧠 (19 decks)

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