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Flashcards in Mental State Exam Deck (14):
1

What are the components of the MSE?

Appearance/Behaviour
Speech
Mood and Affect + suicidality
Thoughts (form and content)
Perception
Cognition
Insight

2

What should be noted regarding personal appearance of the patient?

Age
Physique/Build
Dress - evidence of self neglect
Effort
Tattoos
Signs of physical ill health
Posture
Facial Expression
Features of alcoholism or drug abuse




3

What should be noted regarding a patients' behaviour?

Psychomotor agitation/retardation
Eye contact
Attitude/Rapport

4

Describe mood and affect?

Mood is like the weather - can change frequently
Affect is like climate, generally the same

5

Is suicide risk important to know?

Fucking obviously

6

What is Psychosis?

A mental health problem that causes people to perceive or interpret things differently from those around them. Possibly involves hallucinations or delusions

7

What is 'Knights Move Thinking'?

The patient jumping from topic to topic with no connection between them

8

What is Tangential Thinking?

Wandering from the topic and never returning to it or providing the information required

9

What is Circumstantiality?

An inability to answer a question without giving excessive, unnecessary detail

10

What are Neologisms

Giving something a different name e.g.
Calling a hat a "headshoe"

11

What are Preoccupations?

Not fixed, false or intrusive but have an undue prominence in the persons mind

12

What is an Overvalued Idea?

An unreasonable, sustained belief that is held with less than delusional intensity e.g. hypochondriasis

13

What are obsessions?

An undesired, unpleasant intrusive thought that can't be suppressed

14

What are wee clues in an interview that you can pick up?

Unable to call purpose of interview
Vague about time
Vague about how they came to interview
Discussing past events, deceased friends/family as if current