MENTAL STATUS EXAMINATION

Question 1

Cerebral trauma, seizures, and/or amnesia may be seen in what kind of disorientation?

Answer 1

Person disorientation

Question 2

Psychiatric disorders, delirium, and cognitive impairment may be seen in what kind of disorientation?

Answer 2

Place disorientation

Question 3

Anxiety, delirium, depression, and cognitive impairment may be seen in what kind of disorientation?

Answer 3

Time disorientation

Question 4

What is the standardized, brief screening tool (takes about 10 mins) to assess cognitive function and to detect changes over time; consists of 11 items measuring, orientation, registration, attention and calculation, recall and language?

Answer 4

Mini-Mental Status Exam (MMSE or Folstein Test)

Question 5

These are all signs of what?

1. Significant memory loss
2. Confusion
3. Impaired communication
4. Inappropriate affect
5. Personal care difficulties
6. Hazardous behavior
7. Agitation
8. Suspiciousness

Answer 5

Possible cognitive impairment

Question 6

What is it called when you ask the patient to tell you the meaning of a fable, proverb, or metaphor?

Answer 6

Abstract reasoning

Question 7

Asking the patient to do simple arithmetic without paper and pencil within 1 minute would be what?

Answer 7

Arithmetic Calculation

Question 8

Asking the patient to write their name and address, or a dictated phase assesses what?

Answer 8

Writing ability

Question 9

You can note a patients execution of motor skills by doing what?

Answer 9

Ask the patient to tie their shoe lace or comb their hair

Question 10

What kind of memory is tested by asking the patient to listen and then repeat a sentence or a series of numbers?

Answer 10

Immediate recall

Question 11

True or False

Recent memory is tested by giving the patient a short time to view four or five objects, saying you will ask about them in a few minutes; then ten minutes later, ask the patient to list the objects

Answer 11

True

Question 12

What kind of memory is tested by asking the patient about verifiable past events?

Answer 12

Remote memory

Question 13

Memory loss can result from what?

Answer 13

1. Disease
2. Infection
3. Temporal lobe trauma

Question 14

True or False

Impaired memory occurs with neurologic or psychiatric disorders

Answer 14

True

Question 15

Impaired judgement may indicate things such as what?

Answer 15

1. Mental retardation
2. Emotional disturbance
3. Dementia
4. Psychosis

Question 16

Determining whether there is any difficulty or discomfort in phonation (volume, quality, or pitch) is assessing a patients what?

Answer 16

Voice quality

Question 17

Evaluating spontaneous speech for pronunciation and ease of expression (slurring, stuttering, hesitations) is assessing a patients what?

Answer 17

Articulation

Question 18

Assessing the patients intentions or perceptions as being clearly conveyed is assessing what?

Answer 18

Coherence

Question 19

What is pantomime or word substitution to avoid revealing that a word was forgotten?

Answer 19

Circumlocution

Question 20

What is the repetition of a word, phrase, or gesture?

Answer 20

Preservation

Question 21

What are disordered words or sentences ?

Answer 21

Flight of ideas or use of loose associations

Question 22

What are words with meaning only to the patient?

Answer 22

Neologism

Question 23

What are word choices based on sound so that words rhyme in a nonsensical way?

Answer 23

Clang association

Question 24

What is known as echoing another persons words?

Answer 24

Echolalia

Question 25

What is a speech disorder that can be repetitive or expressive, including hesitations and other speech rhythm disturbances; it can either result from facial muscle or tongue weakness or from neurologic damage to brain regions controlling speech and language?

Answer 25

Aphasia

Question 26

What is speaking without prompting?

Answer 26

Spontaneous speech

Question 27

What is the rhythm of speech?

Answer 27

Prosody