MSE

Question 1

Content in MSE

Answer 1

1. General Appearance & Behaviour
   - Appearance
   - Attitude towards examiner
   - Gait & Posture
   - Motor Activity
   - Social Manner
   - Rapport
2. Speech
   - Rate & Quantity
   - Volume & Tone
   - Flow & Rhythm
3. Mood & Affect
4. Thought
   - Stream & Form
   - Content
5. Perception
6. Cognition
   - Consciousness
   - Orientation
   - Attention
   - Concentration
   - Memory
   - Intelligence
   - Abstract Thinking
7. Insight
8. Judgement

Question 2

Neurotic

Answer 2

Judgement, Insight, Personality, Reality Contact intact

Question 3

Psychotic

Answer 3

Judgement, Insight, Personality, Reality Contact absent/impaired

Question 4

Asthenic built (thin, tall)

Answer 4

Schizophrenia

Question 5

Pyknic built (obese)

Answer 5

Bipolar/Mood disorders

Question 6

Rapport difficult

Answer 6

In guarded patient -> paranoia/suspicion

Question 7

ETEC -> downcast

Answer 7

Depression

Question 8

ETEC -> avoidance

Answer 8

Social anxiety

Question 9

ETEC -> Poor

Answer 9

Autism spectrum disorder

Question 10

Increase in psychomotor activity

Answer 10

Mania, delirium, anxiety

Question 11

Decrease in psychomotor activity

Answer 11

Depression, Catatonia

Question 12

Disinhibited, fast speech

Answer 12

Mania

Question 13

Monotonous, low volume

Answer 13

Depression

Question 14

Mood range -> flattening/blunting

Answer 14

Schizophrenia

Question 15

Mood range restricted

Answer 15

Depression

Question 16

Affect inappropriate (thought & mood incongruent)

Answer 16

Schizophrenia/psychosis

Question 17

Thought form disorder/formal thought disorder/disorganized thinking/loss of association

Answer 17

Dysynchrony btwn prefrontal/frontal cortex
- word salad/verbigeration
- neologism -> coining of words
- derailment/tangentiality -> slow deviation from topic
- circumstantiality -> addition of unnecessary details

*C/F all seen in schizophrenia

Question 18

Thought stream disorder

Answer 18

Disorder of flow/continuity of thought

• retardation of stream depression
• thought block schizophrenia, extreme anxiety
• pressurized speech, rhyming, flight of ideas mania
• ordered flight of ideas hypomania

Question 19

Thought content disorder

Answer 19

Delusion -> false, fixed belief

Question 20

Otthelo syndrome

Answer 20

Delusion of infidelity: Belief that a spouse is unfaithful despite no evidence to confirm it

Seen in chronic alcoholics

Question 21

Magnan syndrome

Answer 21

Delusion of persecution + tactile hallucination: False belief that others intend to harm them + false feeling of touch/movement on body (bugs)

Seen in psychosis

Question 22

Chlerambault syndrome

Answer 22

Delusion of love: False belief that someone is in love with them (often someone of higher social status)

Question 23

Cotard syndrome

Answer 23

Nihilistic Delusion: False belief of being dead, decomposed or annihilated (having lost ones own internal organs)

Question 24

Ekbom syndrome

Answer 24

False belief of parasite in body
Matchbox sign -> brings a box to doctor which is empty

Question 25

Capgras syndrome (delusion of misidentification -ve)

Answer 25

Known person believed to be a stranger

Question 26

Fregoli syndrome (Delusion of misidentification +ve)

Answer 26

Stranger believed to be a persecutor

Question 27

Thought possession disorder

Answer 27

Loss of ego boundary - seen in **schizophrenia**

Question 28

Thought insertion

Answer 28

Belief that their thoughts are being inserted by others

Question 29

Thought withdrawal

Answer 29

Belief that their thoughts are being taken away by others

Question 30

Thought broadcast

Answer 30

Belief that their thoughts are being broadcasted to everyone

Question 31

Auditory hallucination seen in

Answer 31

Schizophrenia

Question 32

Visual hallucination seen in

Answer 32

Lewy body dementia

Question 33

Tactile hallucination

Answer 33

Cocaine intoxication

Question 34

Olfactory hallucination

Answer 34

Temporal lobe epilepsy

Question 35

True hallucination

Answer 35

Originates from outer objective space

Question 36

Pseudo-hallucination

Answer 36

Originates from inner objective space

Question 37

Functional hallucination

Answer 37

Stimulus & hallucination of same modality E.g another voice heard when someone speaks

Question 38

Reflex hallucination

Answer 38

Stimulus & hallucination of different modality E.g voice heard on turning light on

Question 39

Extracampine hallucination

Answer 39

Beyond sensory field