MSE

Question 1

Circumstantiality

Answer 1

Trivial or irrelevant details

Question 2

Clang association

Answer 2

Sound of words, rhyming or assonance

Question 3

Derailment

Answer 3

No logical connection or goal-directness

Question 4

Flight of Ideas

Answer 4

Rapid speech

Question 5

Neologisms

Answer 5

Invention of new words/phrases

Question 6

Perseveration

Answer 6

Repetition of words/ideas out of context

Question 7

Tangentiality

Answer 7

Answer is appropriate to topic but doesn’t answer question

Question 8

Thought blocking

Answer 8

Sudden break in ideas/disruption of thoughts

Question 9

Akathisia

Answer 9

Pacing/fidgeting due to antipsychotics

Question 10

Involuntary movement/Picking at clothing

Answer 10

Delirium

Question 11

Fixed stare

Answer 11

Senile/Psychosis

Question 12

6 Parts of MSE

Answer 12

1. General appearance (LOC, Dress)
2. Motor activity (Akathisia, shifting, posturing)
3. Mood & Affect (Labile, Blunt, appropriate)
4. Speech (prosody vs dull, pressure)
5. Thinking/Perception (psychotic sx here)
   Thought form & Thought content
6. Cognitive function (Memory, abstract thinking)

Question 13

Retrograde vs Anterograde

Answer 13

Memory loss
R: events prior to disease
A: can’t form new memories

Question 14

Delusions/Hallucinations

Answer 14

Delusions: fixed, false belief (not due to culture)
Hallucinations: false sensory perception (w/o ext stimuli)
Formication: itching/bugs under skin (from temporal lobe dysfxn or psychoses, schizo, delerium)

Question 15

DIGFAST (mania)

Answer 15

Distractibility
Insomnia
Grandiosity
Flight of idea
Agitation
Activities
Sexual exploits
Talkative

Question 16

SIGECAPS (Depression)

Answer 16

Sleep
Interest
Guilt
Energy
Concentration
Appetite/Wt
Psychomotor
Suicide

Question 17

WARTS (GAD)

Answer 17

Wound up/worn out
Absent minded
Restless
Touchy
Sleepless

Question 18

WATCHERS (GAD)

Answer 18

Worry
Anxiety
Tense
Concentration
Hyperarousal
Energy loss
Restless
Sleepless

Question 19

Vegetative symptoms

Answer 19

Bodily functions for health & energy

Sleep, appetite, energy, daily mood, sexual interest.