MSE & Psychiatric Interview Flashcards Preview

Jason's MD3 Psychiatry Rot > MSE & Psychiatric Interview > Flashcards

Flashcards in MSE & Psychiatric Interview Deck (27):
1

Mental state exam features?

Appearance
Behaviors
Speech
Affect
Thought
Perception
Cognition
Insight

2

Explain behaviour in MSE?

Gait
General activity
Movements/tics
Facial expression
Eye contact
Limb movements
Tearful/laughing

3

Speech and language description in MSE?

Volume
Prosody: speech rhythm
Pressure
Dysarthria

Language
Dysphasia

4

How is mood and affect evaluated? The content?

Quality (sad, suspicious, elated)
Intensity (mild, moderate, severe)
Range, reactivity
Congruence
Communication

5

Term for perplexity?

Bewildered
Puzzled

Occurs with serious thinking abnormality (organic/psychotic)

6

What is a fatuous affect?

-Vacant, silly, superficial
-Incongruent with thought/situation
-Think psychotic

7

Dynamics of affect?

How it changes during interview.

Restricted affect: eg. Depression, no different states
Commonly reduced in organic/psychotic and affective disorders

8

What is the reactivity in the affect?

How fast each affect state is changing

Lability - Rapid shift from sad to euphoric (mania)
Irritability - (mania), rapid into anger
'Flatness': restrictions of tone of an affect (depression)

9

What is a blunted affect? When see it commonly?

-Loss of emotionality or empathy for the event
-No bodily language for feeling states

Cardinal feature in Schizophrenia

10

What is congruence of affect?
What condition affects congruence?

Talk about sad things: feels sad

Affective disorders

11

What is communication of affect?

Picking up the feeling state of the patient by feeling it in yourself

12

What is the communication of affect in schizophrenia?

'Pane of glass', you feel nothing

13

Thought description in MSE?

Stream
Form
Content
Possession

14

Thought description in MSE for stream?

Slow
Fast
Pressured' - manic
Increased latency

15

What is Form for Thought description in MSE?

connectivity of ideas
-logicality and understandability of connections between one thought and another.

16

What flight of ideas? See when?

Manic - rapid thinking

17

3 types of abnormalities of thought form with normal connections?

Flight of ideas
Retarted thinking
Circumstantiality

18

What is circumstantiality for thought form?

Talking around the point, takes a long time

19

Abnormalities of thought form with abnormal connections?

Tangentiality
Derailment: suddenly start talking about something else.
Blocking: stop halfway throughout idea
Word salad

20

Thought content What is overvalued ideas?

Preoccupies the patient
Strong emotional investment
Passionately held, amenable to some reason

21

Delusional thinking Thought content is?

-Fixed false belief
-Great personal significance
-Absolute conviction
-generally regarded as false by others
-out of keeping with education/cultural, social background

-emerge in pathological manner
-Can extend into other beliefs

22

What is a primary delusion?

Out of the blue (de-novo)
Irreducible

23

What are the 4 primary common delusion?

1. Sudden autochthonous delusion
2. Delusional atmosphere
3. Delusional perception
4. Delusional memory

24

What is a secondary delusion?

Delusion-like ideas
-Coming out of other events
-psychologically reducible
-can be possibly treated

25

Content delusions?

Bizarre vs. Non Bizarre

Persecution
Passion - jealousy (can be deadly)
Identity: grandeur
Non-existence
Somatic/hypochondriacal "illness"
Reference

26

What is first rank auditory hallucination?

Hearing one's thoughts out loud, running commentary, discussion in third person

27

Phenomenology?

Examine without presupposition but by pure description