MSE Practice

Question 1

MSE Scenarios

Appearance in Depression

Answer 1

May begin to neglect personal hygiene and grooming, dresses in drab colours

Question 2

MSE Scenarios

Behaviour in Depression

Answer 2

Agitation, restlessness, marked fatigue, stooped posture and wringing, socially withdrawn and in severe depression psychomotor retardation.

Question 3

MSE Scenarios

Speech in Depression

Answer 3

Decreased rate and rhythm, mutism, increased latency, soft, monotonous.

Question 4

MSE Scenarios

Affect in Depression

Answer 4

Flat, constricted

Question 5

MSE Scenarios

Mood in Depression

Answer 5

Document their mood using the patient’s self report: down, depressed, sad, blue, unhappy

Question 6

MSE Scenarios

Thought in Depression

Answer 6

Poverty of ideas, poor concentration. Content: Thoughts of worthlessness, hopelessness, suicidal ideation, inappropriate guilt. Occasionally mood congruent delusions.

Question 7

MSE Scenarios

Perception in Psychotic depression

Answer 7

Occasionally mood congruent hallucinations

Question 8

MSE Scenarios

Cognition in Depression

Answer 8

Memory gaps due to concentration

Question 9

MSE Scenarios

Insight in Depression

Answer 9

May range from impaired to good

Question 10

MSE Scenarios

Judgement in Depression

Answer 10

Impaired by negative thoughts

Question 11

MSE Scenarios

Appearance in Anxiety

Answer 11

Ranges from fastidious to disheveled

Question 12

MSE Scenarios

Behaviour in Axiety

Answer 12

Psychomotor agitation, tremor, fidgety, hyper-vigilant, frozen with fear, avoidant, limited cooperation

Question 13

MSE Scenarios

Speech in Axiety

Answer 13

Pressured but interruptible or poverty of speech

Question 14

MSE Scenarios

Affect in Axiety

Answer 14

Anxious, scared, labile, irritable, angry

Question 15

MSE Scenarios

Mood in Axiety

Answer 15

Document their mood using the patient’s self report: angry, anxious

Question 16

MSE Scenarios

Thought in Axiety

Answer 16

Perseverative, ruminative, circumstantial. Content: obsessions, concerns regarding danger.

Question 17

MSE Scenarios

Cognition in Axiety

Answer 17

Intact apart from concentration and attention

Question 18

MSE Scenarios

Insight in Axiety

Answer 18

Impaired as anxiety is fear out of propotion

Question 19

MSE Scenarios

Judgement in Axiety

Answer 19

Impaired

Question 20

MSE Scenarios

Appearance in Mania

Answer 20

Clothing brightly coloured, flamboyant, attention getting and possibly sexually suggestive

Question 21

MSE Scenarios

Behaviour in Mania

Answer 21

Hyperactive, boisterous

Question 22

MSE Scenarios

Speech in Mania

Answer 22

Pressure of speech, loud, rapid, difficult to interpret. May be tangential or circumstantial

Question 23

MSE Scenarios

Affect in Mania

Answer 23

Euphoric, maybe irritable, labile

Question 24

MSE Scenarios

Mood in Mania

Answer 24

Document their mood using the patient’s self report: happy, excited

Question 25

# MSE Scenarios Thought in Mania

Answer 25

Accelerated “flight of ideas”, multiple plans but cannot carry them through to completion. Attention: distractible. Delusions related to wealth, power, abilities

Question 26

# MSE Scenarios Perception in Mania

Answer 26

Mood congruent hallucinations

Question 27

# MSE Scenarios Cognition in Mania

Answer 27

Heightened

Question 28

# MSE Scenarios Insight in Mania

Answer 28

See no need for help “never felt better”

Question 29

# MSE Scenarios Judgement in Mania

Answer 29

Impulsive

Question 30

# MSE Scenarios Appearance in Psychosis

Answer 30

Self neglect, unusual combinations, symbolic, eccentric

Question 31

# MSE Scenarios Behaviour in Psychosis

Answer 31

Posturing, catatonia (neurogenic motor immobility), withdrawn, movement disorder secondary to medication

Question 32

# MSE Scenarios Speech in Psychosis

Answer 32

Disorganised, poverty of content, perseveration in catatonia

Question 33

# MSE Scenarios Affect in Psychosis

Answer 33

Blunted, flat, incongruent

Question 34

# MSE Scenarios Mood in Psychosis

Answer 34

Document their mood using the patient’s self report: blunted, flat, incongruent

Question 35

# MSE Scenarios Thought in Psychosis

Answer 35

Loosening of associations, blocking, delusions, thought broadcasting, ideas of reference, magical thinking, concrete thinking

Question 36

# MSE Scenarios Perception in Psychosis

Answer 36

Hallucinations (auditory are common), command, 3rd person

Question 37

# MSE Scenarios Cognition in Psychosis

Answer 37

Memory gaps, false memories (based on delusional beliefs)

Question 38

# MSE Scenarios Insight in Psychosis

Answer 38

Impaired

Question 39

# MSE Scenarios Judgement in Psychosis

Answer 39

Impulsive