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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Components of the mental state exam |
- appearance - behaviour - speech - mood - affect - suicidal ideation - abnormal perceptions - thought form/content - insight - judgement - cognitive state |
11 |
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Appearance |
- self-care: hygiene, clothing - skin - posture/gait |
3 |
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Behaviour |
- manner: cooperation, guarded, hostile - rapport - eye contact - facial expressions - level of activity: relaxed, hyperactive, agitated, stupor, psychomotor retardation - movements - unusual mannerisms |
7 |
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Movements |
- echopraxia - tremors - tics - Schnauz-krampf - stereotypies - athetosis - chorea - hemiballismus - preservation - wavy flexibility: catalepsy - posturing - psychological pillow - Mitmachen - Mitgehen - negativism - forced grasping |
16 |
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Speech |
- volume: normal, high, paucity/poverty of speech, pressured speech - rate: normal, rapid, slow, uninterruptable - tone: monotonous, accented, dialect, prosody - fluency: terse replies, over-elaboration, stammering - quality: neologisms, metonyms, echolalia, word salad, coprolalia, clanging, perseveration, aphonia - replies: illogical, inappropriate - dysarthria - aphasia |
8 |
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Mood & affect |
- affect (specific point in time): sad, angry, reactive, blunted, labile, anxious, agitated - mood (general feeling): depressed, elated, euthymic, labile, irritable, alexithymia - congruence/incongruence |
3 |
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Risk |
- to self - to others - absconsion - does the patient understand the consequences of their actions |
4 |
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Suicidal ideation |
Do you ever feel like life is not worth living/you'd be happy not to wake up - have you thought of a way to end your life |
1 |
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Abnormal perception |
- hallucinations: auditory, visual, tactile/somatic, gustatory/olfactory, kinaesthetic, hypnagogic, extracampine, functional, reflex, elementary, 1st/2nd (you)/3rd (he) person, running commentary, command hallucinations - illusions: misperceptions of an actual sensory stimulus - depersonalisation: detached - derealisation: fake world |
4 |
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Thought form |
Tempo, continuity & clarity of thoughts - loosening of association: derailment - tangentiality: psychosis - circumstantiality - flight of ideas - blocking: psychosis |
5 |
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Thought content |
- delusions: persecutory, poverty, guilt, nihilistic, infidelity, love, doubles, reference, grandiose, religious, delusional perception secondary (e.g. from depression) - overvalued idea - pre-occupation - obsessions: persistent intrusive thoughts/ideas/impulses (dirt, aggression, orderliness, illness, sex, religion) - compulsions - passivity phenomena: made thoughts (thought insertion, withdrawal, broadcasting), made acts, made movements, made emotions |
6 |
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Insight |
- do they realise that they are ill - is it physical or mental - do they need help - view on medication/admission |
4 |
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Cognitive state |
- level of consciousness - orientation: person, place, time - concentration: months backwards, subtract serial 7s - memory: short- & long-term - MMSE/MOCHA - clock drawing tests |
6 |
