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Mental State Exam

Matthew Coulson 12 questions 1,310 views

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Questions in this quiz (12)

  1. 1In terms of a clinical consultation:
    [blank_start]History[blank_end] = A patient's account of events
    [blank_start]Mental State Exam[blank_end] = An objective assessment based on observation
    1. AMental State Exam
    2. BHistory
  2. 2Although most of it is done as part of the history, the Mental State Exam does have a recommended structure.
    What is the normal order in which a Mental State Exam is conducted?

    [blank_start]Appearance & Behaviour[blank_end]
    [blank_start]Speech[blank_end]
    [blank_start]Mood & Affect[blank_end]
    [blank_start]Thoughts (control & content)[blank_end]
    [blank_start]Perception[blank_end]
    [blank_start]Cognition[blank_end]
    [blank_start]Insight[blank_end]
    1. AAppearance & Behaviour
    2. BSpeech
    3. CMood & Affect
    4. DThoughts (control & content)
    5. EPerception
    6. FCognition
    7. GInsight
  3. 3Of the following options, which 4 could be assessed as part of the 'Behaviour' section of the MSE?
    1. AEye Contact
    2. BRapport with doctor
    3. CAgitation
    4. DDisinhibition
    5. ERate of speech
    6. FWhether mood is low or high
    7. GWhether they are able to list months of the year backwards
  4. 4What is the definition of disinhibition?
    1. AA lack of restraint manifested in disregard for social conventions
    2. BA lack of mood fluctuation in response to questioning/stimulus - can be consistently low mood or vice versa
    3. CInability to refrain from moving, e.g. patient may refuse to sit down and constantly walk/twitch/etc
  5. 5Difference between mood & affect:
    [blank_start]Mood[blank_end] = How the patient feels in themselves today - doctors usually quote what they say
    [blank_start]Affect[blank_end] = Doctor's observation of how patient appears throughout a conversation
    1. AMood
    2. BAffect
  6. 6Which of the following describes a stable mood, whereby a patient has a normal, tranquil mental state.
    1. AEuthymic
    2. BEurhythmic
    3. CEuthalamic
  7. 7From the graph, which colour shows a reactive affect and which shows an unreactive affect?
    Reactive affect = [blank_start]Black[blank_end]
    Unreactive affect = [blank_start]Red[blank_end]    Image for question 7
    1. ABlack
    2. BYellow
    3. CBlue
    4. DRed
  8. 8Name the different types of affect given below:
    [blank_start]Blunted[blank_end] affect = A moderate reduction in an individual's emotional response to a stimulus
    [blank_start]Flattened[blank_end] affect = A severe reduction in an individual's emotional response to a stimulus
    [blank_start]Labile[blank_end] affect = Extreme fluctuations in an individual's emotional response to a stimulus - highs are very high, lows are very low
    1. ABlunted
    2. BFlattened
    3. CLabile
  9. 9Patients with schizophrenia tend to have which type of affect?
    1. ABlunted/Flattened Affect
    2. BLabile Affect
    3. CElation Affect
  10. 10What are the three aspects of cognitive function and how are they assessed?
    [blank_start]Orientation to Time, Place and Person[blank_end] = “What is today’s date?”, “What is the current month?”, “Where are we right now?” among other questions
    [blank_start]Concentration[blank_end] = “Can you go through the months of the year backwards for me?”
    [blank_start]Memory[blank_end] = “In which year was the last Olympic games held?”, “What were the dates of the second world war?”
    1. AOrientation to Time, Place and Person
    2. BCoherence
    3. CAwareness
    4. DConcentration
    5. EMemory

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Description
Dr Dow's lecture regarding the mental state examination on 01/10/2018
Language
English
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