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MSE
MSE Phenomena
Question | Answer |
---|---|
Bizarre appearance and behaviour | Psychotic disorders (schizophrenia, mania), personality disorder |
Unkempt, poorly groomed | Schizophrenia, depression |
Apprehensive and anxious | Anxiety disorder |
Over-bright clothing | Mania |
Scarred wrists, tatoos | Personality Disorder |
Uncooperative behaviour | Psychotic disorder, personality disorder |
Psychomotor Changes | Depression |
Resting tremor in patient with treated psychosis | Haloperidol (parkinsonism0 |
Increased tempo of speech | Mania, acute schizophrenia |
Slowed tempo of speech | Depression |
Pressured thought stream | Unable to be interrupted |
Restricted affect | Parkinson's disease, schizophrenia |
Depressed affect with no reactivity | Depression |
Flight of ideas | Clanging associations seen in schizophrenia and mania |
Formal thought disorder | Can't understand what the patient is saying - schizophrenia |
Neologism | Idiosyncratic new word use |
Metonym | Words used wrongly |
Though held with conviction, can't be reasoned with, personally significant and not understandable from the person's background | Delusion - schizophrenia, mania, depression |
Though held with conviction, can't be reasoned with, personally significant and understandable from the person's background | Religious beliefs |
Thought that is not held with conviction, can be reasoned with, open to other ideas, significant and may be understandable | Overvalued idea |
A normal stimulus refers specifically and has significance to an individual | Referential delusions |
False perception with no object. In the external space and not correctable. | Visual hallucination |
True perception (there is an object) that is correctable. | Illusion |
Presence of an object but not correctable | Misidentification - very commonin old age |
Auditory hallucination with same gender and language as the patient | Patient's voice |
Variable gender, mutliple voices and speak different languages | Internal hallucinations |
Running commentary | Schizophrenia |
Child referring to the self in the third person and running commentary during play | Normal development |
Delusions and hallucinations | Schizophrenia |
Delusions without hallucinations | Delusional disorder |
Lack of insight | Psychosis and dementia |
Impaired judgement | Psychosis, dementia and personality disorders |
How the examiner perceives the patient's mood | Affect |
How the patient describes their mood | Mood |
Normal MMSE score | 26-30 |
Requirements for the diagnosis of dementia | Global cognitive impairment (two or more lobes are affected), evidence of a decline and evidence that there will be further decline |
Registration (immediate recall), short term and long term memory | Temporal lobe |
Orientation, attention and concentration | Temporal lobe |
Getting distracted by thinking about the holidays | Concentration (internal) |
Getting distracted by boys playing soccer on the astro | Attention (external) |
Dyspraxia, visuospatial, number functions, recognition | Parietal lobe |
Executive functions, abstraction and sequencing | Frontal lobe |
Orientation to time, place and registration of 3 objeccts | Temporal lobe |
Serial 7s or WORLD | Temporal (concentration) and parietal (math) |
Name two objects | Expressive dysphagia |
Repeat the following | Articulation |
Follow a 3 stage command | Frontal lobe (sequencing) and receptive dysphagia |
Follow a written instruction | Written, receptive dysphagia |
Copy intersecting pentagrams | Frontal lobe (sequencing) and parietal lobe (tasks) |
Mild cognitive impairment | 21-29 |
Severe cognitive impairment | <20 |
Performs poorly on frontal lobe tasks (drawing clockface, abstract thinking, verbal fluency) | Schizophrenia |
Performs poorly on tasks requiring attention, concentration or motivation | Depression |
Damaged first in Alzheimer's disease | Temporal lobe |