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MSE Phenomena

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