MSE

Question 1

Main components of an MSE

Answer 1

1. Appearance
2. Rapport
3. Behaviour
4. Speech
5. Mood
6. Affect
7. Thought
8. Perception
9. Cognition
10. Insight
11. Judgement

Question 2

Appearance

Answer 2

• description of clothing
• hygiene
• looks their age?
• dishevelled
• makeup
• tattoos
• jewellery
• signs of drug use

Question 3

Behaviour/Rapport

Answer 3

• eye contact
• psychomotor disturbance (agitation, retardation)
• rapport
• gait
• abnormal movements
• posture

Question 4

Speech

Answer 4

• rate
• tone
• volume

Question 5

Mood

Answer 5

• quote
• 1-10

Question 6

Affect

Answer 6

• rhythm
• range
• reactivity
• mood-congruent

Question 7

Terms for affect

Answer 7

1. mood
   - euthymic - normal
   - euphoric - excited
   - dysphoric - depressed
2. quality
   - emotive words (frustrated, anxious)
3. range
4. reactivity
5. mobility
6. congruence

Question 8

Thought

Answer 8

1. form
2. stream
3. content

Question 9

Thought form

Answer 9

• tangentiality
• circumstantiality
• over inclusiveness
• loosening of associations

Question 10

Thought content

Answer 10

• theme
• relevant +ve (suicidality, psychotic)
• relevant -ve

Question 11

Perception

Answer 11

• patient report
• what you saw

Question 12

Cognition

Answer 12

• gross conscious state
• gross orientation
• awareness of context
• attentiveness

Question 13

Insight

Answer 13

• overall rating
• patient beliefs about illness

Question 14

Judgement

Answer 14

• current plans
• past actions

Question 15

Pressure of speech

Answer 15

ability to be interrupted

Question 16

Labile affect

Answer 16

expansive range and increased mobility

Question 17

Blunted affect

Answer 17

diminished intensity and range
aka schizophrenia

Question 18

flat affect

Answer 18

lack of range + reactivity + overall sadness
aka depression

Question 19

Perplexed affect

Answer 19

unsure/confused
aka delirium, dementia, psychosis

Question 20

Thought blocking

Answer 20

patient seems interrupted mid sentence by internal stimuli
aka schizophrenic auditory hallucinations

Question 21

Capras delusion

Answer 21

delusion that significant person has been replaced with imposter/alien/spy
may also have desire to kill

Question 22

Circumstantiality

Answer 22

talks around a point but eventually gets to it

Question 23

Tangentiality

Answer 23

thoughts are logically connected by veer away from conversation point

Question 24

Clang associations

Answer 24

loosening of associations that are connected by sound (not meaning)

Question 25

Derailment (loosening of associations)

Answer 25

thoughts are not logically connected

Question 26

Word salad

Answer 26

Fluent but nonsensical

Question 27

Neologisms

Answer 27

Made up words

Question 28

Obsessions

Answer 28

Persistent unwanted thoughts that are egodytonic

Question 29

egodystonic

Answer 29

patient knows its nonsensical

Question 30

Nihilistic delusions

Answer 30

belief that patient is dead/empty/lost organs aka psychotic depression

Question 31

Grandiose delusions

Answer 31

belief one is special/has abilities aka mania, psychosis

Question 32

Paranoid delusions (persecutory delusions)

Answer 32

belief that patient is under threat/being watched/manipulated

Question 33

Overvalued idea

Answer 33

idea that is held firmly but not to a delusional intensity

Question 34

Ideas/delusions of reference

Answer 34

special meaning/messages from meaningless stimuli

Question 35

Passivity phenomenon (delusion of control)

Answer 35

belief someone else is controlling emotions/actions thought insertion thought withdrawal

Question 36

Command hallucinations

Answer 36

asking patient to do something DANGEROUS

Question 37

Derogatory hallucinations

Answer 37

negative/threatening things