Term
| What is the mnemonic for use for determining presence of mental depression? What does this mnemonic mean? |
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Definition
SIGECAPS
S - Sleep
I - Interest
G - Guilt
E - Energy
C - Concentration
A - Appetite
P - Psychomotor
S - Suicidal Thoughts |
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Term
| What type of information should be noted in the appearance and behavior section of the Pt report? |
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Definition
| body type, physical stigmata, posture, bearing, clothes, grooming, alertness, level of comfort, and ambulation status, unusual/inappropriate/repetitive behaviors |
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Term
| What four parameters of motor activity are covered by the mental status exam? |
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Definition
1) amount
2) speed
3) Posture
4) Gait |
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Term
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Definition
| increased activity involving goal-oriented behaviors |
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Term
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Definition
| increased activity that is apparently purposeless |
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Term
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Definition
| rhythmic oscillation of a body part |
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Term
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Definition
| sustained abnormal posture or muscle spasm |
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Term
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Definition
| irrecular, rapid, uncontrollable, involuntary movements |
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Term
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Definition
| involuntary, sudden, rapid, recurrent, non-rhythmic, stereotyped movement or vocalization |
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Term
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Definition
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Term
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Definition
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Term
| Define: psychomotor retardation |
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Definition
| visible generalized slowing of movements and speech |
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Term
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Definition
| an unusual way of performing a function motor act |
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Term
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Definition
| frequent, repetitive seemingly drive, nonfunctional motor behavior |
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Term
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Definition
| the patient's self-describe emotional state |
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Term
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Definition
| the emotion response observed by the examiner |
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Term
| What are the components of affect? |
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Definition
| range, intensity, stability, appropriateness, relatedness |
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Term
| How is congruent used to describe affect? |
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Definition
| affect anad mood are in agreement |
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Term
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Definition
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Term
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Definition
| unhappy-appearing, or unpleasant |
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Term
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Definition
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Term
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Definition
| highly variable and quickly changeable |
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Term
| Define: restricted affect |
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Definition
| a mild reduction in range and intensity of affect |
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Term
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Definition
| reduced intensity of affective expression |
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Term
| What are the five parameters of speech? |
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Definition
1) amount
2) speed
3) volume
4) clarity
5) fluency |
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Term
| What are the three parameters of language? |
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Definition
1) complexity
2) comprehension
3) coherence |
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Term
| Define: paucity wrt speech |
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Definition
| a reduced amount of speech |
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Term
| Define: latency (wrt. speech and language) |
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Definition
| the time taken to respond |
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Term
| Define: pressured speech (wrt. speech and language) |
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Definition
| speech that is increased in amount, speed, and volume, and is difficult to interrupt |
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Term
| Define: dysarthria (wrt. speech and language) |
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Definition
| unclear speech due to poor articulation |
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Term
| Define: verbigeration (wrt. speech and language) |
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Definition
| manner of speaking that conveys little information because of vagueness, empty repetitions, or obscure phrases. |
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Term
| define: aprosodia (wrt. speech and language) |
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Definition
| absence of rhythm, melody, or emotional inflection of language |
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Term
| Define: anomia (wrt. speech and language) |
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Definition
| inability to name; problems with word finding |
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Term
| Define: paraphasic error (wrt. speech and language) |
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Definition
| word substitution (e.g., saying "donor" instead of "doctor") |
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Term
| Define: neologism (wrt. speech and language) |
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Definition
| a made0up word that has meaning only for the patient. |
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Term
| Define: incoherence (wrt. speech and language) |
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Definition
| words without any logical connection (may represent disordered thought process) |
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Term
| Define: aphasia (wrt. speech and language) |
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Definition
language deficit.
- may be receptive: unable to understand
- may be expressive: inability to express thought via speech of language |
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Term
| What are the parameters of thought process? |
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Definition
1) quantity
2) tempo
3) form (coherence) |
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Term
| What are the components of thought content section of the mental status examination? |
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Definition
| SUICIDAL THOUGHTS, HOMICIDAL THOUGHTS, delusions, obsessions, phobias, health preoccupations (hypochondriacal thoughts) |
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Term
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Definition
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Term
| Define: overvalued idea/rumination |
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Definition
| similar to a delusion, but maintained with less intensity |
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Term
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Definition
| recurrent, intrusive, distressing thought |
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Term
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Definition
| irrational fear of a specific object or situation that causes one to avoid it |
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Term
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Definition
| an excessive, persistent concern about having a disease or serious health problem |
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Term
| In which modalities can perceptual abnormalities occur? |
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Definition
| auditory, visual, gustatory, olfactory, tactile |
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Term
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Definition
| sensory perception occurring the absence of an external stimulus |
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Term
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Definition
| misperception or misinterpretation of a real external stimulus |
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Term
| Define: neglect (wrt perception) |
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Definition
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Term
| Define: depersonalization (wrt perception) |
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Definition
| feeling that the self is not real; a distortion |
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Term
| Define: derealization (wrt. perception) |
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Definition
| feeling that the world is not real; a distortion |
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Term
| What is "insight" wrt MSE? |
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Definition
| the patient's awareness that his or her symptoms are normal or abnormal |
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Term
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Definition
| defense mechanism that reduces anxiety by blocking conscious awareness of troublesome thoughts, feelings, or facts |
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Term
| define: minimization wrt MSE |
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Definition
| a cognitive strategy to make a problem seem less significant |
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Term
| Define: indifference wrt MSE |
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Definition
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Term
| Define: anosognosia wrt MSE |
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Definition
| lack of recognition of illness due to brain disease |
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Term
| What is "judgment" wrt MSE? |
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Definition
| the cognitive process of evaluating and comparing alternatives (the ability to make decisions) |
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Term
| What is the meaning of "cognition" wrt MSE |
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Definition
| this term refers to the general ability of the patient to think and reason. |
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Term
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Definition
| responsive with stimulation |
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Term
| Define: concrete wrt cognition |
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Definition
| lacking abstract reasoning |
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Term
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Definition
| inaibility to form new memories |
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Term
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Definition
| inaibility to perform motor acts in the absence of motor deficits |
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Term
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Definition
| inability to perform arthmetic calculations |
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Term
| What five areas does the Folstein Mini Mental Status Examination test? What is the maximum score possible? |
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Definition
1) Orientation
2) registration
3) attention and calculation
4) recall
5) language
maximum score possible: 30 points |
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Term
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Definition
| a mental disturbance of usually short duration, usually reflecting a toxic state, marked by illusions, hallucinations, delusions, excitement, restlessness, and incoherence |
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Term
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Definition
| an organic mental syndrome characterized by a general loss of intellectual abilitys, involving impairment in memory, judgement, and abstract thinking as well as changes in personality, but not including that due to clouding of consciousness, depression, or other functional mental disorders |
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Term
Describe delirium wrt the following clinical features:
onset, course, duration, sleep/wake cycle, general medical illness or drug toxicity |
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Definition
1) acute
2) fluctuating, with lucid intervals; worse at night
3) hours to weeks
4) always disrupted
5) either or both present |
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Term
Describe Dementia wrt the following clinical features:
onset, course, duration, sleep/wake cycle, general medical illness or drug toxicity |
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Definition
1) insidious
2) slowly progressive
3) months to years
4) sleep fragmented
5) often absent |
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