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FOB Exam 1: Mental Status Exam
mental status exam
42
Anatomy
Graduate
02/02/2011

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Term
aspects of the mental status exam:
Definition
- appearance and attitude
- motor activity
- thought and speech
- mood and affect
- perception
- orientation
- memory
- fund of knowledge
- calculations
- reading and writing
- visuospatial ability
- attention
- abstraction
- judgment and insight
Term
difference between mood and affect:
Definition
mood is overtime, self reported and observed
affect is what you observe at the present, only observed
Term
visual, auditory, and olfactory hallucinations indicate:
Definition
psychosis
Term
absense of olfactory senses may indicate:
Definition
dementia
Term
orientation needs to be to:
Definition
- time
- place
- person
- reason
Term
discalculia:
Definition
disorder of calcuations seen with brain disorderes

can test calculations and attention at same time by doing the serial 7s test
Term
difference between judgment and insight:
Definition
- judgment: knowing and applying social rules to life (kid on the pier)
- insight: knowing how my condition impairs me
Term
meticulous appearance may indicate:
Definition
OCD
Term
unkempt appearance may indicate:
Definition
- depression
- personality disorder
Term
unusual appearance may indicate:
Definition
dementia
Term
guarded attitude means:
Definition
limited responses to questions
Term
Tics:
Definition
repeated motor activities, generally facial
Term
Tremor:
Definition
usually seen in arms, hands, trunk, head, legs all major parts of body, most frequent are hand and head- indicative of Parkinson’s Disease
Term
abnormal motor movements:
Definition
hand flails out randomly
Term
Tardive dyskinesia:
Definition
- usually due to antipsychotic medication
- tongue thrusting
- ramicular movements- moving tongue around mouth
- patients with this often have gait disturbances as well
- tends to be permanent, so stopping meds does not stop this
Term
waxy flexibility:
Definition
maintains posture into which patient is placed
Term
delusions:
Definition
- abnormalities in thought content
- fixed false beliefs held overtime
Term
Cofabulation:
Definition
- you read them a story and tell them to repeat it back, but they just make stuff up b/c they can't remember what you said
- making stuff up
Term
euthymic mood is:
Definition
normal
Term
Labile affect:
Definition
rapid changes in affect but not in response to the environment
- tends to be high amplitude
- person starts talking and gets really upset and then starts talking about something else
Term
define mood congruent affect:
Definition
emotional presentation matches affect
sad situation person is sad
Term
Oriented X 3/4
Time
Date, Day, Month, Season, Year
Place
Where are we today? What floor of the building are we on?
Person
What is your full name? What is your birthday? What was your mother’s first name?
Situation
Why are you here today?
Definition
Term
___ patients get disoriented to time early in the disease.
Definition
Alzheimer's
Term
how to test immediate memory?
Definition
- say "apple,table,penny" and have them repeat that back to you
Term
how to test short term memory?
Definition
- after 3-5 minutes have them tell you the 3 objects you had them remember
Term
how to test remote memory:
Definition
- what did you have for dinner last night?
- what is the name of the city you were born in?
Term
delayed memory aka short term memory
Definition
Term
Working memory: info helf for a short amount of time, not encoded, if its becomes encoded then it is part of the memory system
Definition
Term
How to test fund of knowledge:
Definition
- name the current president
- name the past 5 presidents
- How far is New York from San Francisco?
Term
testing calculations:
Definition
- serial 7s
- If i gave a clerk a $10 bill to pay for 5 potatoes at 60cents each, how much change should I get back?
Term
how to test capacity to read and write?
Definition
- have them a read a sentence that tells them to do something and see if they do it "close your eyes"
- write a complete sentence
Term
With Parkinsonian's disease you will see ___ with their hand writing. What does this mean?
Definition
- trailing
- letters start big but get really small
Term
How to test visuospatial ability:
Definition
- copy a circle, diamond, cube, etc.
- draw the face of clock, put all numbers on it, and set the hands at 10 after 11
Term
how to test attention and concentration;
Definition
- digit span
- serial 7s
- spell world fowards and backwards
Term
clock drawing is sensitive for ___ __.
Definition
brain damage
any errror on clock is pathological
Term
how to test abstraction:
Definition
- interpret proverbs: "people who live in glass houses shouldn't throw stones"
- similarities: "how are a coat and hat alike?", "How are a watch and ruler alike?"
Term
insight:
Definition
Awareness of the nature , severity and consequences of actions and impairments
Term
how to assess bizarre or disorganized behavior?
Definition
Clothing and Appearance- “Does anyone say anything to you about the way you dress?”
Social or Sexual Behavior- “Have you done anything that others may think is unusual?”
Aggressive and Agitated- “Have you been unusually angry or irritable lately?”
Ritualistic/Stereotyped Behavior- “Are there things you have to do over and over or in a certain way or order?”
Term
types of disorganized speech:
Definition
- loose associations
- tangentiality
- schizophasia
- illogicality
- circumstantiality
- pressured speech
- clang speech
Term
loose associations:
Definition
disjointed speech that gets the speaker farther and farther off track as they speak
Term
tangentiality:
Definition
Unrelated or minimally related response to a question
Term
circumstantiality:
Definition
Indirect and delayed process of getting to a point
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