Exact Solutions.
Which is a limitation of the MMSE? (7x) correct answers MAY FAIL TO DETECT VERY
MILD COGNITIVE IMPAIRMENT
Question to ask when evaluating for immediate recall (3x) correct answers CAN YOU REPEAT
THESE SIX NUMBERS?
What task is useful in evaluating a pt's ability to concentrate? (2x) correct answers
PERFORMING SERIAL 7'S
On MSE, thought process with lack of goal directedness, excessive details, and difficulty with
closure describes a thought pattern of: (2x) correct answers CIRCUMSTANTIALITY
In addition to orientation, attention, calculation, language and registration, what other cognitive
domain does the mmse test? correct answers RECALL
What is being assessed when patient is asked to repeat words "Apple, table, penny"? correct
answers REGISTRATION
Which area of MSE relies primarily on patient report? correct answers MOOD
Psych MD asked pt "what would you do if you lost your prescription?" This question primarily
assesses: correct answers JUDGMENT
Psychiatrist asks "How many quarters are in $15?", examining what ability correct answers
COGNITION
Which of the following is the most significant problem with the use of the global assessment of
functioning scale? correct answers IT CONFOUNDS SYMPTOMS AND FUNCTIONING
Which of the following represents a disorder of the content of thought? correct answers
OBSESSIONS
Communication d/o assoc w/ neurological and psych d/o correct answers MUTISM
Asking a patient to recite a series of numbers in reverse order is a standard test of: correct
answers CONCENTRATION
The difference between an idea of reference and a delusion of reference is that the former is:
correct answers HELD WITH LESS CONVICTION
The purpose of asking a pt to start at 100 and count backwards by 7's is to measure which of the
following? correct answers CONCENTRATION
, A disorder of content of thought correct answers PARANOIA
Asking a pt, "which one does not belong in the following group: 13 pennies, a piggy bank, and a
cow?" is a test of which domain: correct answers ABSTRACT REASONING
Asking the patient "how are an apple and an orange alike?" assesses which of the following
cognitive functions? correct answers ABSTRACT REASONING
Asking a patient to interpret the phrase "Don't cry over spilled milk" tests what? correct answers
ABSTRACT THINKING
A pt reports, "undercover agents are all there, and they're gonna kill me." Pt's comment is best
described as: correct answers A DELUSION
Asking pt what they would do in a hypothetical situation is testing what? correct answers
JUDGMENT
Why is there limited value of serial sevens as a test of concentration? correct answers
SUCCESSFUL PERFORMANCE REQUIRES ARITHMETIC SKILL
Disorder of what element of MSE is evidenced by patient repeatedly referring back to the answer
to a previous question? correct answers THOUGHT PROCESS
Elderly pt with profound apathy, how do you distinguish depression from executive dysfunction?
correct answers CLOCK DRAWING
Word that pt makes up is a ____. correct answers NEOLOGISM
The term for abnormally slow speech seen in depression correct answers BRADYLALIA
5 days after CABG a 47 y/o M is disoriented to time and place. He identifies his right and left
but not that of the examiners. Can draw square and circle but not a clock. This is: correct answers
DYSPRAXIA
Which of the following statements specifically tests concentration? correct answers SAY THE
LETTERS OF THE ALPHABET BACKWARDS STARTING WITH "Z"
Fluent speech w preserved comprehension, inability to repeat statements is consistent with what
type of aphasia? correct answers CONDUCTION
A 62 yo pt is referred for complaints of memory problems. The patient reports feeling more
forgetful and gives examples of "losing my keys, handbag, or forgetting the names of
aquaintances." The pt denies any other neurocognitive symptoms. Family members confirm the
patient's report, and feel that this has been a gradual change over the last year. Family members
report that the pt is a former hx professor who continues to enjoy intellectual activities and they
need to prepare if the patient is going to lose these capabilities as a result of dementia. The