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Mental Status Exam Items  \nAmerican Physician Institute for Advanced Professional Studies LLC 877-225-8384  \nGENERAL APPEARANCE  \n• Alertness: normal, decreased, increased  \n• Arousal: normal, decreased, increased  \n• Distractibility: normal, increased  \n• Apparent Age: as stated, younger, older  \n• Race / Ethnicity:  \n• Habitus: normal, overweight /obese, underweight  \n• Stature: normal, short, tall  \n• Grooming/hygiene: good, disheveled / unkempt  \n• Dress: Appropriate, inappropriate  \n• Make-Up: None, appropriate, garish, bizarre  \n• Tattoos / Piercings: present, absent  \nFACE  \n• Hair: normal appearance, uncombed, alopecia, evidence of trichotillomania  \n• Dentition: good, poor hygiene, missing teeth, evidence of dentures  \n• Eyes: normal, eye glasses, exophthalmus, strabismus, nystagmus, ptosis,  \n• Facial Asymmetries: none, on left, on right, on forehead, on lower face  \n• Facial Dyskinesias: blepharospasm, grimacing, jaw thrusts, lip smacking/puckering, chewing/ sucking, tongue protrusion / writhing  \n• Facial Tics: absent, present  \n• Dystonia: absent, present  \n• Parkinsonian: flat affect, drooling, decreased blink  \n• Dysmorphisms: microcephaly, macrocephaly, ears, webbed neck, prominent epicanthal folds, short palpebral fissures, hypertelorism, short nose/ low bridge, indistinct philtrum, large tongue, micrognathia, macrognathia  \n• Facial Expression: appropriate, sad, anxious, angry, contemptuous, disgusted, perplexed  \nBODY  \n• Skin: normal, puffy, spider ang iomas, hemangiomas, café au lait spots, neurofibromata, bruises, cancer-like growths (Kaposi, basal cell, squamous cell)  \n• Scars: none, needle tracks, skin popping, self-cutting, burns, surgical, from fights / accidents  \n• Trunk / Extremities: scoliosis, lordosis, limb abnormalities, arthritis, amputation  \n• Other Medical: smoker’s cough, SOB, goiter, clubbing, tobacco-stained fingers, pregnant  \n• Aids: cane, walker, wheel chair, hearing aid, prosthesis  \nENGAGEMENT WITH INTERVIEWER  \n• Eye contact: appropriate, heightened (vigilant), avoidant, decreased  \n• Cooperation: appropriate, guarded, evasive, suspicious, challenging  \n• Reliability: good, contradictory, unreliable, unknowledgeable  \n• Transference: intimidating, dismissive, critical, entitled, suspicious, seductive / flirtatious, adoring, helpless / waif-like  \n• Interviewer’s Countertransference: intimidated, angry, with-holding, over-identifying, solicitous overwhelmed, grandiose  \nMOTOR  \n• Motor Activity Level: normal, hyperactive (goal-directed), agitated (non-goal-directed), hypoactive  \n• Dyskinesias: Where:   , ballismus (large, violent movements), hemiballismus (confined to one side), athetoid (slow writhing-like, sinusoidal movements), choreiform (rapid, jerky movements)  \n• Other Movements: tics (sudden spasmodic movement), stereotypies (ritualistic, repetitive movement or utterance, like rocking, finger-flicking, hand waving), mannerisms (distinctive manner of moving or speaking, like gesticulating while speaking), tremors (resting, intention), dystonias  \n• Catatonia: waxy flexibility / catalepsy (immobility with unresponsiveness), echopraxia (mimicking gestures), echolalia (repeating words), automatic obedience, negativism (doing the opposite of command)  \n• Gait: cerebellar ataxic gait (appears drunk, wide-based), magnetic gait (feet appear magnetically stuck to floor, lifted as against magnetic attachment), Parkinsonian (festinating gait: small accelerating steps, often on tiptoe, with forward center of gravity), paralytic (weakness evident on one side), antalgic (gait used to avoid pain in weight bearing structures), spastic (scissor-like with stiff legs close together)  \nSPEECH  \n• Expression: spontaneous, fluent, nonfluent, ungrammatical  \n• Comprehension: normal, reduced  \n• Speech form: normal, dysarthric, delayed onset, loud, soft, fast, slow, decreased prosody, monotone  \n• Paraphasias: none, auditory (sounds similar), syntactical (means similar)  \nFORMAL ","cbCaio6k9Q5hA4vI","https://ap.wps.com/l/cbCaio6k9Q5hA4vI","pdf",56980,"English","# General Appearance\n## Face and Body\n## Engagement With Interviewer\n## Motor and Speech\n## Formal Thought Disturbances\n## Emotions and Thought Content\n## Perceptions\n## Cognitive Test Scoring","[{\"question\":\"What domains are evaluated in this mental status review sheet?\",\"answer\":\"It covers general appearance, face, body, engagement with the interviewer, motor activity, speech, formal thought disturbances, emotions, thought content, perceptions, and cognitive test scoring.\"},{\"question\":\"How are formal thought disturbances categorized here?\",\"answer\":\"It separates disturbances in thought form (e.g., poverty of thought, incoherence, word salad) and disturbances in connection between thoughts (e.g., perseverative, circumstantial, tangential, loose associations, flight of ideas, derailing).\"},{\"question\":\"What cognitive scoring elements are included?\",\"answer\":\"It includes orientation (place, time, person, situation), 3-word repeat, 5-minute recall, 3-step command, and serial numbering with scored options.\"}]","BTB Mental Status Exam Items - read online free | PDF",1791923062]