Grand OSCE: Psychiatry
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MENTAL STATUS EXAMINATION
<NASH-SEORRP>
General Data (Name, Age,
Sex, Handedness, Status,
Education, Occupation,
Religion, Residence, Province) pagsulat? (Status) Kasal po ba kayo o single
Chief Complaint
Sensorium and Cognition
(Insight)
Mood and Affect (Mood)
SCRIPT REPORTING
“(Name) Ano pong buong pangalan niyo? Ano pong
gusto niyong itawag ko sainyo? (Age) Ah sige po,
Ma’am/Sir __________, ilang taon na po kayo?
(Handedness) Ano pong kamay ang gamit niyo sa
*interchange depending on perception of patient’s
status*? (Education) Ano pong natapos niyo? *if
unclear, probe: “grade school, high school, college?”
(Occupation) Ano pong trabaho niyo? (Religion)
Meron po ba kayong relihiyon? Pwede ko po bang
malaman? (Residence) Saan po kayo nakatira ngayon?
(Province) Meron po ba kayong probinsya?”
“Ano pong ipapakonsulta niyo ngayon?”
“(Awareness of Illness) Alam niyo po ba kung bakit “The patient has good/fair/poor
kayo nandito? Ano pong alam niyo o ano pong insight.”
masasabi niyo tungkol sa kalagayan niyo? (Attribution
of Illness) Alam niyo po ba ang dahilan kung bakit kayo
nagkaron ng ganyang kalagayan? (Reaction to Illness)
Ano pong nararamdaman niyo tungkol sa kalagayan
niyo? Meron po ba kayong ginagawa para mapabuti
ang kalagayan niyo?”
“Ano pong nararamdaman niyo ngayon? <E-EvD-DIAL>
“The patient has a euthymic OR
*if answer is lacking* “Masaya po ba kayo? elevated/elated/euphoric vs. dysphoric
Malungkot? Hindi masaya pero hindi din naman OR depressed OR irritable OR anxious
malungkot? Iritable? Nababalisa? Natatakot? OR labile mood.”
Kinakabahan?”
Sensorium and Cognition
(Orientation: time, person,
place)
Sensorium and Cognition
(Memory: recent)
Sensorium and Cognition
(Memory: remote)
Sensorium and Cognition
(Concentration)
Sensorium and Cognition
(Other Higher Cognitive
Skills: Judgement)
Sensorium and Cognition
(Other Higher Cognitive
Skills: Abstract Thinking)
“(Time) Alam niyo po ba kung anong petsa ngayon? “The patient is oriented to time, person,
Anong buwan? Anong araw? Anong taon? (Person) and place.”
Meron po ba kayong kasama? Ano pong pangalan
niya? (Place) Alam niyo po ba kung nasan kayo
ngayon?”
“May sasabihin po akong tatlong salita na kailangan
niyong tandaan: manga, mesa, piso. Pakiulit nga po.
*ask patient to repeat* Tatanungin ko po ulit kayo
mamaya ah.”
“Kailan po ang birthday niyo? Anong taon?” “The patient has intact remote
memory.”
*check for education* “The patient has good/fair/poor
concentration.”
*if good education* (Serial 7s) “May ipapagawa po
ako sainyo. Mula 100 po magbawas o magminus po
kayo ng 7 hanggang patigilin ko kayo. (Answer: 100, 93,
86, 79, 72, 65)”
*if poor education* (Serial 3s) “May ipapagawa po ako
sainyo. Mula 20 po magbawas o magminus po kayo ng
3 hanggang patigilin ko kayo. (Answer: 17, 14, 11, 8, 5)”
(WORLD/MUNDO) “May ipapagawa po ako sainyo.
Pakispell po ang salitang MUNDO pabaliktad. (Answer:
O-D-N-U-M)”
“Magbibigay po ako sainyo ng isang sitwasyon. Anong “The patient has good/fair/poor
gagawin niyo kapag nagising kayo at nakakita ka ng judgment.”
maliit na sunog sa sulok ng kwarto?”
“Alam mo ba ung kasabihang “aanhin pa ang damo “The patient has good/fair/poor
kung patay na ang kabayo”? Anong ibig sabihin nito abstract thinking.”
para sayo?”
Thought Content “Meron po ba kayong mga paniniwala o mga iniisip na “The patient has no delusions.”
(Delusions) kapag sinasabi niyo sa mga kasama niyo ay parang
hindi sila sang-ayon o naniniwala?”

*if needs probing* “Halimbawa po, pakiramdam niyo

po ba may mga taong humahabol sainyo o gusto
kayong saktan?”
Thought Content “(Suicidal) Naiisip niyo po bang saktan ang sarili niyo o “The patient denies suicidal or
(Ideations) magpakamatay? (Homicidal, Assault) Naiisip niyo po homicidal ideation.”
bang manakit o pumatay ng ibang tao?”
Perceptual Disturbances “Meron po ba kayong mga nakikita o naririnig na hindi “The patient denies hallucinations.”
(Hallucinations) nakikita o naririnig ng ibang tao?”
Perceptual Disturbances “Meron po ba kayong mga nakikita na iba sa nakikita “The patient denies illusions.”
(Illusions) ng ibang tao?

*if patient seems confused by the question* “May

mga bagay o gamit po ba sainyong paligid na kakaiba
ang tingin niyo? Halimbawa po, mga gamit na
gumagalaw o umiikot kahit hindi naman dapat.”
Sensorium and Cognition “Pakiulit nga po ung tatlong salitang pinatandaan ko “The patient has intact recent memory.”
(Memory: recent) sainyo kanina. (Answer: manga, mesa, piso)”
COMPLETE REPORTING OF FINDINGS:

*initials* is a *age*-year-old *male/female*, *right/left*-handed, *single/married*, *educational attainment*, *occupation*,

*religion*, from *province* but currently residing in *residence*, coming in with a chief complaint of *verbatim chief complaint*.
S/he *has/does-not-have* any apparent physical features such as wounds, deformities, or medical contraptions. S/he is
*appropriately/inappropriately* dressed, *unkempt/well-kempt*, *with/without* apparent psychomotor symptoms. S/he has
*good/fair/poor//shifting/fixed* eye contact. She is *unresponsive* OR *cooperative/hostile/evasive/dismissive/overly-familiar*,
*uses gestures only* OR with *hypo-/normo-/hyper-productive//pressured/incoherent speech* with *slow/normal/fast
rate//monotonous/dramatic/theatrical* rate and *soft/normal/loud* volume. S/he has a
*euthymic//elevated/elated/euphoric/dysphoric//depressed/irritable/anxious/labile mood* with *in-/congruent*
*full/constricted/blunted/flat* affect. S/he has *goal-directed thought process* OR *has/has-no* circumstantiality, tangentiality,
flight of ideas, or looseness of association. She *has/has-no* delusions, preoccupations, obsessions, or suicidal, homicidal, escape,
assault-or-revenge ideations. She *has/denies* hallucinations or illusions and *has/has-no* hallucinatory gestures. She is
*awake/drowsy/obtunded/stuporous/comatose*, *oriented/not-oriented* to time, person, and place, has *intact/impaired*
memory, *good/fair/poor* concentration, *good/fair/poor* judgment, *good/fair/poor* abstract thinking, and *good/fair/poor*
insight.