Mini mental status exam

• Max 30 points awarded
• >22: Considered normal

• 0-22: Abnormal; suggests organic brain syndrome

Question	Points Awarded	Max Score
Ask: What is the (year)(season)(date)(day)(month)?	One point for each correct answer	5
Ask: Where are we (city)(state)(country)(hospital)(floor)?	One point for each correct answer	5
Name three objects.  Ask patient to immediately repeat named objects	One point for each correct object repeated	3
Serial 7's-Ask pt to start at 100 and count backwards by 7 OR Spell WORLD backwards	One point for each correct number (93, 86, 79, 72, 65) or letter	5
Ask patient to recall and state the three objects previously named	One point for each object recalled	3
Point to a pencil and watch and ask the patient to name the objects	One point for each correctly named object	2
Ask the patient to repeat, "no ifs, ands or buts"	One point if repeated correctly	1
Ask patient to take a sheet of paper in his/her right hand, fold it in half, and place it on the floor.	One point for each task performed correctly	3
Ask patient to read and obey the following "Close your eyes." (this task is written on a sheet of paper)	One point for closing eyes	1
Ask patient to write a sentence	One point for writing a sentence with noun/verb and is sensible	1
Copy this design (interlocking pentagons)	One point for the patients design containing all angles and intersecting	1

See Also

• Dementia Work-Up

Source

• Rosen's, Folstein "Mini-mental state"

Work-Up

• Mini-mental status exam
  • Score less than 24 suggests cognitive impairment
  • May be influenced by education and age
    • Score less than 29 if greater than 9 years of schooling suggests cognitive impairment
    • Score less than 26 if 5-9 years of schooling suggests cognitive impairment
    • Score less than 22 if less than 4 years of schooling suggests cognitive impairment