Mini mental status exam: Difference between revisions
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==Exam== | |||
{| class="wikitable" | |||
|- | |- | ||
| '''Question''' | | '''Question''' | ||
| '''Points Awarded''' | | '''Points Awarded''' | ||
| '''Max Score''' | | '''Max Score''' | ||
|- | |- | ||
| Ask: What is the (year)(season)(date)(day)(month)? | | Ask: What is the (year)(season)(date)(day)(month)? | ||
| One point for each correct answer | | One point for each correct answer | ||
| 5 | | 5 | ||
|- | |- | ||
| Ask: Where are we (city)(state)(country)(hospital)(floor)? | | Ask: Where are we (city)(state)(country)(hospital)(floor)? | ||
| One point for each correct answer | | One point for each correct answer | ||
| 5 | | 5 | ||
|- | |- | ||
| Name three objects. Ask patient to immediately repeat named objects | | Name three objects. Ask patient to immediately repeat named objects | ||
| One point for each correct object repeated | | One point for each correct object repeated | ||
| 3 | | 3 | ||
|- | |- | ||
| | | | ||
Serial 7's-Ask | Serial 7's-Ask patient to start at 100 and count backwards by 7 | ||
OR | OR | ||
Spell WORLD backwards | Spell WORLD backwards | ||
| | | | ||
One point for each correct number (93, 86, 79, 72, 65) or letter<br> | One point for each correct number (93, 86, 79, 72, 65) or letter<br> | ||
<br> | |||
<br> | |||
| 5 | | 5 | ||
|- | |- | ||
| Ask patient to recall and state the three objects previously named | | Ask patient to recall and state the three objects previously named | ||
| One point for each object recalled | | One point for each object recalled | ||
| 3 | | 3 | ||
|- | |- | ||
| Point to a pencil and watch and ask the patient to name the objects | | Point to a pencil and watch and ask the patient to name the objects | ||
| One point for each correctly named object | | One point for each correctly named object | ||
| 2 | | 2 | ||
|- | |- | ||
| Ask the patient to repeat, "no ifs, ands or buts" | | Ask the patient to repeat, "no ifs, ands or buts" | ||
| One point if repeated correctly | | One point if repeated correctly | ||
| 1 | | 1 | ||
|- | |- | ||
| Ask patient to take a sheet of paper in his/her right hand, fold it in half, and place it on the floor. | | 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 | | One point for each task performed correctly | ||
| 3 | | 3 | ||
|- | |- | ||
| Ask patient to read and obey the following "Close your eyes." (this task is written on a sheet of paper) | | 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<br> | | One point for closing eyes<br> | ||
| 1 | | 1 | ||
|- | |- | ||
| Ask patient to write a sentence | | Ask patient to write a sentence | ||
| One point for writing a sentence with noun/verb and is sensible | | One point for writing a sentence with noun/verb and is sensible | ||
| 1 | | 1 | ||
|- | |- | ||
| Copy this design (interlocking pentagons) | | Copy this design (interlocking pentagons) | ||
| One point for the patients design containing all angles and intersecting | | One point for the patients design containing all angles and intersecting | ||
| 1 | | 1 | ||
|} | |} | ||
==Analysis== | |||
== | *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 | |||
*[[ | ==See Also== | ||
*[[Dementia]] | |||
== | ==References== | ||
*Folstein "Mini-mental state" | |||
[[Category:Neurology]] | |||
Latest revision as of 21:17, 3 August 2016
Exam
| 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 patient 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 |
Analysis
- 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
See Also
References
- Folstein "Mini-mental state"