Mini mental status exam

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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"

Authors:

Ross Donaldson