Mini mental status exam
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"