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The Mini-Mental Status Examination (MMSE)

 

Points

Orientation

Name: season/date/day/month/year

Name: hospital/floor/town/state/country

 

5 (1 for each name)

5 (1 for each name)

Registration

Identify three objects by name and ask patient to repeat

 

3 (1 for each object)

Attention and calculation

Serial 7s; subtract from 100 (e.g., 93-86-79-72-65)

 

5 (1 for each subtraction)

Recall

Recall the three objects presented earlier

 

3 (1 for each object)

Language

Name pencil and watch

Repeat ‘‘No ifs, ands, or buts’’

Follow a 3-step command (e.g., ‘‘Take this paper, fold it in half, and place it on the table’’)

Write ‘‘close your eyes’’ and ask patient to obey written command

Ask patient to write a sentence

Ask patient to copy a design (e.g., intersecting pentagons)

 

2 (1 for each object)

1

3 (1 for each command)

 

1

 

1

1

TOTAL

30

The MMSE is an easily administered 30-point test of cognitive function and contains tests of orientation, working and episodic memory, language comprehension, naming, and copying.

 

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References:

  1. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975 Nov;12(3):189-98. [Medline]

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Created: Oct 17, 2007
Last Modified: 10/23/2010

 
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