Mini Mental State Examination (MMSE)

#Mini Mental State Examination (MMSE) ORIENTATION - 1 point for each correct What is the... 1 <- year? 1 <- season? 1 <- month? 1 <- date? 1 <- day of the week? Where are we... 1 <- country? 1 <- state? 1 <- city/town? 1 <- address/building name? 1 <- room/floor number? REGISTRATION - 1 point for each correct Name three objects, ask the patient to repeat them. Allow 20 seconds for reply, if the person did not repeat all three, repeat until they are learned or up to a maximum of five times (but only score first attempt). 3 <- Ball, Car, Man - Alternatives: bell, jar, fan, bill, tar, can, bull, bar, pan. ATTENTION AND CALCULATION - 1 point each correct 5 <- Serial 7s. Subtract 7 from 100 -- stop after 5: 100-93-86-79-72-65. - Alternatively spell "WORLD" backwards. RECALL - 1 point each correct 3 <- Ask to repeat the three objects above. - LANGUAGE Point to two objects and ask the names e.g. pencil, watch. 2 <- 1 point each correct. - Repeat the following: "No ifs, ands, or buts". 1 <- 1 point if no errors. - Follow a three-stage command: "Take a paper in your right hand, fold it in half, and put it on the floor". 3 <- 1 point each correct component. - Write "CLOSE YOUR EYES" on a paper and show it to the patient. 1 <- 1 point if obeys correctly. - Ask the patient to write a sentence. 1 <- 1 point if it makes sense (ignore spelling mistakes). - COMPLEX COMMANDS Draw two interlocking pentagons, ask the patient to copy them. 1 <- 1 point if figures both have 5 sides and interlock. - ? <= TOTAL SCORE /30 -- Score Interpretation: 25 = normal. 21-24 = mild cognitive impairment. 10-20 = moderate cognitive impairment. <10 = severe cognitive impairment.

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Related Items

• Mental Health
• Nervous System

Notes

The mini-mental state examination is a short test use to assess basic cognitive function and assisn a score. The raw score can be use to aid in the diagnosis of conditions resulting in cognitive impairment, such as:

• dementia
• delirium
• schizophrenia
• affective disorder

The test is commonly used to monitor the course of cognitive changes in an individual over time and response to treatment (for example drugs use to treat dementia).

Test procedure

Questions and instructions:

Category	Max. Score	Scoring	Instructions
Orientation	5	1 point each correct	What is the: (year) (season) (date) (day of week) (month)?
Orientation	5	1 point each correct	Where are we: (state) (city) (suburb) (hospital/clinic) (floor/ward)?
Registration	3	1 point each correct	Name three objects (e.g. table, clock, chair) Ask patient to repeat them (1 point each correct) Continue repeating them until all three are learned
Attention and calculation	5	1 point each correct	Serial 7s. Subtract 7 from 100: 100→93→86→79→72→65 Stop after five Alternatively spell 'world' backwards
Recall	3	1 point each correct	Ask for the three objects repeated above
Language	2	1 point each correct	Point to two objects and ask the names e.g. pencil, watch
Language	1	1 point if no errors	Repeat the following: 'No ifs, ands, or buts' - 1 point
Language	3	1 point each correct component	Follow a three-stage command: 'Take a paper in your right hand, fold it in half, and put it on the floor'
Language	1	1 point if obeys correctly	Write 'CLOSE YOUR EYES' on a paper and show it to the patient
Language	1	1 point if contains subject, verb and object and makes sense	Ask patient to write a sentence
Complex commands	1	1 point if figures both have 5 sides and interlock	Draw two interlocking pentagons, ask patient to copy them See figure 1 below
Maximum score	30

Interpretation

Score	Interpretation
≥25	Normal
21-24	Mild cognitive impairment
10-20	Moderate cognitive impairment
≤9	Severe cognitive impairment

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