Mini mental status examination

1. MR. JAYESH PATIDAR
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MINI MENTAL STATUS
EXAMINATION

2. CONCEPT…
The mini mental state
examination is a cognitive test
used to screen for the
presence of cognitive
impairment.
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3. USES OF MSE…
It provides measures of orientation,
registration & short-term memory,
attention, voluntary movement &
language functioning.
The shortened version of the
minimental state examination is an
accurate predictor of dementia.
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4. SCORING…
It is a reliable test, with score of 25-30
considered normal, 18-24 indicative
of mild to moderate, scores of 17 or
less correlate with substantial
impairment in activities of daily living.
Social background, educational level
& verbal ability can influence results
& should be taken into account in
their interpretation.
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5. COMPONENTS OF MMSE…
Orientation
Registration
Attention
Calculation
Recall
Language etc.
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6. FORMAT
OF
MINI MENTAL
STATUS
EXAMINATION
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7. COMPONENT DESCRIPTION PATIEN
T
SCORE
POINTS
I.Orientation
What is the year?
Season?
Date?
Day?
Month?
Which is our state?
Country?
Town or city?
Hospital?
Floor?
1
1
1
1
1
1
1
1
1
1
II.Attention & calculation
Spell “ world” backwards give 1 point for each letter that is
in the right place (for example, DLROW =
5)alternatively,do serial 7s (ask the person to count
backwards from 100 in blocks of 7 i.e. 93, 86, 79, 65).
Stop after five subtractions. Give one point for each
correct answer.
5
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8. COMPONENT DESCRIPTION PATIEN
T
SCORE
POINTS
III.Registration
Name three objects (for example, apple, table, pen) taking
one second to say each one. Then ask the individual to
repeat the names of all three objects. Give one point for
each correct answer. Repeat the object names until all
three are learned
3
IV.Recall
Ask for the three objects repeated above (for example,
apple, table, pen). Give one point for each correct object
3
V.Language
Point to a pencil & ask the person to name this object (1
point). Do the same thing with a wrist watch (1 point)
2
Ask the person to repeat the following.No „ifs‟ & or „buts‟ (1
point). Allow only one trial 1
Give the person a piece of blank white paper & ask themto
follow a three stage command. Take a paper in your
right hand, fold in half & put it on the floor (1 point for
3
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9. COMPONENT DESCRIPTION PATIEN
T
SCORE
POINTS
Write„CLOSE YOUR EYES‟ in large letters & show it to the
patient. Ask him or her to read the message & do what
it says (give 1 point if they actually close their eyes).
1
Ask the individual to write a sentence of their choice on a
blank piece of paper. The sentence must contain a
subject & a verb, & must make sense. Spelling
punctuations & grammar are not important (1 point)
1
Show theperson a drawing of two pentagons which
intersect to form a quadrangle. Each side should be
about 1.5 cm. ask them to copy the design exactly as it
is (1 point). All 10 angles need to be present & the two
shapes must intersect to score 1 point. Tremor &
rotation are ignored.
1
Total score 30
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