Mmse 015030

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Mini-Mental State Examination (MMSE)

Patient’s Name: Bangshibadan Patra Date: 09/09/22

Instructions: Score one point for each correct response within each question or activity.

Maximum Patient’s
Questions
Score Score
5 2 “What is the year? Season? Date? Day? Month?”
5 4 “Where are we now? State? County? Town/city? Hospital? Floor?”
The examiner names three unrelated objects clearly and slowly, then
the instructor asks the patient to name all three of them. The patient’s
3 3
response is used for scoring. The examiner repeats them until patient
learns all of them, if possible.
“I would like you to count backward from 100 by sevens.” (93, 86, 79,
5 3 72, 65, …)
Alternative: “Spell WORLD backwards.” (D-L-R-O-W)

1 “Earlier I told you the names of three things. Can you tell me what those
3
were?”

2 Show the patient two simple objects, such as a wristwatch and a pencil, and
2
ask the patient to name them.
1 0 “Repeat the phrase: ‘No ifs, ands, or buts.’”

3 “Take the paper in your right hand, fold it in half, and put it on the floor.”
3
(The examiner gives the patient a piece of blank paper.)

1 “Please read this and do what it says.” (Written instruction is “Close


1
your eyes.”)

1 “Make up and write a sentence about anything.” (This sentence must


1
contain a noun and a verb.)
“Please copy this picture.” (The examiner gives the patient a blank piece
of paper and asks him/her to draw the symbol below. All 10 angles must
be present and two must intersect.)
1 0

30 20 TOTAL
Interpretation of the MMSE:

Metho Scor Interpretation


d e
Single <24 Abnormal
Cutoff
<21 Increased odds of dementia
Range
>25 Decreased odds of dementia
21 Abnormal for 8th grade education
Educati <23 Abnormal for high school education
on
<24 Abnormal for college education
24-30 No cognitive impairment
Severity 18-23 Mild cognitive impairment
0-17 Severe cognitive impairment

Interpretation of MMSE Scores:

Degree of Formal Psychometric Day-to-Day Functioning


Scor
Impairment Assessment
e
If clinical signs of cognitive May have clinically significant but
Questionably
25-30 impairment are present, formal mild deficits. Likely to affect only
significant
assessment of cognition may be most demanding activities of daily
valuable. living.
Formal assessment may be helpful to Significant effect. May require
20-25 Mild better determine pattern and extent of some supervision, support and
deficits. assistance.
Formal assessment may be helpful if Clear impairment. May require 24-hour
10-20 Moderate
there are specific clinical indications. supervision.
Marked impairment. Likely to
0-10 Severe Patient not likely to be testable. require 24-hour supervision and
assistance with ADL.

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