Mini Mental State Examination (Mmse)
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1Name:
MINI MENTAL STATE
DOB:
EXAMINATION
Hospital Number:
(MMSE)
DATE:
One point for each answer
ORIENTATION
……/ 5
……/ 5
....../ 5
Year
Season
Month
Date
Time
Country
Town
District
Hospital
Ward/Floor
……/ 5
……/ 5
....../ 5
REGISTRATION
Examiner names three objects (e.g. apple, table, penny) and asks the
……/ 3
……/ 3
....../ 3
patient to repeat (1 point for each correct. THEN the patient learns
the 3 names repeating until correct).
ATTENTION AND CALCULATION
……/ 5
……/ 5
....../ 5
Subtract 7 from 100, then repeat from result. Continue five times:
100, 93, 86, 79, 65. (Alternative: spell “WORLD” backwards: DLROW).
RECALL
……/ 3
……/ 3
....../ 3
Ask for the names of the three objects learned earlier.
LANGUAGE
……/ 2
……/ 2
....../ 2
Name two objects (e.g. pen, watch).
Repeat “No ifs, ands, or buts”.
……/ 1
……/ 1
....../ 1
Give a three-stage command. Score 1 for each stage. (e.g. “Place
……/ 3
……/ 3
....../ 3
index finger of right hand on your nose and then on your left ear”).
Ask the patient to read and obey a written command on a piece of
……/ 1
……/ 1
....../ 1
paper. The written instruction is: “Close your eyes”.
Ask the patient to write a sentence. Score 1 if it is sensible and has a
……/ 1
……/ 1
....../ 1
subject and a verb.
COPYING:
Ask the patient to copy a pair of intersecting pentagons
……/ 1
……/ 1
....../ 1
TOTAL:
……/ 30
……/ 30
....../ 30
MMSE scoring
24-30: no cognitive impairment
18-23: mild cognitive impairment
0-17: severe cognitive impairment
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Parent category: Medical