43 PCN MMSE Mini-Mental-Status Exam

Category Description Points
Orientation:
  • year/season/date/day/month
  • state/country/town/hospital/floor
5
Registration:
  • name three objects – 1 second to say each
    • (i.e. ball, flag, tree)
  • ask patient to repeat all three after you have said them
  • then repeat them until patient learns all three, count trials
3
Attention/Calculation:
  • serial 7’s – up to 5 answers OR
  • spell WORLD backwards (DLROW)
5
Recall:
  • ask for the three objects repeated above
3
Language:
  • show/name a pen and watch 2
  • “repeat – no ifs, ands, or buts” 1
  • follow a 3 stage command:
    • take a paper in your hand
    • fold it in half
    • place it on the floor
  • read and obey
    • “CLOSE YOUR EYES”
  • “copy the design” (intersecting pentagons)
  • 2
  • 1
  • 3
  • 1
  • 1

Total score possible: 30

Cognitive Function:

  • 24-30 normal
  • 19-23 mild
  • 10-18 moderate
  • <10 severe

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Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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