![]() I want you to repeat them back to me.” Explain that you will later ask the patient to recall the words. Tell the patient: “I am going to say three words.The Mini-Cog combines the delayed three-word recall test and the clock-drawing test (Borson et al., 2000). The Mini-Cog is a first-line cognitive screen for primary care, although it has not been evaluated as extensively as the MMSE or the Montreal Cognitive Assessment. Cons: takes longer than other similar tests tests a limited number of cognitive domains (relatively less emphasis on memory and executive functioning) often not sensitive to early cognitive change.Pros: familiar and takes a relatively short time to administer.Test items that are most sensitive to detection: orientation to date (especially year), delayed word recall and intersecting pentagons.Performance affected by age and education.Scoring: suggested cut-off of 24 or less out of 30 should raise concerns about possible dementia.The Mini-Mental State Examination (MMSE) is an 11-item test that takes five to 10 minutes to administer (Folstein et al., 1975). Quick Cognitive Screening Tests Mini-Mental State Examination All patients suspected of having dementia should have a physical examination, including a screening neurological examination and review of medications, as a part of the evaluation. Screening includes office-based assessments of cognitive function, as well as laboratory testing and neuroimaging. Evaluating Cognitive Impairment and Dementia doi:10.Text adapted from "The patient with dementia" in Psychiatry in primary care by Kenneth Le Clair, Dallas Seitz and Julia Kirkham. Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. Trzepacz PT, Hochstelter H, Wang S, Walker B, Saykin AJ. Avoiding spectrum bias caused by healthy controls. Diagnostic accuracy of the Montreal Cognitive Assessment (MoCA) for cognitive screening in old age psychiatry: determining cutoff scores in clinical practice. Validity of the Montreal Cognitive Assessment (MoCA) index scores: a comparison with the cognitive domain scores of the Seoul Neuropsychological Screening Battery (SNSB). Minorities and women are at greater risk for Alzheimer's disease. Cognitive performance on the Mini-Mental State Examination and the Montreal Cognitive Assessment across the healthy adult lifespan. Gluhm A, Goldstein J, Loc K, Colt A, Van Liew C, Corey-Bloom M. Orientation: You will be asked about the date, month, year, day, city, and place you are in.Delayed recall: You will be given five words and asked to repeat them back after five minutes.Abstraction: You will be asked what is in common between two different things (such as an apple and an orange, or a car and an airplane),.You will then be shown a series of capital letters and asked to pick out all of the "As." Language: You will first be asked to repeat back two different sentences verbatim.You will then be given a series of letters and asked to pick out the letter "A." Finally, you will be given several numbers and asked to subtract them from 100. Attention: You will first be given a series of numbers and asked to repeat them forward or backward.Naming: You will be shown pictures of three animals and asked what type of animal they are.Finally, you will be asked to draw a dial clock that reads 10 minutes past 11:00. Next, you will be given a drawing of a three-dimensional cube and asked to make a copy. Executive and visuospatial function: You will first be given a picture with numbered dots (1, 2, 3, 4, 5) and lettered dots (A, B, C, D, E) and asked to connect them sequentially, alternating numbers and letters.
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