![]() This test involves one item, and takes one to two minutes to administer. Ask the patient to recall the three words.The scoring of the clock is similar to the Mini-Cog scoring described on page 229. Use the clock-drawing test (see below) as a distracter for the three-word recall.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 Text adapted from "The patient with dementia" in Psychiatry in primary care by Kenneth Le Clair, Dallas Seitz and Julia Kirkham. ![]()
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