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(One point for each correct response)
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Orientation
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1. What is the year? Season? Month? Date? Time?
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(Type score on 1st box)
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2. Where state are we in right now? County? Town/City? House/Hospital? Floor?
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(Type score on 1st box)
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Registration
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3. Examiner names three objects and asks patient to name all three (Examiner repeats objects if necessary).
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(Type score on 1st box)
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Attention and Calculation
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4. Count backward from 100 by sevens (93, 86, 79, ...) 5 times. Alternative: Spell "WORLD" backwards "DLROW"
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(Type score on 1st box)
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Recall
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5. Ask for the three objects learned earlier
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(Type score on 1st box)
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Language
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6. Name two objects
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(Type score on 1st box)
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7. Repeat phrase: "No ifs, ands, or buts"
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(Type score on 1st box)
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8. Give a three-stage command. One point for each stage (e.g. Place right index finger to nose then left ear).
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(Type score on 1st box)
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9. Ask patient to read and obey a written command. Written instruction is: "Close your eyes"
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(Type score on 1st box)
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10. Ask patient to write a sentence. Must contain a noun and verb.
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(Type score on 1st box)
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11. Ask patient to draw a pair of intersecting pentagons
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(Type score on 1st box)
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Total
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(Type score on 1st box)
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MMSE Scoring
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(Tap here to select score)
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