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Optum Pts: St Louis University Mental State Examination (SLUMS)
1. What day of the week is it?
2. What year is it?
3. What state are we in?
4. Remember these 5 objects, (I will ask later): apple, pen, tie, house, car
5. You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $20.
5a. How much money did you spend?
• • •
5b. How much money do you have left?
• • •
6. Please name as many animals as you can in one minute.
7. What 5 objects did I ask you to remember earlier? (refer to question #4)
• • •
8. I am going to give you a series of numbers and I would like you to give them to me backwards (if I say 42, you say 24)
• • •
Draw clock face. Pt to put in hours & time to 10 min to 11.
Draw circle and have pt fill in rest.
9a. Hour markers ok?
• • •
9b. Time correct?
• • •
MA/PA - Draw square, triangle, vertical rectangle (make one of the 3 shapes larger than others).
10. Put an "x" on the triangle.
10a. Which figure is the largest?
11. I will tell you a story that I will ask questions about later.
Jill was a very successful stockbroker. She made a lot of money on the stock market. She then met Jack, a devastatingly
handsome man. She married him and had three children. They lived in Chicago. She then stopped work and stayed at home to bring
up her children. When they were teenagers, she went back to work. She and Jack lived happily ever after.
11a. What was the female's name?
11b. What work did she do?
11c. When did she go back to work?
11d. What state did she live in?
Add up all points for TOTAL SLUMS SCORE
TOTAL SLUM POINTS
If high school education or above, results:
If less than high school education, results:
Other: Put in reason for unable to assess.

SLUMS: St Louis Univ Mental State Exam Medical Form

Physician Assistant

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Published: May 18, 2023, 12:38 p.m.
Doctor: Dr. History Physical
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