Neurology Book

Approach

Cold Exposure

http://www.fpnotebook.com/

Mini-Cognitive Assessment Instrument

Aka: Mini-Cognitive Assessment Instrument, Mini-Cog
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  1. Indications
    1. Dementia Screening
    2. Clock Drawing Test
  2. Questions
    1. Step 1: Patient repeats 3 unrelated words (e.g. ball, dog, television)
    2. Step 2: Patient draws a clock face showing 11:10
      1. Correct response is a circle with 2 hands - one on the 11 and the other on the 2
    3. Step 3: Patient recalls the 3 words from step 1. One point for each item remembered correctly
  3. Interpretation: Positive Screen
    1. Abnormal Clock Drawing Test and less than 3 items recalled correctly OR
    2. No items recalled correctly
  4. Efficacy
    1. Test Sensitivity: 76%
    2. Test Specificity: 89%
  5. References
    1. Borson (2000) Int J Geriatr Psychiatry 15(11):1021-27

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