Mini-Mental State Exam

Aka: Mini-Mental State Exam, Mini-Mental Status Exam, Folstein Mini Mental Status Exam, Folstein MMSE, MMSE

1. See Also
   1. Mental Status Screening
2. Indications
   1. Cognitive Function Assessment
   2. Documentation of subsequent cognitive function decline
3. Questions (Total of 30 points)
   1. General
      1. Actual MMSE was removed due to copyright restriction
         1. Owned by Psychological Assessment Resources (PAR)
      2. Synopsis of the MMSE is listed below
         1. For complete scale, see resources below
         2. PDF version is available under tools below
   2. Orientation (10 points)
      1. Patient identifies time and place
   3. Registration (3 points) and Recall (3 points)
      1. Patient recalls objects at 1 and 5 minutes
   4. Attention and Calculation (5 points)
      1. Patient spells a word backwards
   5. Language (9 points)
      1. Tests processing language
4. Interpretation of Mini-mental State Score (Maximum: 30)
   1. Normal score: 24 or higher
   2. Educational and Age Norms
      1. Fourth Grade Education
         1. Ages 18 to 69: Median MMSE Score 22-25
         2. Ages 70 to 79: Median MMSE Score 21-22
         3. Age over 79: Median MMSE Score 19-20
      2. Eighth Grade Education
         1. Ages 18 to 69: Median MMSE Score 26-27
         2. Ages 70 to 79: Median MMSE Score 25
         3. Age over 79: Median MMSE Score 23-25
      3. High School Education
         1. Ages 18 to 69: Median MMSE Score 28-29
         2. Ages 70 to 79: Median MMSE Score 27
         3. Age over 79: Median MMSE Score 25-26
      4. College Education
         1. Ages 18 to 69: Median MMSE Score 29
         2. Ages 70 to 79: Median MMSE Score 28
         3. Age over 79: Median MMSE Score 27
5. Resources
   1. American Family Physician
      1. http://www.aafp.org/afp/20010215/703.html
6. References
   1. Cockrell (1988) Psychopharmacol Bull 24:689-92 [PubMed]
   2. Crum (1993) JAMA 18:2386-91 [PubMed]
   3. Folstein (1975) J Psychiatr Res 12:196-8 [PubMed]