The mini mental status exam, formally the Mini-Mental State Examination, screens for cognitive impairment in about 10 minutes. It is a copyrighted instrument, and official forms are licensed from its publisher.
| Section | What it tests | Points |
|---|---|---|
| Orientation | Time (5) and place (5) | 10 |
| Registration | Repeat 3 words | 3 |
| Attention and calculation | Serial sevens or spell WORLD backward | 5 |
| Recall | Recall the 3 words | 3 |
| Language and praxis | Naming, repetition, 3-step command, reading, writing, copying a figure | 9 |
A commonly used interpretation: 24–30 no cognitive impairment, 18–23 mild impairment, 0–17 severe impairment. Education, language and culture affect scores, so the MMSE is a screen, not a diagnosis.
USA Mental Status Exam: Quick Facts
- MSE type
- Observational, structured description
- MMSE max score
- 30 points
- Common MMSE cutoff
- ≤23 suggests impairment (adjust for education)
- MoCA normal
- 26+ out of 30
- Time (MMSE)
- About 10 minutes
- Used by
- Psychiatry, nursing, primary care, neurology
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