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🧠 USA Mental Status Exam

SLUMS Exam

The SLUMS (Saint Louis University Mental Status) exam is an 11-item, 30-point screening test. Cutoffs are adjusted for education:

  • High school education: 27–30 normal, 21–26 mild neurocognitive disorder, 1–20 dementia
  • Less than high school: 25–30 normal, 20–24 mild neurocognitive disorder, 1–19 dementia

Like the MMSE and MoCA, it screens but doesn’t diagnose. See also the EPPP for psychology licensure.

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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