Neurology Book

Approach

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Kokmen Short Test of Mental Status

Aka: Kokmen Short Test of Mental Status
  1. Indications
    1. Dementia Evaluation
  2. Criteria
    1. Orientation (8 points)
      1. Name
      2. Address
      3. Building
      4. City
      5. State
      6. Day (of month or week)
      7. Month
      8. Year
    2. Attention (7 points)
      1. Up to seven digits forward
    3. Learning (4 points, also record number of attempts)
      1. Apple
      2. Mr. Johnson
      3. Charity
      4. Tunnel
    4. Calculations (4 points)
      1. Calculate 5x13
      2. Calculate 65-7
      3. Calculate 58/2
      4. Calculate 29+11
    5. Abstraction (3 points)
      1. Orange - banana
      2. Horse - dog
      3. Table - bookcase
    6. Construction (4 points)
      1. Copy Necker Cube (3-D cube drawing)
      2. Draw a clock showing "eleven ten" or "quarter after eleven"
    7. Information (4 points)
      1. Current President
      2. First President
      3. Number of weeks in a year
      4. Definition of an island
    8. Recall of 4 words remembered under Learning above (4 points)
  3. Calculation
    1. Total score = Raw Score - (number of trials on Learning task - 1)
  4. References
    1. Boeve (2008) Mayo Selected Topics in Internal Medicine, Lecture
    2. Kokmen (1987) Mayo Clin Proc 62(4):281-8 [PubMed]
    3. Kokmen (1991) Arch Neurol 48(7): 725-8 [PubMed]
    4. Tang-Wai (2003) Arch Neurol 60:1777-81 [PubMed]

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