Neurology Book

Approach

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Mini-Cognitive Assessment Instrument

Aka: Mini-Cognitive Assessment Instrument, Mini-Cog
  1. See Also
    1. Clock Drawing Test
  2. Indications
    1. Dementia Screening
    2. Delirium Screening
      1. Part of Confusion Assessment Method
  3. Criteria: 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. See Clock Drawing Test
      2. 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
  4. Interpretation: Positive Screen
    1. Abnormal Clock Drawing Test and less than 3 items recalled correctly OR
    2. No items recalled correctly
  5. Efficacy
    1. Test Sensitivity: 76%
    2. Test Specificity: 89%
  6. References
    1. Borson (2000) Int J Geriatr Psychiatry 15(11):1021-27 [PubMed]

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