Mini-mental state examination

Objective:
Detect mild cognitive impairment or dementia.

Description:
This version of the mini-mental state examination was adapted and validated by Sandra Reyes de Beaman and collaborators in
Mexican population, some changes were made, namely: in time orientation the question was replaced
about the season of the year by the hour, considering answers correct within 0.5 hours before or after
the exact real time; in spatial orientation, the question "what is the name of this hospital?" is only asked to
people who are hospitalized, in other contexts it is changed to 'where are we now?', this
domain also considers the neighborhood or locality and the city; the words to register and remember were changed to
paper, bicycle and spoon; in attention and calculation, the subtraction of 7 was maintained starting from 100, leaving as
alternative to subtracting 3 from 3 starting from 20; in language the phrase to repeat is neither no, nor yes, nor but. Another adjustment that
this version was made because people with 3 or fewer years of formal education are assigned 8 points, and
the reagents of subtracting 7 in 7 do not apply, read the written order 'Close your eyes', write a sentence or statement,
do not copy the drawing of the pentagons; which allows using the same cut value to identify possible deterioration
cognitive with 24 or fewer points on the mini-mental state examination.

It is a test whose score is highly influenced by education and age. Those people who
those who obtain a low score require a more thorough clinical and neuropsychological evaluation to confirm and
determine the degree of cognitive impairment.

Requirements:
Format of the mini-mental state examination.
Ballpoint pen.
Paper sheet for the verbal order.
Private space, ventilated, lit, free of distractions.

Application time:10 minutes.

Instructions:
1. Look directly at the person, get their attention and explain: "I am going to ask you some questions to
assess your mental state.
2. Ask if he/she can read or write.
3. Ask until what year they studied in case of 'For people with less than 3 years of formal education, give them 8 points.'
of entry and skip the subtraction of 7 from 100 (5 points), the reading of 'close your eyes' (1 point), the
sentence structure (1 point) and the copying of the pentagons (1 point).
4. Say exactly the instruction that is established in each domain of the format.
5. Carry out the summation in order to establish the final result.

Rating:
One point will be awarded for each correct answer.

Interpretation suggestions or guidelines:

• Probable cognitive deterioration: Score < 24.
• No cognitive impairment: Score > 24.

References:
• Reyes de Baeman, S., Beaman, P.E., García Peña, C., Villa, M. A., Heres, J., Córdova, A. and Jagger, C. (2004).
Validation of a Modified Version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol
Cong. Aging, Neuropsychology, and Cognition, 11(1), 1-11

This material is registered under a Creative Commons International license, with permission to reproduce it.
publish it, download it and/or distribute it in its entirety solely for educational and/or assistance purposes without
profit motive, provided that the National Institute of Geriatrics is cited as the source.
 Mini-mental state examination
Evaluation criterion: One point will be given for each correct answer.

Name of the interviewee: He/She knows howYesNo

to read.

YesNo
He/She knows how to write.

0 1 2 3 4 5 6 7 8 9
Until what year did you study? 0 1 2 3 4 5 6 7 8 9

I. Orientation II. Registration V

D
.efredmemory
(Time) 3. I am going to tell you 3 objects, when I Tell me the three objects I mentioned to you.
Finally, I would like you to please repeat: at first:
What date is today?
INCCORR
Paper Bicycle Spoon
Response Real Paper 0 1
Day Month Year Day Month Year Now tell them yourself: INCCORR Bicycle 0 1
0 0 0 0 0 0 0 0 0 0 0 0 Paper 0 1 Spoon 0 1
1 1 1 1 1 1 1 1 1 1 1 1 Bicycle 0 1 (max. 3) 0 1 2 3
2 2 2 2 2 2 2 2 2 2 2 2 Spoon 0 1
3 3 3 3 3 3 3 3 3 3 3 3 (max. 3) 0 1 2 3 Please copy this drawing exactly as it is.
4 4 4 4 4 4 4 4 (show behind this sheet)
5 5 5 5 5 5 5 5 III. Attention and Calculation (max. 1) 0 1
6 6 6 6 6 6 6 6
7 7 7 7 7 7 7 7 4. I'm going to ask you to subtract 7 from starting
INCCORR
of 100.
8 8 8 8 8 8 8 8 INCCORR Show the CLOCK and say:
9 9 9 9 9 9 9 9 What is this? 0 1
93 0 1
86 0 1 Show the PENCIL and say:
79 0 1 0 1
What day of the week is it? What is this?
72 0 1
Answer 65 0 1 (max. 2) 0 1 2
L M M J V S D
(max. 5) 0 1 2 3 4 5
Now I am going to say a phrase that you will have to
What day of the week is it?
I'm going to ask you to subtract from 3 in 3 starting from repeat after me. I can only tell her
Real of 20. only once, so pay close attention.
L M M J V S D INCORRECT
17 0 1 NEITHER NO, NOR YES, NOR BUT
What time is it approximately? 14 0 1
11 0 1
(max. 1) 0 1
Real Response
Mr. Min. Mr. Min. 8 0 1
5 0 1
0 0 0 0 0 0 0 0 Total score:
1 1 1 1 1 1 1 1 (max. 5) 0 1 2 3 4 5
2 2 2 2 2 2 0 1 2 3
3 3 3 3 3 3 IV. Language
4 4 4 4 4 4 I am going to give you some instructions. Please 0 1 2 3 4 5 6 7 8 9
5 5 5 5 5 5 follow them in the order I am going to tell you.
6 6 6 6 6 6 I can only tell you once:
To people with less than 3 years of formal education,
7 7 7 7 INCCORR
give them 8 entry points and ignore the subtraction of 7
8 8 8 8 TAKE THIS PAPER WITH THE
9 9 9 9 RIGHT HAND 0 1 in 7 out of 100 (5 points), the reading of
Fold it in half 0 1 "close your eyes" (1 point), the structure of the phrase
and left it on the ground 0 1 (1 point) and the copy of the pentagons (1 point).
(max. 5) 0 1 2 3 4 5
(max. 3) 0 1 2 3
(Space)
(Space) Interpretation:
INCORRECT
Please do what it says here:
Where are we now? 0 1
In which area or department
0 1 Close your eyes Score < 24 = Probable cognitive decline.
are we now? Score >24 = No cognitive impairment.
What cologne is this? 0 1 (max. 1) 0 1
What city is this? 0 1
What floor is this? 0 1 I want you to please write a sentence that says
Sensitivity: 97%
a message (on the back of this sheet)
(max. 5) 0 1 2 3 4 5 Specificity: 88%
(max. 1) 0 1 Area under the curve: 0.849

This material is registered under a Creative Commons International license, with permission to reproduce it.
publish it, download it, and/or distribute it in its entirety solely for educational and/or assistance purposes without
profit motive, as long as the National Institute of Geriatrics is cited as the source.
 Mini-mental state examination

CLOSE YOUR EYES

Reyes de Baeman, S., Beaman, P.E., García Peña, C., Villa, M. A., Heres, J., Córdova, A. and Jagger, C. (2004).
Validation of a Modified Version of the Mini-Mental State Examination (MMSE) in Spanish. Aging Neuropsychol
Cong. Aging, Neuropsychology, and Cognition, 11(1), 1-11

This material is registered under a Creative Commons International license, with permission to reproduce it.
publish it, download it and/or distribute it in its entirety only for educational and/or assistance purposes without
profit motive, as long as the National Institute of Geriatrics is cited as the source.