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The user/general practitioner is asked to conduct the informant interview. Someone scoring 4 points or less is very likely to have cognitive impairment. There is no need to complete the informant interview. However, the conduction of standard investigations such as lab tests is required to rule out reversible causes of cognitive impairment.
The test is available in 46 languages and dialects (as of 2017). In this clock drawing task, the subject is asked to draw a clock with the hours and showing the time 2:30. Successive results show a deterioration of pattern processing ability in a subject as they progress from mild cognitive impairment (MCI) to severe Alzheimer's disease (AD).
The test was initially developed using a veteran population, but has since been adopted as a screening tool for any individual displaying signs of mild cognitive impairment. The intended population typically consists of individuals 60 years and above that display any signs of cognitive deficit. [ 3 ]
The mini–mental state examination (MMSE) or Folstein test is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. [ 1 ] [ 2 ] It is commonly used in medicine and allied health to screen for dementia .
It comprises tests of attention, memory (7-item name and address), letter fluency, clock drawing, and memory recall, and takes under five minutes to administer. The M-ACE is scored out of 30, with a higher score indicating better cognitive function, and has two recommended cut-off scores (25 and 21). The higher cut-off score has both high ...
The following questions are put to the patient. Each question correctly answered scores one point. A score of 7–8 or less suggests cognitive impairment at the time of testing, [4] although further and more formal tests are necessary to confirm a diagnosis of dementia, delirium or other causes of cognitive impairment. Culturally-specific ...
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The online test provides information related to the patient's medications, suggests specific cautions in interpreting test results and offers suggestions with regard to follow-up testing. CAS encourages the examiner to be mindful of the evolving neuro-medical context or micro-climate in which cognitive testing takes place.