Loss of the ability to group words into subsets (e.g.36-point total score, 12-point recognition score.Biased against visually impaired and poorly educated.Not as useful or sensitive as MMSE or MOCA for initial diagnosis.Pattern of scoring correlates well with – and hence helps determine – the clinical type of dementia.Correlates well with severity of dementia as seen in poor MMSE scores.Associated score then calculated by the assessor.Set the hands and numbers on the face so that a child could read them. Instruct the patient to draw a clock that says 1:45.Designed to elicit executive impairment.Though different suggestive cut-offs for those disadvantaged are available, they are not validated.Still has some bias against people with poor education.More sensitive at detection of mild dementia (100% sensitivity in some studies).More complete assessment of all aspects of cognition, including visuospacial, attention, word-finding.Montreal Cognitive Assessment (MoCA) – click here Specificity was excellent for both MMSE and MoCA (100 and 87, respectively). In the mild AD group, the MMSE had a sensitivity of 78, whereas the MoCA detected 100. Copyrighted and should officially only be accessed via the Psychological Assessment Resourcing (PAR) Using a cutoff score 26, the MMSE had a sensitivity of 18 to detect MCI, whereas the MoCA detected 90 of MCI subjects.Poor sensitivity at detected mild/early dementia.Limited examination of visuospacial cognitive ability.Biased against people with poor education due to elements of language and mathematical testing.Can provide a method of monitoring deterioration over time.Mini Mental State Exam (MMSE) – click here The following are some of the most common tests utilised, but is by no means an exhaustive list. They all have advantages and disadvantages so the best test should be decided on a case-by-case basis, depending on what additional information one hopes to gain. There are a variety of different cognitive function tests that have been designed and validated to help diagnose and subtype dementia.
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