Cognitive Examination

Question 1

MMSE

Answer 1

Introduced by Folstein
Median positive likelihood ratio of 6.6
Median negative 0.19
Not very sensitive for change, but used in anti dementia drug clinical trails
30 point scale, cut off 21/22

Question 2

Orientation

Answer 2

10 points

Question 3

Registration and recall of tasks

Answer 3

3 and 3

Question 4

Attention task

Answer 4

5

Question 5

Multi step command

Answer 5

3

Question 6

Naming

Answer 6

2

Question 7

Repetition Language

Answer 7

1

Question 8

Reading comprehension

Answer 8

1

Question 9

Writing

Answer 9

1

Question 10

Visual construction (copy interlocking pentagons)

Answer 10

1

Question 11

Clock drawing test requires

Answer 11

Verbal understanding (comprehension)
Short term working memory to process the instructions 
Executive function

Question 12

Clock drawing test diagnoses

Answer 12

unilateral neglect and inattention

it has a high correlation with MMSE

Question 13

Parietal lobe tests:

Answer 13

Mainly visual construction tasks like:
Rey Osterrieth Complex Figure Test
Drawing interlocking pentagons
Clock Drawing 
Visual perception task, time perception
Benton Judgment of Line orientation
Ravens Progressive Matrices
Hooper Visual Organization 
Right Left orientation

Question 14

Alexia with Agraphia

Answer 14

Dominant, part of Gerstman Syndrome

Intact speech, but cannot read or write meaningful language

Question 15

Anosognosia

Answer 15

Patient does not recognize functional deficits of the body

Non Dominant Lobe

Question 16

Calculation Ability

Answer 16

Dominant Lobe
Part of Gerstman Syndrome
Involves mathematical functions

Question 17

Constructional Apraxia

Answer 17

Inability to draw shapes or construct geometrical patterns

Mostly non dominant

Question 18

Finger Agnosia

Answer 18

Part of Gerstman Syndrome

Dominant

Question 19

Graphasthesia

Answer 19

Ability to recognize what number or alphabet is scratched on ones skin without seeing

Question 20

Right Left Orientation

Answer 20

Part of Gerstman Syndrome

Dominant

Question 21

Stereognosis

Answer 21

Ability to recognize objects by palpation

Question 22

Two point discrimination

Answer 22

Cortical sensation

Sematosensory cortical function

Question 23

Visual field deficits

Answer 23

Inferior quadrantanopia is seen opposite side of parietal lobe lesion

Question 24

Frontal Lobe Tests:

Answer 24

Similarities 
Lexical Fluency
Luria Motor Test
Go/no go test
Cognitive estimates testing
Trail making test
alternate pyramid and square drawing
Proverb interpretation
Digit span

Question 25

Anterior Cerebral Artery Supply:

Answer 25

Medial surface of the brain, including ventromedial frontal lobe, the cingulum, the pre motor cortex, and motor strip

Question 26

Recurrent artery of Huebner (branch of ACA) supply:

Answer 26

Head of caudate nucleus

Question 27

Anterior branches of upper division of the middle cerebral artery supply:

Answer 27

Lateral prefrontal cortex

Question 28

Anterior communicating artery supply:

Answer 28

Basal forebrain

Question 29

Anterior cerebral artery lesion:

Answer 29

Bilateral anterior cerebral artery infarct:
Quadriparesis (legs worse than arms)
Akinetic mutism (anterior cingulate syndrome)

Question 30

Recurrent branch of Huebner lesion:

Answer 30

Agitated confusional state that with time evolves to akinesia, abulia, mutism, along with personality changes

Question 31

Anterior branch of upper division of middle cerebral artery lesion:

Answer 31

Planning deficits
impairment of working memory
apathy
(DLPFC dysfunction)

Question 32

Anterior communicating artery lesion:

Answer 32

Akinesia
Personality changes, (orbitofrontal syndrome)
Confabulatory amnesia
Resembles Wernikes Korsakoff syndrome