Examination of Higher Centres Flashcards
1
Q
What domains are assessed in an examination of higher centres?
A
Language Orientation Memory Executive function Note patient's affect and behaviour
2
Q
What is one of the most commonly used instruments used for screening for cognitive impairment?
A
Standardised Mini-Mental State Examination (SMMSE)
3
Q
How is the SMMSE administered?
A
Asking patient set of standard questions Follow questions as written Don't prompt patient Adopt neutral standpoint Speak at same rat
4
Q
What can influence the result of a mental state exam?
A
Baseline intelligence Education level Sensory deficits Cultural factors Depression Performance anxiety Drugs/alcohol
5
Q
What indicates an abnormal result in the SMMSE?
A
Score of 24 or less out of 30
6
Q
Is the SMMSE a sensitive and specific test?
A
No - can lose a lot of cognitive function bfore seeing low scores
7
Q
What are the advantages of the SMMSE?
A
Good screening test
Easy to do
Reproducible
Monitoring tool
