A comprehensive screening tool for mild cognitive impairment
Education Level Assessment
Years of formal education
Visuospatial/Executive
Tests visual and executive functioning. Involves copying a cube, drawing a clock (including the contour, numbers, and hands set to 10 past 11). One point is given for each correct element.
/ 5
Naming
Tests ability to name objects. Show the patient pictures of a Lion, Rhinoceros, and Camel. One point is given for each correct naming.
/ 3
Memory
Tests delayed recall. Read the words "Face, Velvet, Church, Daisy, Red" aloud, and ask the patient to repeat them immediately (not scored). After 5 minutes, ask the patient to recall the words without prompts.
/ 5
Attention
Tests attention. Includes forward digit span, backward digit span, letter tapping, and serial subtraction of 7s starting from 100.
/ 6
Language
Tests sentence repetition and fluency. Ask the patient to repeat complex sentences exactly as stated and list words starting with "F" in one minute.
/ 3
Abstraction
Tests abstract reasoning. Ask the patient to explain similarities between pairs of items (e.g., "Train & Bicycle", "Watch & Ruler").
/ 2
Delayed Recall
Tests ability to recall previously mentioned words without cues after a 5-minute delay.
/ 5
Orientation
Tests orientation to time and place. Questions about date, month, year, day, place, and city.
/ 6
Total Score
0/30
26-30
Normal
18-25
Mild Impairment
<18
Significant
Important Note
This assessment is a screening tool and should not replace comprehensive clinical evaluation. Results should be interpreted in conjunction with other clinical findings and patient history.
