1. Orientation
2. Registration
3. Attention and calculation
4. Recall
5. Language

Points are in square brackets. Maximum score is 30.

Orientation

• Knowledge of time [1 each]:
  • Date
  • Day
  • Season
  • Year
  • Month
• Knowledge of location [1 each]:
  • Country
  • State/Province
  • Town
  • Hospital
  • Ward 

Registration

• Dr. says 3 objects.
• Pt repeats them [1 each correct].
• Note number of trials needed.

Attention and calculation

• Count backwards from 100 by 7's [1 each for 1st 5 correct].
• Alternatively: spell WORLD backwards [1 each correct].

Recall

• Pt. recalls the names of items in Registration [1 each correct].

Language

• Pts names 2 shown objects [2].
• Pt repeats statement: "No ifsands or buts" [1]
• Pt follows command [1 for each step]:
  • Take paper in right hand.
  • Fold in half.
  • Put in on table
• Pt reads the phrase "CLOSE YOUR EYES" and can do it [1].
• Pt reads the phrase "WRITE A SENTENCE" and can do it [1].
• Copy this design [1 if all angles present and figures intersect].

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