MGH/McLean Residency Training Program in Psychiatry

Massachusetts General Hospital and McLean Hospital, Harvard Medical School

Edition Massachusetts General Hospital, 1999

PART 3 / CH 18

Folstein Mini-Mental State Exam (MMSE)

1. What is the: year _______ (1)

season _______ (1)

date _______ (1)

month _______ (1)

day _______ (1)

2. Where are we: state _______ (1)

country _______ (1)

town _______ (1)

hospital _______ (1)

floor _______ (1)

3. Name three objects _______ (3)

4. Serial 7’s, or spell “WORLD”

backwards _______ (5)

5. Recall of three objects _______ (3)

6. Name a pencil and a watch _______ (2)

7. Repeat “no ifs ands or buts” _______ (1)

8. Follow a 3-step command:

“Take this piece of paper

with your right hand, fold

it in half, and put it on the

floor” _______ (3)

9. Read and obey the following:

“Close your eyes.” _______ (1)

10. Write a sentence _______ (1)

11. Copy intersecting pentagons_______ (1)

Score _______ (30)

source: Folstein, Folstein, McHugh (1975) J Psychiat Res 12:189-198.

Mental Status Examination

Christine Finn

CategoryAssess (examples)
General Appearancehygiene/grooming

(well-groomed, malodorous, disheveled)

Movementtics, tremors, psychomotor agitation or slowing, posturing, mannerisms
Attitude(cooperative, threatening)
Eye Contact
Speechfluency, rate/volume/prosody
Mood(in patient’s own words)
Affectquality, range, appropriateness

(flat, constricted, labile, …)

Though Processlinear -> tangential -> disorganized; ?thought blocking
Thought Contentdelusions, obsessions/compulsions, phobias, preoccupations
Perceptionhallucinations
Cognition(see Folstein MMSE)

abstraction, judgement, insight

· Every patient should be asked about suicidal and homicidal

ideation.