<prompt> Total score in standard minimental status examination MMSE is25303235  <response>: Ans. b 30 Ref Harrisons medicine 17th Table 365-5Cognitive and Neuropsvchiatric ExaminationBrief screening tools such as the mini-mental state examination MMSE help to confirm the presence of cognitive impairment and to follow the progression of dementia.The MMSE, an easily administered 30-point test of cognitive function, contains tests of orientation, working memory e.g., spell world backwards, episodic memory orientation and recall, language comprehension, naming, and copying. In FTD, the earliest deficits often involve frontal executive or language speech or naming function. DLB patients have more severe deficits in visuospatial function but do better on episodic memory tasks than patients with AD. Patients with vascular dementia often demonstrate a mixture of frontal executive and visuospatial deficits. In delirium, deficits tend to fall in the area of attention, working memory, and frontal function.The Mini-Mental Status ExaminationPointsOrientationName: seasondatedaymonthyear5 1 for each nameName: hospitalfloortownstatecountry5 1 for each nameRegistrationIdentify three objects by name and ask patient to repeat3 1 for each objectAttention and calculationSerial 7s; subtract from 100 e.g., 93-86-79-72-655 1 for each subtractionRecallRecall the three objects presented earlier3 1 for each objectLanguageName pencil and watch2 1 for each objectRepeat No ifs, ands, or buts1Follow a 3-step command e.g., Take this paper, fold it in half, and place it on the table3 1 for each commandWrite close your eyes and ask patient to obey written command1Ask patient to write a sentence1Ask patient to copy a design e.g., intersecting pentagons1Total30 