Table 1 The Extended Mental State Exam

M

What is the name of this place/what is the full address?

1

M

What is the name of this city/town/village?

1

M

What day of the week is it today?

1

M

What is the date today (day)?

1

M

What is the date today (month)?

1

M

What is the date today (year)?

1

M

What is the season?

1

M

What is the country?

1

M

Name two main streets nearby (or near your home).

1

M

What floor of the building are we on?

1

M

P

What is this called? (pencil)

1

M

P

What is this called? (wristwatch)

1

P

What are these called? (keys)

1

P

What is this called? (envelope)

1

Name as many different animals as you can think of in one minute.

5

M

Repeat 'No ifs, ands or buts'

1

What are the four things you were asked to name a few minutes ago?

P

   (pencil)

1

P

   (wristwatch)

1

P

   (keys)

1

P

   (envelope)

1

Who is the Prime Minister?

1

Who is the president of the United States of America?

1

What are the colours of the Union Jack (prompt: our national flag)?

1

Who was Neville Chamberlain?

1

Who was Guy Burgess?

1

M

Repeat and remember these three words: apple, table, penny

3

M

Serial sevens

5

What were the three words you were asked to repeat a little while ago?

M

   (apple)

1

M

   (table)

1

M

   (penny)

1

M

P

Read this and do what it says. (CLOSE YOUR EYES)

1

M

P

Copy this drawing. (a five sided figure)

1

M

P

Write a complete sentence.

1

Follow these instructions:

M

P

   Take this piece of paper in your right hand

1

M

P

   Fold the paper in half with both hands

1

M

P

   Put the paper down on your lap

1

P

Write down the following name address on this envelope: John Brown, 42 West Street, Bedford

2

In what way are an apple and a banana alike?

2

In what way are a boat and a car alike?

2

What was the name and address you were asked to remember a short while ago?

P

   (John)

1

P

   (Brown)

1

P

   (42)

1

P

   (West Street)

1

P

   (Bedford)

1

P

What is the object in this picture? (shoe)

1

P

What is the object in this picture? (spectacles)

1

P

What is the object in this picture? (pipe)

1

Total

60