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Mental Status Exam
 
 

Executive Function

April 1st, 2023
 
 
 
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Conceptualisation

  • How to Assess

    Ask the patient to identify the similarity between two objects, such as:
  • Bananas and oranges are... both fruit
  • Trains and bicycles are… both modes of transport
  • A watch and a ruler are… both used for measurement
  • Significance

  • Loss of abstract processing is common in fronto-temporal dementia.

Category Fluency

  • How to Assess

  • Ask the patient to name as many words as they can beginning with the letter 'A'.
  • Ask the patient to name as many animals as possible in one minute.
  • Significance

  • Difficulty with categories may be a result of dysphasia, dysarthria, confusion or poor compliance.

Inhibitory Control

Inhibitory control tests one's ability to inhibit, a part of frontal lobe executive function.
  • How to Assess

  • Ask the patient to tap once when you tap once. Tap once several times.
  • Ask the patient to not tap when you tap twice. Tap twice several times.
  • Alternate randomly between tapping once and tapping twice, asking the patient to tap once when you tap once and not tap when you tap twice.
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