Cognitive Examination
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This document outlines the components of a cognitive examination, including tests to assess orientation, attention, language skills, memory, executive function, praxis, visuospatial abilities, and general neurological signs. The examination evaluates orientation to time, place, attention through serial 7s or months backwards, language through conversation, naming, comprehension, reading and writing, memory through recall of a name/address and recent events, executive function through letter and category fluency, praxis through gestures, and visuospatial skills through clock drawing and overlapping pentagons. Neurological signs related to frontal lobe, movement disorders, and eye movements are also assessed.
Cognitive Examination
- 1. Cognitive examination 1. Orientation a. Time (day, date, month, season, year) b. Place 2. Attention a. Serial 7s, or b. Months of the year backwards 3. Language a. Engage in conversation and assess fluency, articulation, phonemic and semantic errors b. Naming of somelow frequency items c. Comprehension (both single word and sentence) d. Reading e. Write a sentence 4. Memory a. Anterograde: test recall of a name and address after 5 minutes b. Retrograde: ask aboutrecent sporting or personalevents 5. Executive function a. Letter (F) and category fluency (animals) 6. Praxis a. Meaningful and meaningless gestures b. Luria 3 step test (fist-edge-palm) 7. Visuospatial a. Clock drawing, and overlapping pentagons 8. General neurological assessment withparticular attentionto a. Frontal lobe signs (utilisation, grasp, pout, palmomental) b. Presence of a movement disorder c. Pyramidalsigns d. Eye movements 9. General impressiona. Slowness of thoughtb. Inappropriateness C Mood