Cognitive / Geriatrics

Abbreviated Mental Test Score

Hodkinson's 10-question bedside cognitive screen. Rapid assessment for delirium and cognitive impairment in the Emergency Department, acute medical take, and geriatric settings.

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Answer all questions
0/10 scored

How to Administer

Ask each question and mark Correct (1) or Incorrect (0). For question 3, give the patient an address to remember, then test recall at question 11. Score 1 point per correct answer. Maximum score = 10.

1

What is your age?

Memory

Score 1 if exact age is given correctly.

2

What is the time?

Orientation

Score 1 if correct to the nearest hour.

3

Can you remember this address?

Memory

Give the patient an address to remember: "42, MG Road" (or "18, Gandhi Nagar"). Test recall at end (Q10).

Tell the patient clearly and ask them to repeat it back before continuing.

4

What year is it?

Orientation

Score 1 if the exact current year is given.

5

What is the name of this place?

Orientation

Score 1 if the hospital name, ward, or area of town is correctly identified.

6

Can you recognise two people?

Orientation

Score 1 if two people are correctly identified by role (e.g., "doctor", "nurse") or by name.

The original Hodkinson test used this question. Some versions replace it with "What is the current month?" — both are acceptable.

7

What is your date of birth?

Memory

Score 1 if exact day and month are given correctly.

8

What year did India gain independence?

Memory

Score 1 if 1947 is given. Alternative: ask the year of any major well-known event (e.g., Republic Day year — 1950).

For elderly patients, you can also ask the year of a major national event they would remember (e.g., 1971 war, Emergency 1975). Use what is most familiar to the patient.

9

Who is the current Prime Minister of India?

Orientation

Score 1 if correct. Also accept the President of India or the Chief Minister of the state as an alternative.

10

Count backwards from 20 to 1.

Attention

Score 1 if completed without error. No corrections allowed.

11

Recall the address from earlier.

Memory

Score 1 if the address given in Q3 is recalled correctly (allow minor error if substantially correct, e.g., correct road name and number).

This tests short-term recall — a key marker for delirium and early dementia.

Based on Hodkinson HM. Age and Ageing 1972;1(4):233-238. Original chart by DickyRicky. Enhanced with clinical pathways by Dr Sumit Mandal.