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VAMC SLUMS Examination

SCORING HIGH SCHOOL EDUCATIONLESS THAN HIGH SCHOOL EDUCATION 27-30 Normal 25-30 21-26 MNCD* 20-24 1-20 Dementia 1-19 * Mild Neurocognitive DisorderVAMCSLUMS Examination__/1__/1__/1__/3__/3__/5__/2_ _/4__/2__/8 Name AgeIs patient alert? Level of education1111201011221122221. What day of the week is it?2. What is the year?3. What state are we in?4. Please remember these five objects. I will ask you what they are You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $ much did you spend?How much do you have left?6. Please name as many animals as you can in one animals 5-9 animals 10-14 animals15+ animals7. What were the five objects I asked you to remember? 1 point for each one I am going to give you a series of numbers and I would like you to give them to me example, if I say 42, you would say This is a clock face.

SCORING HIGH SCHOOL EDUCATION LESS THAN HIGH SCHOOL EDUCATION 27-30 Normal 25-30 21-26 MNCD* 20-24 1-20 Dementia 1-19 * …

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