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Normative Data and Cutoff Scores Flashcards

7 cards from real FOLSTEIN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. The reported sensitivity of the MMSE for detecting Alzheimer's disease at a standard cutoff is approximately:

    Answer: 85–90%

    Meta-analyses report MMSE sensitivity for Alzheimer's detection at approximately 85–90% when using the standard ≤23 cutoff in clinical samples.

  2. The specificity of the MMSE at a cutoff of 23/24 is generally reported at approximately:

    Answer: 75–82%

    Specificity at the standard cutoff is typically cited around 75–82%, meaning a meaningful proportion of cognitively healthy individuals may score below the threshold.

  3. A major limitation of the MMSE in terms of diagnostic sensitivity is its:

    Answer: Poor sensitivity for detecting mild cognitive impairment (MCI)

    The MMSE has poor sensitivity for mild cognitive impairment because its tasks are not challenging enough to reveal the subtle deficits characteristic of MCI.

  4. The original MMSE was developed and normed using which sample in the Folstein et al. (1975) study?

    Answer: Both psychiatric inpatients and community residents

    The 1975 Folstein study included psychiatric inpatients with various diagnoses as well as normal community volunteers, establishing the initial normative comparisons.

  5. When compared to comprehensive neuropsychological test batteries, the MMSE is best characterized as:

    Answer: A brief screening tool with lower diagnostic precision than full batteries

    The MMSE is a brief screening instrument and does not replace comprehensive neuropsychological testing; it trades thoroughness for brevity and ease of administration.

  6. The test-retest reliability coefficient of the MMSE is generally reported in the range of:

    Answer: 0.80–0.95

    Studies report MMSE test-retest reliability coefficients of approximately 0.80–0.95, indicating good to excellent stability of scores over time in stable patients.

  7. Which statement best describes the inter-rater reliability of the MMSE?

    Answer: High, with inter-rater agreement typically above 0.85

    The MMSE demonstrates high inter-rater reliability, with agreement coefficients typically exceeding 0.85, making it suitable for use across different examiners in clinical settings.