MMSE Following a 3-Stage Command 4

Question 1

Which of the following modifications to the 3-stage command would most directly impair a patient with frontal lobe damage but intact temporal lobe function?

Accepted Answer

Increasing the number of sequential stages from 3 to 5

Answer

Frontal lobe damage impairs working memory and sequencing; increasing the number of stages amplifies demands on these exact functions.

Question 2

On the MMSE, the 3-stage command is classified under which broad domain?

Accepted Answer

Language

Answer

The 3-stage command falls within the Language domain of the MMSE, alongside reading, writing, and naming tasks.

Question 3

A patient successfully picks up the paper, folds it, and places it correctly on the floor but then immediately picks it back up. How should stage 3 be scored?

Accepted Answer

Full credit, because the stage action was completed

Answer

Credit is given for completing the stage action; what the patient does afterward does not affect the score.

Question 4

In Alzheimer's disease, failure on the 3-stage command is most closely associated with deficits in which cognitive process?

Accepted Answer

Working memory and executive function

Answer

AD causes progressive working memory and executive dysfunction, making multi-step sequential commands increasingly difficult to retain and execute.

Question 5

Why is placing the paper 'on the floor' chosen as the final stage rather than a simpler action like handing it back?

Accepted Answer

It is an unusual action that is less likely to be done automatically, requiring deliberate instruction-following

Answer

Unusual actions like placing paper on the floor require deliberate comprehension of the instruction rather than habitual automatic behavior, making them better probes of command-following.

MMSE - Mini-Mental State Examination Practice Test

MMSE - Mini-Mental State Examination Practice Test

MMSE Following a 3-Stage Command 4