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Stating that an individual is malingering can cause iatrogenic harm to patients if they are actually not exaggerating or feigning. Such iatrogenic harm may consist in delaying or denying medical attention, therapies, or insurance benefits. In the U.S. military, malingering is a court-martial offense under the Uniform Code of Military Justice.
The Test of Memory Malingering (TOMM) is a 50-question visual memory recognition test that discriminates between true memory impairment and malingering, with two learning trials and an optional retention trial following a delay. [1] It was first published in 1996 and is intended for testing individuals ages 16 and older.
The MMSE may help differentiate different types of dementias. People with Alzheimer's disease may score significantly lower on orientation to time and place as well as recall, compared to those who have dementia with Lewy bodies, vascular dementia, or Parkinson's disease dementia. [25] [26] [27]
Serial sevens (or, more generally, the descending subtraction task; DST), where a patient counts down from one hundred by sevens, is a clinical test used to test cognition; for example, to help assess mental status after possible head injury, in suspected cases of dementia or to show sleep inertia.
It was originally introduced in the screening for dementia, but has also found application in other situations, [3] such as hepatic encephalopathy. [4] References
The Saint Louis University Mental Status (SLUMS) Exam is a brief screening assessment used to detect cognitive impairment. [1] It was developed in 2006 at the Saint Louis University School of Medicine Division of Geriatric Medicine, in affiliation with a Veterans' Affairs medical center. [2]
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