Table 1

Items of the Addenbrooke’s Cognitive Examination Version III

Item numberTask/question
1: Attention – orientationAsk the day, date, month, year, season, floor, street/hospital, town, county and country.
2: Attention – registrationSay the words lemon, key and ball and ask them to repeat and try to remember.
3. Attention – concentrationAsk to take 7 away from 100 and keep taking 7 away from the new number for 5 trials (Serial 7’s).
4. Memory – recallAsk for the three words from 2. Attention – registration.
5a. Fluency – lettersAsk for as many words as they can think of starting with the letter ‘P’, not including names of pronouns, in 1 min.
5b. Fluency –animalsAsk for the names of as many animals as they can think of in 1 min.
6. Memory –anterogradeSay the name and address ‘Harry Barnes, 73, Orchard Close, Kingsbridge, Devon’ and ask them to repeat and try to remember.
7. Memory –retrogradeAsk for the name of the current Prime Minister, name of the woman who was Prime Minister, name of the USA president and name of the USA president who was assassinated in the 1960s.
8. Language –comprehensionPlace a pencil and paper in front. Ask to ‘place the paper on top of the pencil’, ‘pick up the pencil but not the paper’ and ‘pass me the pencil after touching the paper’.
9. Language –writingAsk to write two or more complete sentences about their last holiday/weekend/Christmas, without using abbreviations.
10. Language –repetitionSay the words caterpillar, eccentricity, unintelligible and statistician and ask them to repeat.
11. Language –repetitionSay the proverbs ‘All that glitters is not gold’ and ‘A stitch in time saves nine’ and ask them to repeat.
12. Language –namingShow 12 images and ask them to name each.
13. Language –comprehensionAsk to point to ‘the one which is associated with the monarchy’, ‘the one which is a marsupial’, ‘the one which is found in the Antarctic’ and ‘the one which has a nautical connection’ from the 12 images provided.
14. Language –readingAsk them to read the words sew, pint, soot, dough and height.
15a. Visuospatial abilities – infinity diagramAsk them to copy the following:Embedded Image
15b. Visuospatial abilities – wire cubeAsk them to copy the following:Embedded Image
15c. Visuospatial abilities – clockAsk them to draw a clock face with numbers and the hands at ten past five.
16. Visuospatial abilitiesAsk them to count the number of dots without pointing.
17. Visuospatial abilitiesAsk them to identify the fragmented letters K, M, A and T.
18. Memory – recallAsk for the three words from 6. Memory – anterograde.
19. Memory – recognitionFor each word of the name and address that could not be recalled, give the options listed and ask to identify which word it was.