Neuropsychological testing

On neuropsychological testing he scored 27/30 on the Mini-Mental State Examination (MMSE), missing one point each for the name of the hospital, the season and for spelling "world" backwards. The intersecting pentagons were drawn perfectly. Speech was fluent, but the patient insisted on telling off-color jokes. He commented on the examiner's old age. He failed badly on word generation, getting six d words and nine animals with normal being 12 d words and 15 animals. On the Trail-Making Test "Trails B", he made frequent perseverative errors and was unable to abstract on proverbs, often repeating the proverb back to the examiner rather than offering an interpretation. He correctly named 55 of 60 words on the Boston Naming Test. He copied complex designs without error and remembered most of the designs after 5 minutes. Similarly, he remembered seven of nine words in 5 minutes.