Neuropsychological testing

His MMSE score was 24/30. Speech was fluent but somewhat lacking specific nouns. Comprehension was mildly impaired due to deficits in understanding some words. The items missed were two of three words on memory, naming of the watch and pen, and two items on the three-step command. Working memory was normal with eight numbers repeated backwards. He generated only five animals in 1 minute and 9 d words. The Trail-Making Test, "Trails B", was performed quickly and correctly, but he could not interpret proverbs. Copying was precisely performed without error, and after 10 minutes he remembered 16 of 17 points on the drawing. He had trouble with learning a list of nine words, remembering only four after five trials. He retained these four words after 10 minutes. He correctly named 16 of 60 words on the Boston Naming Test, missing all of the animals except for dog. Naming for most items was not improved by category clues or multiple choice. Subtle deficits in recognizing facial emotions for fear and sadness were evident.