: Name Date of birth : Hospital no.

ADDENBROOKE'S COGNITIVE ACE-R

Final Revised Version A (2005)
Date of testing: Tester's name: Age at leaving full-time education: Occupation: Handedness:

EXAMINATION

Addressogra ph

[Score 0-5]

Ask: What is the N Day Date Month Year Season O I T

[Score 0-5]

Ask: Which Building Floor Town County Country

A T N

E I
[Score 0-3]

Tell: 'I'm going to give you three words and i'd like you to repeat after me: lemon, key and ball'. After subject repeats, say 'Try to remember them because i'm going to ask you later'. Score only the first trial (repeat 3 times if necessary). Register number of trials R

O & N O I
[Score 0-5]

Ask the subject: ' could you take 7 away from a 100? After the subject responds, ask him or her T to take away another 7 to a total of 5 subtractions. If subject make a mistake, carry on and check the subsequent answer (i.e. 93, 84, 77, 70, 63 -score 4)
(for the best performed task)

Stop after five subtractions (93, 86, 79, 72, 65). Ask: 'could you please spell WORLD for me? Then ask him/her to spell it backwards:

E T T A

[Score 0-3]

Y Ask: 'Which 3 words did I ask you to repeat and remember?'

R
[Score 0-7]

Tell: ' I'm going to give you a name and address and I'd like you to repeat after me. We'll be doing that 3 times, so you have a chance to learn it. I'll be asking you later' Score only the third trial
st nd

1 Harry Barnes 73 Orchard Close Kingsbridg e Devon

Trial

Trial

3 Trial

rd

E
[Score 0 -4]

Name of current Prime Minister Name of the woman who was Prime Minister Name of the USA president Name of the USA president who was assassinated in the 1960's
copyright 2000, John R. Hodges

ADDENBROOKE'S COGNITIVE EXAMINATION - ACE-R

Final Revised Version (2005)

V E R B A L F L U E N C Y - Letter 'P' and animals Letters Say: Im going to give you a letter of the alphabet and Id like you to generate as many words as you can beginning with that letter, but not names of people or places. Are you ready? Youve got a minute and the letter is P
7 >17 14-17 11-13 8-10 6-7 4-5 2-3 <2
total
corr ect

[Score 0 - 7]

6 5 4 3 2 1 0

Animals Say: Now can you name as many animals as possible, beginning with any letter?
[Sco re 0 7]

7 >21 17-21 14-16 11-13 9-10 7-8 5-6 <5

total

6 5 4 3 2 1 0
corr ect

L A N G U A G E - Comprehension

Show written instruction:

Close your eyes

ADDENBROOKE'S COGNITIVE EXAMINATION - ACE-R

Final Revised Version (2005)

L A N G U A G E R e p e t i t i o n
[Score 0-2]

in g th e pi ct ur e s a b o v e, a s k th e s u bj e ct to :

[Score 0-4]

1
P o i n t t o t h e o n e w h i c h i s a s s o c i a t e d

Ask the subj ect to rep eat:

' hip po pot am us' ; 'ec ce ntr icit y; 'un int elli gib le'; 'st ati sti cia n'
S c o r e

w i t

h the mona rchy

Point to the

Point to the one which is found in the Antarctic 4 Point to the one which has a nautical connection
copyright 2000, John R. Hodges

ADDENBROOKE'S CO

L A N G U A G E - Reading

Ask the subject to read the

s e w p i n t s o o t d o u g h h e i g h t
V I S U O S PATIAL AB I LITI E S
[Score 0-1]
Ov erlapping pentagons:

[Score 0-5]

Clock: A s k t h e s u b j e c t t o d r a w a c l o c k f a c e w i t h n u m b e r s a n d t h e h

Ask the subject to copy

this diagram:

[Score 0-2]

Wire cube : Ask the subject to copy this drawing (for scoring, see instructions guide)

ands at ten past five. (for scoring see instruction guide: circle = 1, numbers = 2, hands = 2 if all correct)

copyr ight 2000, John R. Hodg es

ADDENBROOKE'S COGNITIVE EXAMINATION - ACE-R

Final Revised Version (2005)

P E R C E

Ho dg es copyright 2000, John R.

ADDENBROO

PERCEPTUAL ABILITIES Ask the subject to identify the letters

Scores

Subscores

Normative values based on 63 controls aged 52-75 and 142 dementia patients aged 46-86 Cut-off <88 gives S U O S P A T I A L 94% sensti vity and 89% RECALL specifi Ask Now tell me what you remember of that name and address we were repeating at the city beginning for demen tia Harr Barn Cut-off y es <82 7 Orch Clos gives 3 ard e 84% Kingsbridge sensiti Devo vity n and 100% specifi RECOGNITION city This test should be done if subject failed to recall one or more items. If all items were recalled, skip for the demen test and score 5. If only part is recalled start by ticking items recalled in the shadowed column tia on the copyright 2000, John R. Hodg es right hand side. Then test not recalled items by telling ok, Ill give you some hints: was the name X, Y or PDF to Wor by Z? and so on. Each recognised item scores one point which is added to the point gained recalling.
Jerry Barnes 37 Orchard Place Oakhampton Devo n Harry Barnes 73 Oak Close Kingsbridge Dorset Harry Bradford 76 Orchard Close Dartington Somerset

General