Organic mental disorders: Hindi Mental State Examination: practice question

A Psychiatry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Psychiatry · Organic mental disorders: Hindi Mental State Examination

Sample item

A geriatric psychiatrist in northern India needs to screen a 72-year-old man who has never attended school and speaks only Hindi. Which tool is the most suitable cognitive screen?

AHindi Mental State ExaminationBMini-Mental State Examination in EnglishCMontreal Cognitive Assessment in EnglishDClock-drawing test alone

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Hindi Mental State Examination

The Hindi Mental State Examination was developed for Hindi-speaking, often illiterate elderly Indians, and avoids items that depend on reading and writing or on cultural knowledge. Education and language strongly bias scores on tools designed for educated English speakers.

Option by option

A. Hindi Mental State Examination (correct)
Correct. It is adapted to language and literacy in this population.
B. Mini-Mental State Examination in English
The English version depends on education and language, and would mislabel him as impaired.
C. Montreal Cognitive Assessment in English
The English MoCA is education- and language-dependent.
D. Clock-drawing test alone
A clock-drawing test requires drawing skills and is a limited screen on its own.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this Psychiatry question

What is the answer to this Psychiatry question?

The best answer is A, Hindi Mental State Examination. The Hindi Mental State Examination was developed for Hindi-speaking, often illiterate elderly Indians, and avoids items that depend on reading and writing or on cultural knowledge.

Why is "Mini-Mental State Examination in English" not the answer?

The English version depends on education and language, and would mislabel him as impaired.

Why is "Montreal Cognitive Assessment in English" not the answer?

The English MoCA is education- and language-dependent.

Why is "Clock-drawing test alone" not the answer?

A clock-drawing test requires drawing skills and is a limited screen on its own.

What concept does this question test?

It tests Organic mental disorders: Hindi Mental State Examination in Psychiatry. Education and language strongly bias scores on tools designed for educated English speakers.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Organic mental disorders: Hindi Mental State Examination?

Learn each diagnosis by its core features and its first-line treatment. Then use the flashcards and the other Psychiatry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.