AskCalc
Home › Neurology › AMT-10

Abbreviated Mental Test (AMT-10 / AMTS)

The 10-item Abbreviated Mental Test (Hodkinson 1972) scores orientation, memory and attention 0–10, one point per correct answer. A score below 7 (≤6) is conventionally taken as abnormal and suggests cognitive impairment (delirium or dementia) needing further assessment; some studies use ≤7 or ≤8.

  • Age (correct) (yes/no, +1)
  • Time to nearest hour (yes/no, +1)
  • Recall of address given at start (e.g. 42 West Street), asked at end (yes/no, +1)
  • Year (yes/no, +1)
  • Name of hospital / place (yes/no, +1)
  • Recognition of two persons (e.g. doctor, nurse) (yes/no, +1)
  • Date of birth (yes/no, +1)
  • Year the First World War started (or other well-known historical date) (yes/no, +1)
  • Name of present monarch / head of state (yes/no, +1)
  • Count backwards from 20 to 1 (yes/no, +1)
—

Interpretation

ResultMeaning
7–10Normal
≤ 6Abnormal: possible delirium or dementia

Formula

One point per correct answer: age, time (nearest hour), address recall (given at start), year, name of place, recognition of two persons, date of birth, start year of WWI, present monarch/head of state, count backwards 20→1. Range 0–10.

Clinical pearls

  • Threshold: <7 (≤6) abnormal, as used by the British Geriatrics Society AMTS sheet and the UK National Hip Fracture Database citing Hodkinson 1972; some validation studies prefer ≤7 or ≤8 for higher sensitivity.
  • A low score does not distinguish delirium from dementia: use a delirium tool (e.g. 4AT) and collateral history.
  • Adapt the historical and head-of-state questions to the local culture; deafness, dysphasia and language barriers falsely lower the score.

Examples

FAQ

What is a normal AMT score?

7 to 10 out of 10 is usually taken as normal; 6 or less suggests cognitive impairment.

What are the 10 AMT questions?

Age, time to the nearest hour, an address to recall at the end, year, name of the place, recognition of two people, date of birth, year WWI began, current monarch or head of state, and counting backwards from 20 to 1.

Evidence

  1. Hodkinson HM. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing 1972;1:233–8.

Neurology · Reviewed 2026-10-14 · Methodology