ADDENBROOKE S COGNITIVE EXAMINATION ACE-III
Engl i sh Ver si on A (2012)
Name:
Date of Birth:
Hospital No. or Address:
Date of testing: ___/___/___
Testers name:_____________________________
Age at leaving full-time education:______________
Occupation: _______________________________
Handedness: ______________________________
A T T E N T I O N
Ask: What is the
Ask: Which
Day
_________
No./Floor
_________
Date
_________
Street/Hospital
_________
Month
___________
Town
___________
Year
___________
County
___________
Season
___________
Country
___________
Attention
[Score 0-5]
Attention
[Score 0-5]
A T T E N T I O N
Tell: Im going to give you three words and Id like you to repeat them after me: lemon, key and ball.
After subject repeats, say Try to remember them because Im going to ask you later.
Score only the first trial (repeat 3 times if necessary).
Register number of trials: _____
Attention
[Score 0-3]
A T T E N T I O N
Ask the subject: Could you take 7 away from 100? Id like you to keep taking 7 away from each new
number until I tell you to stop.
If subject makes a mistake, do not stop them. Let the subject carry on and check subsequent answers
(e.g., 93, 84, 77, 70, 63 score 4).
Stop after five subtractions (93, 86, 79, 72, 65): ____ ____ ____ ____ ____
Attention
[Score 0-5]
M E M O R Y
Ask: Which 3 words did I ask you to repeat and remember? _______ ________ ________
Memory
[Score 0-3]
F L U E N C Y
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. For example, if I give you the letter C, you
could give me words like cat, cry, clock and so on. But, you cant give me words like Catherine or Canada.
Do you understand? Are you ready? You have one minute. The letter I want you to use is the letter P.
Fluency
[Score 0 7]
18 7
14-17 6
11-13 5
8-10 4
6-7 3
4-5 2
2-3 1
0-1 0
total correct
Animals
Say: Now can you name as many animals as possible. It can begin with any letter.
Fluency
[Score 0 7]
22 7
17-21 6
14-16 5
11-13 4
9-10 3
7-8 2
5-6 1
0 <5
total correct
M E M O R Y
Tell: Im going to give you a name and address and Id like you to repeat the name and address after me.
So you have a chance to learn, well be doing that 3 times. Ill ask you the name and address later.
Score only the third trial.
Memory
[Score 0 7]
1
st
Trial 2
nd
Trial 3
rd
Trial
Harry Barnes
73 Orchard Close
Kingsbridge
Devon
________ _______
____ ______ ______
______________
______________
________ _______
____ ______ _______
______________
______________
________ _______
____ _____ ______
______________
______________
M E M O R Y
Name of the 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 1960s..
Memory
[Score 0 4 ]
L A N G U A G E
Place a pencil and a piece of paper in front of the subject. As a practice trial, ask the subject to Pick up
the pencil and then the paper. If incorrect, score 0 and do not continue further.
If the subject is correct on the practice trial, continue with the following three commands below.
Ask the subject to Place the paper on top of the pencil
Ask the subject to Pick up the pencil but not the paper
Ask the subject to Pass me the pencil after touching the paper
Note: Place the pencil and paper in front of the subject before each command.
Language
[Score 0-3]
L A N G U A G E
Ask the subject to write two (or more) complete sentences about his/her last
holiday/weekend/Christmas. Write in complete sentences and do not use abbreviations.
Give 1 point if there are two (or more) complete sentences about the one topic; and give another 1 point
if grammar and spelling are correct.
Language
[Score 0-2]
L A N G U A G E
Ask the subject to repeat: caterpillar; eccentricity; unintelligible; statistician
Score 2 if all are correct; score 1 if 3 are correct; and score 0 if 2 or less are correct.
Language
[Score 0-2]
Updated 20/11/2012
L A N G U A G E
Ask the subject to repeat: All that glitters is not gold
Language
[Score 0-1]
Ask the subject to repeat: A stitch in time saves nine
Language
[Score 0-1]
L A N G U A G E
Ask the subject to name the following pictures:
Language
[Score 0-12]
L A N G U A G E
Using the pictures above, ask the subject to:
Point to the one which is associated with the monarchy ..
Point to the one which is a marsupial ..
Point to the one which is found in the Antarctic .
Point to the one which has a nautical connection .
Language
[Score 0-4]
Updated 20/11/2012
L A N G U A G E
Ask the subject to read the following words: (Score 1 only if all correct)
sew
pint
soot
dough
height
Language
[Score 0-1]
V I S U O S P A T I A L A B I L I T I E S
Infinity Diagram: Ask the subject to copy this diagram
Visuospatial
[Score 0-1]
Wire cube: Ask the subject to copy this drawing (for scoring, see instructions guide).
Visuospatial
[Score 0-2]
Clock: Ask the subject to draw a clock face with numbers and the hands at ten past five. (For scoring see
instruction guide: circle = 1, numbers = 2, hands = 2 if all correct).
Visuospatial
[Score 0-5]
Updated 20/11/2012
V I S U O S P A T I A L A B I L I T I E S
Ask the subject to count the dots without pointing to them
Visuospatial
[Score 0-4]
Updated 20/11/2012
V I S U O S P A T I A L A B I L I T I E S
Ask the subject to identify the letters
Visuospatial
[Score 0-4]
M E M O R Y
Ask Now tell me what you remember about that name and address we were repeating at the beginning
Harry Barnes
73 Orchard Close
Kingsbridge
Devon
.
. .
Memory
[Score 0-7]
M E M O R Y
This test should be done if the subject failed to recall one or more items above. It all items were recalled,
skip the test and score 5. If only part was recalled start by ticking items recalled in the shadowed column on
the right hand side; and then test not recalled items by telling the subject ok, Ill give you some hints: was
the name X, Y or Z? and so on. Each recognised item scores one point, which is added to the point gained
by recalling.
Memory
[Score 0-5]
Jerry Barnes Harry Barnes Harry Bradford recalled
37 73 76 recalled
Orchard Place Oak Close Orchard Close recalled
Oakhampton Kingsbridge Dartington recalled
Devon Dorset Somerset recalled
S C O R E S
TOTAL ACE-III SCORE /100
Attention /18
Memory /26
Fluency /14
Language /26
Visuospatial /16
Updated 20/11/2012
