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Counting backwards from 100 by sevens is often done as part of or, if not, done in addition to the Mini Mental State or Folstein exam, which is a thirty-question exam that measures a patient's degree of cognitive function (and, conversely, impairment). It is used to judge the mental capabilities of people suffering from a wide range of illnesses and injuries, including chronic fatigue syndrome, vasculitis, and traumatic brain injury.

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