Maximum score that can be achieved on MoCA is 30, and scores above 26 are considered normal. The time taken for test can vary, it's usually can be administered in 10 minutes. Orientation to time and place is evaluated (6 points).Language is assessed using a three-item confrontation naming task with low-familiarity animals ( lion, camel, rhinoceros 3 points), repetition of two syntactically complex sentences (2 points), and the aforementioned fluency task.
Moca results interpretation serial#
Attention, concentration and working memory are evaluated using a sustained attention task (target detection using tapping 1 point), a serial subtraction task (3 points), and digits forward and backward (1 point each).Multiple aspects of executive functions are assessed using an alternation task adapted from the trail-making B task (1 point), a phonemic fluency task (1 point), and a two-item verbal abstraction task (2 points).* Visuospatial abilities are assessed using a clock-drawing task (3 points) and a three-dimensional cube copy (1 point). The short-term memory recall task (5 points) involves two learning trials of five nouns and delayed recall after approximately 5 minutes.The MoCA assesses several cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. There are 3 alternate forms in the english, designed for use in longitudinal settings. The test and administration instructions are freely accessible for clinicians at The test is available in 36 languages and dialects. The MoCA test is a one-page 30-point test administered in approximately 10 minutes. It was validated in the setting of mild cognitive impairment, and has subsequently been adopted in numerous other settings clinically. The Montreal Cognitive Assessment ( MoCA) was created in 1996 by Dr. Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS Overview Risk calculators and risk factors for MoCAĮditor-In-Chief: C. US National Guidelines Clearinghouse on MoCA Only use the best score of either the serial 7 s or spelling WORLD backwards in the total MMSE score.Articles on MoCA in N Eng J Med, Lancet, BMJ If more or less then 5 letters are given, then one point is deducted for each extra or missing letter. One point is given for each letter spelled in the correct order backwards to a maximum score of five. WORLD should first be spelled forwards to allow the correction of any mistakes and then backwards. The total score is the maximum number of lines that can be drawn without crossing any lines. The line method involves drawing lines to match the letters from the correct response (DLROW) and the response given by the patient. With the creation of the Standardized MMSE (SMMSE), the proposed and easiest way to score WORLD is using the “line method” (see figure 1). Marshal Folstein advised that the score is “the number of letters in the correct order,” however, this often led to incorrect scoring due to the numerous possible permutations. Originally, the creator of the MMSE, psychiatrist Dr. Spelling WORLD backwards is straightforward, but the scoring of it is often incorrect, even by experienced clinicians.
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