MoCA Questions and Answers Already Passed

MoCA Questions and Answers Already Passed What does MoCA stand for? Montreal Cognitive Assessment What are the indications for MoCA? rapid screening instrument to assess mild cognitive dysfunction in the geriatric population What are the different cognitive domains that MoCA assesses? (8) -attention/concentration -executive functions -memory -language -visuoconstructional skills -conceptual thinking -calculations -orientation How long does it generally take to perform a MoCA? 10 min What is considered a "normal" MoCA score? 26-30 (max is 30) What occurs in alternating trail making? ask pt to draw a line from number to letter (1 to A, 2 to B etc. ) if successful or self-correction = 1 pt What occurs in visuoconstructional skills (cylinder) ? ask pt to draw a cylinder if successful (3D, All lines drawn, nothing added, parallel lines, ovals not circles on edges, lines touch bottom or top of ovals) = 1 pt What occurs in visuoconstructional skills (clock)? ask pt to draw a clock at a certain time if successful (circle drawn, correct clock numbers in correct orders, 2 clock hands are correct time and the hour hand is shorter than the minute) = 3 point (1 for each criteria) What occurs in naming? ask pt what the name of the object you are showing them a pic of is 1pt: donkey/mule 2pt: pig/hog 3pt: kangaroo (WTF IS THIS? LOL) What occurs in memory? Read pt a list of 5 words at a rate of 1 word per sec, and when done, ask pt if they remember. ORDER DOES NOT MATTER. Then list is read again for a 2nd time, then again at the end of MoCA. no scoring just yet bc youre going to ask again at the end What occurs in attention? DIGIT SPAN TEST read 5 number sequence to pt and ask them to repeat them to you , must be in order then say some other numbers and ask pt to repeat these nmbrs backwards total if successful: 2 pts ; if only one sequence is right then 1 pt, if none =0pts What occurs in vigilence? ask pt to tap your hand every time you say a certain letter, if not the same letter, dont tap if successful = 1 pt What occurs in serial 7s? ask pt to subtract by 7 from 80 until you tell them to stop 1 pt : 1 correct subtraction 2pts: 2-3 correct subtractions 3pt: 4-5 correct subtractions What occurs in sequence repitition? read sentence and ask pt to repeat; do this 2x 0-2 pts max What occurs in verbal fluency? ask pt to think of words starting w / certain letter except for proper nouns, places, or numbers or words that are diff versions of the same word do this for 1 min 1pt: 11+ words/min What occurs in abstraction? ask pt to explain what a pair of words has in common with adjectives (1 practice trial, 2 real trials) max points : 0-2 What occurs in delayed recall? ask pt to read those same words you asked in MEMORY Testing 1pt for each word correctly recalled optional: give pt a clue if they cant remember, or multiple choice possibilities = but no pts for this What occurs in orientation? ask pt what todays date is by saying exact year, month, date and day of the week, city and current place 6 total pts