MDS-UPDRS Exam Questions &
Answers 2025/2026
Parts of the MDS-UPDRS - ANSWERS1. Non-motor experiences of daily living
2. Motor experiences of daily living
3. Motor examination
4. Motor complications
Rating scale - ANSWERS0- Normal
1- Slight
2- Mild
3-Moderate
4-Severe
Definition of "slight" on rating scale - ANSWERS"with sufficiently low frequency or intensity to
cause no impact on function"
-Perception of a problem but no interference
Definition of "mild" on rating scale - ANSWERS"Signs/symptoms sufficient to cause a modest
impact on function"
-Can interfere with an isolated activity
Definition of "moderate" on rating scale - ANSWERS"Signs/symptoms sufficiently frequent to
impact considerably but not prevent function"
-Can interfere with a normal activity
, Definition of "severe" on rating scale - ANSWERS"Signs/symptoms that prevent function"
-Can preclude a normal activity
What is UR marking - ANSWERSAn item that does not apply or cannot be rated (Ex: amputee
who can not walk)
What to consider in testing section 1.1 (cognitive impairment) - ANSWERS1. Cognitive slowing
2. Impaired reasoning
3. Memory loss
4. Attention/orientation deficits
What to consider in testing section 1.2 (hallucinations/psychosis) - ANSWERSillusion:
misinterpretation of real stimuli
hallucination: spontaneous false sensation
Does the patient have insight or not?
Are the impressions unformed "feelings" or fully formed "developed and detailed"
What to note at the beginning of motor examination - ANSWERS1. If the patient took
medication to treat symptoms of PD and time of last dose (mark at the top of the page)
2. Is the patient ON or OFF
What to note at the end of the motor examination - ANSWERS1. Whether dyskinesia (chorea,
dystonia) was present and if so, whether it interfered with the motor examination
Motor exam: Speech - ANSWERS1. Loud or soft (hypophonic)?
2. Are all words easy to understand or just a few?
3. Are sentences unintelligible?
Answers 2025/2026
Parts of the MDS-UPDRS - ANSWERS1. Non-motor experiences of daily living
2. Motor experiences of daily living
3. Motor examination
4. Motor complications
Rating scale - ANSWERS0- Normal
1- Slight
2- Mild
3-Moderate
4-Severe
Definition of "slight" on rating scale - ANSWERS"with sufficiently low frequency or intensity to
cause no impact on function"
-Perception of a problem but no interference
Definition of "mild" on rating scale - ANSWERS"Signs/symptoms sufficient to cause a modest
impact on function"
-Can interfere with an isolated activity
Definition of "moderate" on rating scale - ANSWERS"Signs/symptoms sufficiently frequent to
impact considerably but not prevent function"
-Can interfere with a normal activity
, Definition of "severe" on rating scale - ANSWERS"Signs/symptoms that prevent function"
-Can preclude a normal activity
What is UR marking - ANSWERSAn item that does not apply or cannot be rated (Ex: amputee
who can not walk)
What to consider in testing section 1.1 (cognitive impairment) - ANSWERS1. Cognitive slowing
2. Impaired reasoning
3. Memory loss
4. Attention/orientation deficits
What to consider in testing section 1.2 (hallucinations/psychosis) - ANSWERSillusion:
misinterpretation of real stimuli
hallucination: spontaneous false sensation
Does the patient have insight or not?
Are the impressions unformed "feelings" or fully formed "developed and detailed"
What to note at the beginning of motor examination - ANSWERS1. If the patient took
medication to treat symptoms of PD and time of last dose (mark at the top of the page)
2. Is the patient ON or OFF
What to note at the end of the motor examination - ANSWERS1. Whether dyskinesia (chorea,
dystonia) was present and if so, whether it interfered with the motor examination
Motor exam: Speech - ANSWERS1. Loud or soft (hypophonic)?
2. Are all words easy to understand or just a few?
3. Are sentences unintelligible?
