Montreal Cognitive Assessment
(MOCA) ACTUAL Exam | Complete
Questions with Correct Answers
and Detailed Rationales - Latest
Update 2026/2027.
1. The correct pattern for the Trail Making task is:
A) 1-A-2-B-3-C-4-D-5-E
B) A-1-B-2-C-3-D-4-E-5
C) 1-2-A-3-B-4-C-5-D-E
D) Any complete line connecting all points
Answer: A) 1-A-2-B-3-C-4-D-5-E
Rationale: The subject must successfully draw the
pattern 1-A-2-B-3-C-4-D-5-E without drawing any
lines that cross. Any error that is not immediately
self-corrected earns a score of 0.
2. A patient makes an error on the Trail Making
task but immediately corrects themselves. How
should this be scored?
A) 0 points
B) 1 point
,C) Partial credit
D) Assessed by clinical judgment
Answer: B) 1 point
Rationale: Any error that is not immediately self-
corrected earns a score of 0. If the patient self-
corrects without prompting, the error is not
penalized.
3. What cognitive domains does the Alternating
Trail Making task primarily assess?
A) Memory and language
B) Executive function and mental flexibility
C) Attention and orientation
D) Naming and abstraction
Answer: B) Executive function and mental
flexibility
Rationale: The Trail Making task is sensitive to frontal
lobe dysfunction and assesses executive function,
mental flexibility, working memory, and processing
speed.
4. The examiner's instructions for the Trail
Making task are:
A) "Draw a line connecting the numbers in order"
B) "Please draw a line, going from a number to a
,letter in ascending order. Begin here [point to 1] and
draw a line from 1 then to A then to 2 and so on.
End here [point to E]."
C) "Connect all the dots in any order"
D) "Draw a line from A to 1 to B to 2"
Answer: B) "Please draw a line, going from a
number to a letter in ascending order. Begin here
[point to 1] and draw a line from 1 then to A then
to 2 and so on. End here [point to (E)]."
Rationale: The exact wording is critical for
standardized administration as per MoCA
instructions.
5. If the patient draws a line that crosses another
line on the Trail Making task, how should this be
scored?
A) 1 point
B) 0 points
C) Partial credit
D) Depends on severity
Answer: B) 0 points
Rationale: The pattern must be drawn without any
lines that cross. Any crossing lines result in a score of
0.
, 6. What is the starting point for the Trail Making
task?
A) A
B) 1
C) Either A or 1
D) E
Answer: B) 1
Rationale: The examiner points to the number 1 and
instructs the patient to begin there, drawing a line
from 1 to A to 2 and so on.
7. What is the ending point for the Trail Making
task?
A) 5
B) E
C) D
D) 4
Answer: B) E
Rationale: The examiner instructs the patient to "End
here [point to (E)]" after completing the pattern 1-A-
2-B-3-C-4-D-5-E.
Cube Copy
(MOCA) ACTUAL Exam | Complete
Questions with Correct Answers
and Detailed Rationales - Latest
Update 2026/2027.
1. The correct pattern for the Trail Making task is:
A) 1-A-2-B-3-C-4-D-5-E
B) A-1-B-2-C-3-D-4-E-5
C) 1-2-A-3-B-4-C-5-D-E
D) Any complete line connecting all points
Answer: A) 1-A-2-B-3-C-4-D-5-E
Rationale: The subject must successfully draw the
pattern 1-A-2-B-3-C-4-D-5-E without drawing any
lines that cross. Any error that is not immediately
self-corrected earns a score of 0.
2. A patient makes an error on the Trail Making
task but immediately corrects themselves. How
should this be scored?
A) 0 points
B) 1 point
,C) Partial credit
D) Assessed by clinical judgment
Answer: B) 1 point
Rationale: Any error that is not immediately self-
corrected earns a score of 0. If the patient self-
corrects without prompting, the error is not
penalized.
3. What cognitive domains does the Alternating
Trail Making task primarily assess?
A) Memory and language
B) Executive function and mental flexibility
C) Attention and orientation
D) Naming and abstraction
Answer: B) Executive function and mental
flexibility
Rationale: The Trail Making task is sensitive to frontal
lobe dysfunction and assesses executive function,
mental flexibility, working memory, and processing
speed.
4. The examiner's instructions for the Trail
Making task are:
A) "Draw a line connecting the numbers in order"
B) "Please draw a line, going from a number to a
,letter in ascending order. Begin here [point to 1] and
draw a line from 1 then to A then to 2 and so on.
End here [point to E]."
C) "Connect all the dots in any order"
D) "Draw a line from A to 1 to B to 2"
Answer: B) "Please draw a line, going from a
number to a letter in ascending order. Begin here
[point to 1] and draw a line from 1 then to A then
to 2 and so on. End here [point to (E)]."
Rationale: The exact wording is critical for
standardized administration as per MoCA
instructions.
5. If the patient draws a line that crosses another
line on the Trail Making task, how should this be
scored?
A) 1 point
B) 0 points
C) Partial credit
D) Depends on severity
Answer: B) 0 points
Rationale: The pattern must be drawn without any
lines that cross. Any crossing lines result in a score of
0.
, 6. What is the starting point for the Trail Making
task?
A) A
B) 1
C) Either A or 1
D) E
Answer: B) 1
Rationale: The examiner points to the number 1 and
instructs the patient to begin there, drawing a line
from 1 to A to 2 and so on.
7. What is the ending point for the Trail Making
task?
A) 5
B) E
C) D
D) 4
Answer: B) E
Rationale: The examiner instructs the patient to "End
here [point to (E)]" after completing the pattern 1-A-
2-B-3-C-4-D-5-E.
Cube Copy
