The MoCA assesses several cognitive domains: Successive results show a deterioration of pattern processing ability in a subject as they progress from mild cognitive impairment (MCI) to severe Alzheimer's disease (AD). The short-term memory recall task (5 points) involves two learning trials of five nouns and delayed recall after approximately five minutes. Visuospatial abilities are assessed using a clock-drawing task (3 points) and a three-dimensional cube copy (1 point).Moca test.pdf serial#Īttention, 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). Finally, orientation to time and place is evaluated by asking the subject for the date and the city in which the test is occurring (6 points).īecause MoCA is English-specific, linguistic and cultural translations are made in order to adapt the test in other countries.Abstract reasoning is assessed using a describe-the-similarity task with 2 points being available.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.
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