MOCA Sample Report

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Montreal Cognitive Assessment (MoCA)

The Montreal Cognitive Assessment (MoCA) is a screening instrument designed for detection of
mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration,
executive functions, memory, language, visuoconstructional skills, conceptual thinking,
calculations, and orientation. MoCA was administered to T to detect symptoms of mild cognitive
impairment.

Domains Score
Visuospatial/Executive 4/5
Naming 3/3
Attention 5/6
Language 2/3
Abstraction 2/2
Delayed Recall 1/5
Orientation 5/6
Total 22/30

T displayed strengths for Naming and Abstraction domains. Her Naming score was 3 out of 3,
while her Abstraction score was 2 out of 2, which suggests that her semantic knowledge,
vocalization and articulation, as well as abstraction are most likely intact.

T showed some difficulties in Visuospatial/Executive, Attention, Language and Orientation


domains. Her Visuospatial/Executive score was 4 out of 5, whereby 1 mark was deducted from
the clock drawing test due to the two hands of the clock not indicating the right time, and the
hour and minute hand were both equally long. This suggests that her executive function and
visual/spatial perception are likely to be intact, but her inhibitory response to draw each hand to
tell the correct time and to draw the hour hand shorter than minute hand was slightly impaired.

T’s Attention score was 5 out of 6, whereby 1 mark was deducted from the tapping test due to 2
errors made. This suggests slight impairment in attention.

T’s Language score was 2 out of 3, whereby 1 mark was deducted from the language fluency test
as she was only able to name 3 words that begin with the letter B in one minute. This suggests
that her phonemic fluency is likely to be impaired.

T’s Orientation score was 5 out of 6, whereby 1 mark was deducted due to forgetting the date of
the day. She was prompted on the date of the day before the interview where she signed the
informed consent letter and wrote down the date. This suggests a likelihood of issues in time
orientation.

T’s score for Delayed Recall was poor, whereby with multiple choice cue, she was only able to
remember one out of five of the words. This suggests that her memory is likely to be impaired.

T’s total score for MoCA was 22 out of 30. According to Nasreddine et al. (2005), using a cut
off score of 26, and a range between 19-25, the MoCA detected 90% of mild cognitive
impairment (MCI) subjects. This suggests that T is likely to have mild cognitive impairment.

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