Chapter 1 28 Domains (MoCA) Max 30 points Description/ Item MoCA test example (V7.1) Language: max 6 points Naming, 3 points The patient is asked to name three figures (animals) that are not too familiar: a lion, rhinoceros, and a dromedary Repetition of sentences, total 2 points, 1 point per sentence Two different sentences are read out aloud and the patient is asked to repeat them exactly as they were. Verbal fluency (letter), 1 point The patient has to tell as many words as they can think of that begin with a certain letter in one minute time. No names, numbers, or suffixes are allowed. Imprinting / Memory no points / 5 points Imprinting, (no points) A list of 5 words at a rate of one per second is read out aloud. The patient is asked to repeat them. The list is read a second time and again the patient is asked to repeat them. Thereafter, the patients will be asked to recall these words at the end of the test (approximately 10 minutes later). Delayed recall of the 5 words, Max 5 points One point for each word recalled freely without any cues. Optional: more information (although without points to be gained) can be obtained by giving the patient a semantic category cue and later a multiple choice (3 options) when they can’t remember a word spontaneously. Attention: max 6 points Forward Digit Span and Backward Digit Span, 2 points: Five numbers are read out aloud and patients are asked to repeat them in the same order. Three numbers are read out aloud and patients are asked to repeat them in the reverse order Serial 7, 3 points: The patient is asked to subtract seven from 100, and then the patient is asked to keep subtracting seven from their answer up to five times. Vigilance/ Inhibition, 1 point: The examiner reads the list of letters and the patient is asked to tap on the table only when a certain letter is mentioned. Abstraction, max 2 points, 1 point to each item pair correctly answered The examiner asks the subject to explain what each pair of words has in common. E.g., train and bicycle. Orientation: Max 6 points Time, 1 point per item date, month, year, day of the week Place, 2 points Location (building) and city
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