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MoCA

Montreal Cognitive Assessment

MoCA

A comprehensive screening tool for mild cognitive impairment

Education Level Assessment

Years of formal education

Visuospatial/Executive

Tests visual and executive functioning. Involves copying a cube, drawing a clock (including the contour, numbers, and hands set to 10 past 11). One point is given for each correct element.

/ 5

Naming

Tests ability to name objects. Show the patient pictures of a Lion, Rhinoceros, and Camel. One point is given for each correct naming.

/ 3

Memory

Tests delayed recall. Read the words "Face, Velvet, Church, Daisy, Red" aloud, and ask the patient to repeat them immediately (not scored). After 5 minutes, ask the patient to recall the words without prompts.

/ 5

Attention

Tests attention. Includes forward digit span, backward digit span, letter tapping, and serial subtraction of 7s starting from 100.

/ 6

Language

Tests sentence repetition and fluency. Ask the patient to repeat complex sentences exactly as stated and list words starting with "F" in one minute.

/ 3

Abstraction

Tests abstract reasoning. Ask the patient to explain similarities between pairs of items (e.g., "Train & Bicycle", "Watch & Ruler").

/ 2

Delayed Recall

Tests ability to recall previously mentioned words without cues after a 5-minute delay.

/ 5

Orientation

Tests orientation to time and place. Questions about date, month, year, day, place, and city.

/ 6

Total Score

0/30

26-30

Normal

18-25

Mild Impairment

<18

Significant

Important Note

This assessment is a screening tool and should not replace comprehensive clinical evaluation. Results should be interpreted in conjunction with other clinical findings and patient history.

Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

How it Works

Clinical Pearls

Next Steps

The Evidence

Origins & History

Last Comprehensive Review: 2026-07-17

Recent Journal Updates

WHO NewsJul 2, 2026
WHO adds first diagnostic test for Ebola Bundibugyo virus to its Emergency Use Listing

Clinical Context

We think this has broad domain relevance to Mo Ca.

BJOGJun 25, 2026
Indications and Efficacy of Progestogen‐Monotherapy as Menopause Hormone Therapy: A Narrative Review

Clinical Context

We think this has broad domain relevance to Mo Ca.