MoCA Version August 18, 2010
© Z. Nasreddine MD www.mocatest.org
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Scoring: Only the last two item pairs are scored. Give 1 point to each item pair correctly
answered. The following responses are acceptable:
Train-bicycle = means of transportation, means of travelling, you take trips in both;
Ruler-watch = measuring instruments, used to measure.
The following responses are not acceptable: Train-bicycle = they have wheels; Ruler-
watch = they have numbers.
10. Delayed recall:
Administration
: The examiner gives the following instruction: “I read some words to you
earlier, which I asked you to remember. Tell me as many of those words as you can
remember.” Make a check mark
( √ )
for each of the words correctly recalled spontaneously
without any cues, in the allocated space.
Scoring
: Allocate 1 point for each word recalled freely without any cues.
Optional:
Following the delayed free recall trial, prompt the subject with the semantic category cue
provided below for any word not recalled. Make a check mark
( √ )
in the allocated space if the
subject remembered the word with the help of a category or multiple-choice cue. Prompt all
non-recalled words in this manner. If the subject does not recall the word after the category cue,
give him/her a multiple choice trial, using the following example instruction, “Which of the
following words do you think it was, NOSE, FACE, or HAND?”
Use the following category and/or multiple-choice cues for each word, when appropriate:
FACE: category cue: part of the body multiple choice: nose, face, hand
VELVET: category cue: type of fabric multiple choice: denim, cotton, velvet
CHURCH: category cue: type of building multiple choice: church, school, hospital
DAISY: category cue: type of flower multiple choice: rose, daisy, tulip
RED: category cue: a colour multiple choice: red, blue, green
Scoring: No points are allocated for words recalled with a cue. A cue is used for clinical
information purposes only and can give the test interpreter additional information about the
type of memory disorder. For memory deficits due to retrieval failures, performance can be
improved with a cue. For memory deficits due to encoding failures, performance does not
improve with a cue.
11. Orientation:
Administration
: The examiner gives the following instructions: “Tell me the date today”. If the
subject does not give a complete answer, then prompt accordingly by saying: “Tell me the
[year, month, exact date, and day of the week].” Then say: “Now, tell me the name of this
place, and which city it is in.”
Scoring
: Give one point for each item correctly answered. The subject must tell the exact date
and the exact place (name of hospital, clinic, office). No points are allocated if subject makes
an error of one day for the day and date.
TOTAL SCORE
: Sum all subscores listed on the right-hand side. Add one point for an
individual who has 12 years or fewer of formal education, for a possible maximum of 30 points.
A final total score of 26 and above is considered normal.