MoCA Executive Functioning 2

Question 1

Which MoCA task specifically assesses the ability to shift between mental sets (cognitive flexibility)?

Accepted Answer

Trail Making B alternation task

Answer

The Trail Making B task (connecting numbers and letters alternately: 1-A-2-B-3-C...) is the executive flexibility task in the MoCA. It tests the ability to alternate between two sets of stimuli.

Question 2

On the MoCA Trail Making B task, the patient must connect numbers and letters in which order?

Accepted Answer

1-A-2-B-3-C-4-D-5-E in alternating order

Answer

The patient must draw a line alternating between numbers and letters in ascending order: 1 → A → 2 → B → 3 → C → 4 → D → 5 → E, alternating correctly throughout.

Question 3

How is the MoCA Trail Making B task scored?

Accepted Answer

0 or 1 point total — 1 for error-free completion

Answer

The MoCA Trail Making B is scored as 1 point (correct) or 0 points (incorrect). The patient earns 1 point only if the entire sequence is completed without any sequencing errors.

Question 4

The letter fluency task in the MoCA requires the patient to generate as many words as possible beginning with which letter?

Accepted Answer

F

Answer

The standard MoCA letter fluency (phonemic fluency) task uses the letter F. The patient has 60 seconds to name as many words starting with F as possible, with a cutoff of 11 or more words for 1 point.

Question 5

How many words beginning with F must a patient generate in 60 seconds to earn the MoCA letter fluency point?

Accepted Answer

11 or more

Answer

The patient must produce 11 or more F-words in 60 seconds to earn 1 point. Proper nouns and the same word said again (with different endings) do not count.

(MoCA) Montreal Cognitive Assessment Practice Test

(MoCA) Montreal Cognitive Assessment Practice Test

MoCA Executive Functioning 2