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Calculation Skills Flashcards

7 cards from real MOCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A patient with mild cognitive impairment scores 2/3 on MoCA serial 7s. Which answer sequence best justifies this score?

    Answer: 93, 86, 79, 73, 66

    93, 86, 79 are correct (3 correct answers) but 79-7=72 not 73, so this gives 3 correct = 3 pts; sequence B gives exactly 3 correct (93,86,79) = 3 pts — sequence A gives 2 correct (93,86 wrong at 87→80 chain) = 2 pts.

  2. On the MoCA, the serial 7s task belongs to which section of the assessment?

    Answer: Attention

    Serial 7s is part of the Attention domain on the MoCA, along with digit span and vigilance tasks.

  3. A patient correctly answers 93 and 86, then pauses for 30 seconds and says 79. Should the examiner credit the third answer?

    Answer: Yes, there is no time limit per subtraction in standard MoCA

    The MoCA does not specify a per-item time limit for serial 7s; a correct response is credited regardless of pause duration.

  4. What total remains after subtracting 7 from 100 exactly four times?

    Answer: 72

    100-7=93, 93-7=86, 86-7=79, 79-7=72; four subtractions from 100 yield 72.

  5. How does education level affect interpretation of MoCA serial 7s performance?

    Answer: One bonus point is added for patients with 12 or fewer years of education

    The MoCA adds 1 bonus point to the total score (not individual subtasks) for patients with 12 or fewer years of education.

  6. A clinician switches from MoCA serial 7s to serial 3s for research purposes. What is the most significant concern?

    Answer: The task becomes easier, reducing its sensitivity for detecting cognitive impairment

    Serial 3s impose less cognitive load than serial 7s, reducing the task's sensitivity to detect attentional and working memory deficits.

  7. Which of the following best describes the relationship between serial 7s performance and overall MoCA score in detecting mild cognitive impairment?

    Answer: Serial 7s is one contributing domain; the full 30-point score determines MCI screening cutoff

    Serial 7s contributes up to 3 of 30 points; MCI screening uses the total MoCA score (typically cutoff ≥26 for normal).