Practice Test Geeks(MoCA) Montreal Cognitive Assessment Practice Test
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MoCA Calculation Skills 2 Flashcards

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

Read the first 6 MoCA Calculation Skills 2 flashcards as text

  1. Which MoCA task most directly evaluates calculation and numerical reasoning skills?

    Answer: Serial 7 subtraction

    The serial 7 subtraction task (100, 93, 86, 79, 72, 65) is the primary arithmetic task in the MoCA and is the standard measure of calculation under the attention/concentration domain.

  2. How is the MoCA serial 7 task scored when a patient gives the sequence 93, 87, 80, 73, 66?

    Answer: 3 points

    Each subtraction is scored independently from the prior answer. 93 is correct (100-7=93); 87 is incorrect (93-7=86); 80 is correct (87-7=80); 73 is correct (80-7=73); 66 is correct (73-7=66). That is 4 correct = 3 points.

  3. A patient who scores 0 on serial 7s but performs well on all other MoCA domains likely has difficulty with:

    Answer: Selective arithmetic or sustained concentration difficulty

    Zero on serial 7s in isolation may indicate selective arithmetic difficulty, high test anxiety, or limited education rather than global cognitive impairment, especially when other domains are intact.

  4. What is the maximum score possible for the serial 7 subtraction task?

    Answer: 3 points

    Serial 7s is scored out of 3 points: 4-5 correct subtractions = 3 pts, 2-3 correct = 2 pts, 1 correct = 1 pt, 0 correct = 0 pts.

  5. Why is serial 7 subtraction considered a measure of cognitive functioning beyond simple arithmetic?

    Answer: Because it requires working memory and sustained mental effort

    Serial 7 subtraction requires holding the previous answer in working memory while performing a calculation, taxing attention, concentration, and working memory simultaneously — not just arithmetic ability.

  6. If a patient cannot complete the serial 7 task due to a math learning disability disclosed before testing, the examiner should:

    Answer: Administer the task and document the pre-existing condition when interpreting results

    Noted pre-existing conditions affecting serial 7 performance should be documented in clinical notes. The score is still recorded as earned, and the context informs clinical interpretation.