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MoCA Trail Making (Alternating Trail Making) 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.

Read the first 7 MoCA Trail Making (Alternating Trail Making) flashcards as text
  1. How many total circles does the MoCA alternating trail making item contain?

    Answer: 10

    The item has five numbers (1-5) and five letters (A-E), for 10 circles in total.

  2. How many connecting lines must a patient draw to finish the MoCA trail correctly?

    Answer: 9

    Ten circles joined in sequence need nine connecting lines.

  3. Which circle should the patient's line reach immediately after 'C'?

    Answer: 4

    The sequence 1-A-2-B-3-C-4-D-5-E puts 4 right after C.

  4. Which established neuropsychological test is the MoCA alternating trail adapted from?

    Answer: Trail Making Test Part B

    The MoCA trail is a shortened version of Trail Making Test Part B, which alternates numbers and letters.

  5. A patient draws 1-A-2-B-3-C-4-D-5-E with no errors but works very slowly. How is the item scored?

    Answer: 1 point

    The MoCA trail has no time limit, so a correct sequence earns 1 point no matter how long it takes.

  6. Where does the examiner point when saying 'End here'?

    Answer: Circle E

    The examiner points to 1 as the start and to E as the end of the trail.

  7. Which cognitive skill does the alternating trail mainly test?

    Answer: Set-shifting and cognitive flexibility

    Switching between numbers and letters puts heavy demand on executive set-shifting.

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Sources & references

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  1. mocacognition.com — Eligibility, renewal, test delivery, time limit, fees, passing score, exam information · verified Oct 2026