MoCA Practice Test: Video 2 Answers (23 Questions) — Questions and Answers

Question 1: If a patient on the Trail Making B task connects 1-A-2-B-3-D (skipping C) but then self-corrects, how is this scored?

0.5 points for a partially correct sequence
0 points — the examiner should not allow corrections
1 point — prompt self-correction is acceptable (Correct answer)
Automatic failure — any error means 0 points

Correct answer: 1 point — prompt self-correction is acceptable

On the MoCA, the examiner is instructed to point out errors immediately and allow the patient to self-correct without penalty, as long as the correction is made promptly. A successful self-correction does not automatically fail the trial.

Question 2: A patient earns 0 on Trail Making B, 0 on clock drawing, and 0 on letter fluency. What does this pattern suggest?

Normal aging with fatigue during testing
A pure visuospatial disorder
Broad executive dysfunction across multiple components (Correct answer)
A primarily amnestic (memory-dominant) disorder

Correct answer: Broad executive dysfunction across multiple components

Failure across all three executive domain tasks (Trail Making B, clock, fluency) indicates a broad executive impairment affecting cognitive flexibility, planning, and generative thinking.

Question 3: Clock drawing is included in the MoCA Visuospatial/Executive domain because it requires:

Executive planning and spatial construction together (Correct answer)
Only fine motor skills
Memory for clock designs seen before
Verbal reasoning about time

Correct answer: Executive planning and spatial construction together

Beyond spatial construction, clock drawing requires the patient to plan and execute a sequence of steps (draw circle, place numbers, set hands to a time), engaging the executive planning system.

Question 4: How many words beginning with F must a patient generate in 60 seconds to earn the MoCA letter fluency point?

15 or more
8 or more
5 or more
11 or more (Correct answer)

Correct answer: 11 or more

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.

Question 5: Which MoCA tasks fall under the Visuospatial/Executive domain?

Trail Making B, cube copy, and clock drawing (Correct answer)
Letter fluency, digit span, and abstraction
Naming, sentence repetition, and fluency
Delayed recall, orientation, and digit span

Correct answer: Trail Making B, cube copy, and clock drawing

The Visuospatial/Executive domain includes the Trail Making B task, the cube copy task, and the clock drawing task — all requiring spatial organization and/or executive planning.

Question 6: Which MoCA task most directly evaluates calculation and numerical reasoning skills?

Clock drawing
Trail-making task
Serial 7 subtraction (Correct answer)
Letter fluency

Correct 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.

Question 7: When evaluating calculation ability with the MoCA serial 7 task, clinicians should be cautious interpreting low scores in patients who:

Are over 65 years old
Have limited formal education or low numeracy backgrounds (Correct answer)
Are native English speakers
Have hearing impairments

Correct answer: Have limited formal education or low numeracy backgrounds

Education and cultural background strongly influence performance on arithmetic tasks. Low serial 7 scores in individuals with limited formal education may not reflect cognitive impairment.

Question 8: What does calculation ability refer to in cognitive assessments?

It is unrelated to cognitive tasks.
It only applies to verbal tasks.
It involves performing mathematical operations. (Correct answer)
It refers to the ability to understand word meanings.

Correct answer: It involves performing mathematical operations.

Calculation ability, in cognitive assessments, specifically refers to the capacity to perform arithmetic operations such as addition, subtraction, multiplication, and division. This skill requires not only knowledge of numbers but also attention, working memory, and sequential processing. It is a key indicator of numerical reasoning and executive function.

Question 9: In MoCA scoring, a patient who correctly subtracts 7 only once (getting 93 right, then failing) earns:

1 point (Correct answer)
0 points
3 points
2 points

Correct answer: 1 point

Per MoCA scoring rules, exactly 1 correct subtraction earns 1 point. Errors on subsequent attempts do not negate the one correct response.

Question 10: A patient who scores 0 on serial 7s but performs well on all other MoCA domains likely has difficulty with:

Memory consolidation failure
Language dysfunction
Selective arithmetic or sustained concentration difficulty (Correct answer)
Severe global dementia

Correct 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.

Question 11: What is the maximum possible total score on the MoCA?

25
28
30 (Correct answer)
35

Correct answer: 30

The MoCA has a total of 30 points distributed across eight domains: Visuospatial/Executive (5), Naming (3), Attention (6), Language (3), Abstraction (2), Delayed Recall (5), and Orientation (6). The Memory learning trials are unscored.

Question 12: For an examinee with 12 or fewer years of formal education, how should the MoCA total score be adjusted?

No adjustment is made — the raw score stands as administered
Multiply the raw score by an education correction factor
Add 1 point to the raw score to correct for educational bias (Correct answer)
Subtract 1 point as a penalty for lower cognitive reserve

Correct answer: Add 1 point to the raw score to correct for educational bias

Standard MoCA guidelines instruct the examiner to add 1 point to the total raw score for any examinee who has completed 12 or fewer years of formal education. This corrects for the well-documented effect of lower educational attainment on cognitive test performance independent of impairment.

Question 13: What is the standard cutoff score indicating normal cognitive function on the MoCA?

26/30 or above (Correct answer)
24/30 or above
20/30 or above
28/30 or above

Correct answer: 26/30 or above

A score of 26/30 or above is considered within the normal range on the MoCA, as established in the original validation study by Nasreddine et al. (2005). Scores below 26 may indicate MCI or dementia and warrant further evaluation.

Question 14: On the MoCA, a patient draws a square instead of a circle for the clock contour. The contour criterion is scored:

0 points — the contour must be a circle (Correct answer)
0.5 points — partial credit for a closed shape
1 point — any closed shape is acceptable
1 point if the shape is symmetrical

Correct answer: 0 points — the contour must be a circle

The clock contour must be a recognizable circle. A clearly non-circular shape (square, rectangle) does not meet the criterion for the contour point, scoring 0 for that sub-point.

Question 15: On the MoCA Clock Drawing task, the examiner asks the patient to draw a clock showing 10 minutes after 11. What is the correct target time?

11:50
10:50
11:10 (Correct answer)
10:10

Correct answer: 11:10

The standard MoCA clock-drawing instruction specifies 11:10 (ten minutes past eleven).

Question 16: A patient draws a perfect clock circle and places all numbers correctly but forgets to add the hands. The clock drawing score is:

3 points
0 points — hands are required
2 points (Correct answer)
1 point

Correct answer: 2 points

Without hands, only the contour (1 pt) and number placement (1 pt) criteria can be met. The hand placement point (1 pt) cannot be awarded, yielding a maximum of 2 out of 3.

Question 17: The MoCA clock drawing task belongs to which cognitive domain on the assessment form?

Memory
Language
Visuospatial/Executive (Correct answer)
Orientation

Correct answer: Visuospatial/Executive

Clock drawing is placed within the Visuospatial/Executive domain on the MoCA form because it tests both spatial construction and executive planning simultaneously.

Question 18: A patient with a left parietal lesion attempts clock drawing. Which type of error is most expected?

Stimulus-pull placing hands on '10' and '11'
Neglect of the right side of the clock face
Neglect of the left side of the clock face (Correct answer)
Perseverative repetition of the number 12

Correct answer: Neglect of the left side of the clock face

Left parietal lesions produce right hemispatial neglect, causing the patient to omit or crowd numbers on the right side of the clock.

Question 19: When administering the MoCA cube copy task, the examiner should provide the patient with:

A blank sheet of paper and colored pencils
The MoCA form with the pre-printed cube model and a pencil (Correct answer)
A ruler for accurate line drawing
A three-dimensional block to hold and examine

Correct answer: The MoCA form with the pre-printed cube model and a pencil

The examiner provides the printed MoCA form (which has the cube drawing already on it) and a pen or pencil. No additional tools or grids are given. The patient draws directly on the form.

Question 20: A patient copies the cube but draws it as a flat square with lines attached. This copy earns:

1 point — it resembles a cube
0 points — the copy is not three-dimensional (Correct answer)
0.5 points as partial credit
1 point if the lines are straight

Correct answer: 0 points — the copy is not three-dimensional

A flat two-dimensional representation of a cube does not meet the requirement for a three-dimensional copy. It scores 0 on the cube copy task.

Question 21: What is the relationship between Visuospatial Abilities and mental well-being?

It has a detrimental impact on mental health.
It only applies to physical well-being.
It plays a crucial role in mental well-being. (Correct answer)
It is unrelated to cognitive health.

Correct answer: It plays a crucial role in mental well-being.

Visuospatial abilities contribute to mental well-being by enabling individuals to interact effectively with their environment, maintain independence, and engage in meaningful activities. Difficulties in this area can lead to frustration, reduced confidence, and social isolation, thereby impacting overall mental health. Thus, it plays a crucial role in mental well-being.

Question 22: Why is Visuospatial Abilities important in cognitive health?

It only applies to young children.
It contributes to overall cognitive health. (Correct answer)
It is not related to cognitive function.
It helps with basic motor skills.

Correct answer: It contributes to overall cognitive health.

Visuospatial abilities are a key component of cognitive health, as they are essential for a wide range of daily activities and higher-level cognitive processes. Maintaining strong visuospatial skills supports brain function, helps with independent living, and can be an important indicator of cognitive well-being or potential decline. Therefore, it significantly contributes to overall cognitive health.

Question 23: On the MoCA, how is the cube copy task scored?

0-3 points based on accuracy
0 or 1 point only (Correct answer)
1 point for attempt, 2 for accuracy
0-2 points based on proportion and lines

Correct answer: 0 or 1 point only

The cube copy is scored as 1 point (correct) or 0 points (incorrect) — a single binary score. There is no partial credit for a partially correct three-dimensional representation.

MoCA Practice Test: Video 2 Answers (23 Questions)

If a patient on the Trail Making B task connects 1-A-2-B-3-D (skipping C) but then self-corrects, how is this scored?

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These practice questions were written with AI tools. They are not real exam questions. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

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