MoCA Visuospatial Abilities 3

Question 1

The MoCA visuospatial/executive domain contributes how many points to the total score?

Accepted Answer

5 points

Answer

The Visuospatial/Executive domain includes: 1 point for Trail Making B, 1 point for cube copy, and 3 points for clock drawing (contour, numbers, hands) = 5 points total.

Question 2

Which neurological condition is particularly associated with severely impaired visuospatial performance on the MoCA?

Accepted Answer

Lewy body dementia and posterior cortical atrophy

Answer

Lewy body dementia and posterior cortical atrophy (a variant of Alzheimer's disease) are strongly associated with prominent visuospatial deficits, often more severe than memory deficits at early stages.

Question 3

On the MoCA, how is the cube copy task scored?

Accepted Answer

0 or 1 point only

Answer

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.

Question 4

What should the examiner do if a patient asks to see the cube model again during copying?

Accepted Answer

Allow the patient to see the model as it remains visible throughout

Answer

The stimulus cube remains visible throughout the copying task. It is not taken away from the patient. The patient should be encouraged to refer to the model as needed.

Question 5

A patient with right hemisphere parietal damage would MOST likely show difficulties on which MoCA visuospatial tasks?

Accepted Answer

Cube copy and clock drawing, possibly with left-sided neglect features

Answer

Right parietal lesions typically produce left-sided spatial neglect and visuoconstructional deficits. This would affect the cube copy and clock drawing (particularly left-sided neglect: numbers clustered on the right, left hand incorrect).

(MoCA) Montreal Cognitive Assessment Practice Test

(MoCA) Montreal Cognitive Assessment Practice Test

MoCA Visuospatial Abilities 3