MoCA Clock Drawing 3

Question 1

Which neurological condition is most classically associated with a 'closing-in' error on clock drawing, where the patient draws the clock directly on or crowded against the examiner's model?

Accepted Answer

Alzheimer's disease

Answer

Closing-in behavior during constructional tasks such as clock drawing is strongly associated with Alzheimer's disease.

Question 2

On the MoCA, the Clock Drawing numbers criterion requires numbers to be placed in which configuration to earn the point?

Accepted Answer

All 12 numbers present in correct sequence within the clock face

Answer

The MoCA numbers criterion requires all 12 Arabic numerals present, in the correct sequence, and approximately correctly positioned inside the clock face.

Question 3

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

Accepted Answer

Neglect of the left side of the clock face

Answer

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

Question 4

Which of the following clock drawing errors is most characteristic of executive dysfunction rather than visuospatial impairment?

Accepted Answer

Placing hands on the numerals mentioned in the time verbally (stimulus pull)

Answer

Stimulus pull (pointing hands to the spoken numerals) reflects impaired inhibition and planning, hallmarks of executive dysfunction rather than purely spatial deficits.

Question 5

In MoCA scoring, what must be true about hand length to earn the hands point?

Accepted Answer

Both hands must be present and pointing to the correct positions

Answer

The MoCA hands point requires both hands to be present and pointing approximately correctly to indicate 11:10; absolute length difference is not a scored criterion.

(MoCA) Montreal Cognitive Assessment Practice Test

(MoCA) Montreal Cognitive Assessment Practice Test

MoCA Clock Drawing 3