MoCA Visuospatial Abilities 3

Question 1

What instruction is given to the patient before the MoCA clock-drawing task?

Accepted Answer

Draw a clock face, put in all the numbers, and set the time to 10 past 11

Answer

Patients are asked to draw a clock, insert all numbers, and indicate the time as 10 past 11 (11:10).

Question 2

Why is the time '10 past 11' chosen for the MoCA clock task rather than '3 o'clock'?

Accepted Answer

It prevents patients from simply pointing both hands upward near 12

Answer

10:10 or 11:10 is used because placing the hands near the 11 and 2 is more cognitively demanding than a simple symmetric time.

Question 3

In the MoCA trail-making test, a patient connects: 1–A–2–B–3–D skipping C. How is this scored?

Accepted Answer

0 points, any sequence error results in no credit

Answer

Any error in the alternating sequence that is not immediately self-corrected results in a score of 0.

Question 4

Which brain region damage is most closely associated with poor performance on visuospatial construction tasks like those in the MoCA?

Accepted Answer

Right parietal lobe

Answer

The right parietal lobe is critical for visuospatial construction; damage here commonly impairs clock drawing and cube copying.

Question 5

A patient draws a perfect clock contour and correct hand positions but writes '13' between 12 and 1. What is the clock score?

Accepted Answer

2

Answer

The numbers point is lost because adding '13' shows a sequencing error, but contour and hands points are retained.

(MoCA) Montreal Cognitive Assessment Practice Test