MoCA Visuospatial Abilities 5

Question 1

Approximately what percentage of the total MoCA score do the visuospatial/executive items contribute?

Accepted Answer

25%

Answer

The visuospatial/executive domain contributes 5 out of 30 points, which is approximately 17–25% of the total score.

Question 2

A clinician notes a patient draws clock numbers only on the right half of the face and leaves the left half empty. This finding is MOST consistent with:

Accepted Answer

Left hemispatial neglect from right parietal lesion

Answer

Omitting numbers from the left visual field is a classic sign of left hemispatial neglect caused by right parietal dysfunction.

Question 3

When a patient self-corrects a trail error (e.g., goes 1-A-2-C then erases and connects to B) on the MoCA, how is the item scored?

Accepted Answer

1 point only if the patient corrects without any prompting

Answer

Self-correction without examiner prompting is acceptable and the item still earns 1 point; examiner-prompted corrections yield 0.

Question 4

Which statement about MoCA visuospatial norms is correct?

Accepted Answer

Lower education is associated with lower visuospatial scores, supporting the 1-point education adjustment

Answer

Lower education correlates with lower MoCA scores, which is why 1 bonus point is added for patients with 12 or fewer years of education.

Question 5

A patient scores 0 on the cube and 1 on the clock. What is their combined visuospatial construction score?

Accepted Answer

1

Answer

Cube (0) plus clock (1 for clock = max 3 but they scored 1) gives a combined construction score of 1.

(MoCA) Montreal Cognitive Assessment Practice Test

(MoCA) Montreal Cognitive Assessment Practice Test

MoCA Visuospatial Abilities 5