Montreal Cognitive Assessment (MoCA)

Specialty: Physician Patient Name: Sarah Jenkins Date of Birth: 15/03/1958 Patient ID: SJ-2024-001 **Montreal Cognitive Assessment (MoCA)** **Date of Assessment:** 1 November 2024 **1. Visuospatial/Executive** * **Alternating Trails:** Correctly drew a line alternating between numbers and letters in ascending order (1-A-2-B-3-C). * **Cube:** Accurately copied the 3D cube. * **Clock:** Drew a clock with all numbers and hands showing 10 past 11. (Score: 2/3 - minor spatial error with number placement) **2. Naming** * **Lion:** Correctly identified. * **Rhinoceros:** Correctly identified. * **Camel:** Correctly identified. **3. Memory** * **Word List (Immediate Recall):** * Face: Recalled * Velvet: Recalled * Church: Recalled * Daisy: Recalled * Red: Recalled * **Word List (Delayed Recall - after distractor task):** * Face: Recalled * Velvet: Not recalled * Church: Recalled * Daisy: Recalled * Red: Recalled **4. Attention** * **Forward Digit Span (5 8 2 9 3):** Correctly repeated. * **Backward Digit Span (6 4 7 2):** Correctly repeated. * **Letter Tapping (F A C E B A N F A C E B A N):** Tapped hand for 'A' every time it was heard. One error (tapped for 'F'). * **Serial 7s (93-7, 86-7, 79-7, 72-7, 65-7):** * 93 - 7 = 86 (Correct) * 86 - 7 = 79 (Correct) * 79 - 7 = 72 (Correct) * 72 - 7 = 65 (Correct) * 65 - 7 = 58 (Correct) **5. Language** * **Sentence Repetition (I only know that John is the one to help today; The cat always hid under the couch when dogs were in the room):** * Sentence 1: Correctly repeated. * Sentence 2: Correctly repeated. * **Verbal Fluency (F-words in 1 minute):** Generated 15 words beginning with 'F' in 60 seconds (e.g., 'fish', 'flower', 'friend', 'family', 'food', 'five', 'fast', 'farm', 'fork', 'fire', 'finger', 'feather', 'funny', 'fine', 'floor'). **6. Abstraction** * **Train-Bicycle (Transportation):** Correctly identified the commonality. * **Ruler-Watch (Measuring instruments):** Correctly identified the commonality. **7. Orientation** * **Date:** 1 November 2024 (Correct) * **Month:** November (Correct) * **Year:** 2024 (Correct) * **Day of Week:** Friday (Correct) * **Place (Clinic/Hospital Name):** St. Jude's Medical Centre (Correct) * **City:** Manchester (Correct) **Total MoCA Score:** 25/30 **Interpretation:** [Patient Name]'s MoCA score of 25/30 suggests mild cognitive impairment, with specific deficits noted in visuospatial/executive function (clock drawing) and delayed verbal recall (one word missed). Overall orientation and naming were well-preserved. Further investigation and follow-up are recommended to determine the underlying cause and appropriate management strategies. **Recommendations:** Consider further neuropsychological assessment, blood tests to rule out reversible causes, and discussion with the patient regarding lifestyle modifications and cognitive stimulation techniques.