People with dementia are 25 times more likely to name fewer than 10 animals in one minute.Tell patients that the test is not a race and that they will have one minute to complete the test from the point that they say the first word.This word-generation test asks patients to name as many four-legged animals as they can in one minute.1 or 2 out of 3 on word recall: normal clock-drawing test = no dementia abnormal clock-drawing test = dementia.3 out of 3 on delayed recall indicates normal 0 out of 3 indicates likely dementia.
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Recommended for detection and monitoring, including delirium.
![moca memory test scoring moca memory test scoring](https://i.pinimg.com/736x/d9/61/75/d9617597b909374b08b02a23ba64cc45--moca-montreal.jpg)
Cons: does not test memory or language abilities.Pros: not influenced by age or education easy, very quick and acceptable to most patients some measure of visuospatial and executive function.Scoring: normal (perfect or near perfect) or abnormal by inspection any abnormal clock should raise suspicion of dementia and prompt further evaluation.Test: “Please draw a clock and make the time show 10 minutes past 11:00.”.This test involves one item, and takes one to two minutes to administer. Ask the patient to recall the three words.The scoring of the clock is similar to the Mini-Cog scoring described on page 229. Use the clock-drawing test (see below) as a distracter for the three-word recall.I want you to repeat them back to me.” Explain that you will later ask the patient to recall the words. Tell the patient: “I am going to say three words.The Mini-Cog combines the delayed three-word recall test and the clock-drawing test (Borson et al., 2000). The Mini-Cog is a first-line cognitive screen for primary care, although it has not been evaluated as extensively as the MMSE or the Montreal Cognitive Assessment. Cons: takes longer than other similar tests tests a limited number of cognitive domains (relatively less emphasis on memory and executive functioning) often not sensitive to early cognitive change.Pros: familiar and takes a relatively short time to administer.Test items that are most sensitive to detection: orientation to date (especially year), delayed word recall and intersecting pentagons.
![moca memory test scoring moca memory test scoring](https://i.ytimg.com/vi/wO7n19KMveU/maxresdefault.jpg)