There are three drawings – a lion, rhino and camel. If you’re lucky enough to not have any cognitive impairment, this part is also easy. But I figured it out in the end, and that’s all that matters. So yes, it took me a second to remember that the minutes are all multiples of five – for 10 past the big hand points to two. Call it what you will – millennial-itis, lockdown brain – but this was actually a slight challenge as I can’t remember the last time I looked at a clock that wasn’t on my phone or laptop. Then you have to draw a cube, and a clock at 10 past 11. The first few questions are indeed “easy” – although it goes without saying that anyone experiencing cognitive problems is supposed to find it hard, and the point of the test is to help diagnose their condition.įirst, you have to draw a line between numbers and their equivalent letters (1 to A, A to 2, 2 to B and so on). But when it comes to the last five questions, his claim that they’re “very hard” is unsettling (although not surprising) in what it reveals about his relationship with reality.īut before we dive into that, here’s what the test involves: Drawing a clock and a cube Trump is right about the start of the test being easy. We can’t tell for sure which version Trump took, but as he said he did it recently, I’ve taken the latest MoCA test from their website. There are a few different versions of the test with small variations (such as the words to remember or animals to name), but the questions are generally the same. The test is supposed to help physicians detect early signs of Alzheimer’s.” Talking to MarketWatch on Monday, Nasreddine stressed that the test “is supposed to be easy for someone who has no cognitive impairment”, saying that “this is not an IQ test or the level of how a person is extremely skilled or not. The test is called the Montreal Cognitive Assessment (MoCA), and was created by the neurologist Dr Ziad Nasreddine in 1996. So what is the test and are the last five questions, as Trump claims, really so difficult? I’ll bet you couldn’t, they get very hard, the last five questions.” He added: “I guarantee you that Joe Biden could not answer those questions.” “But I’ll bet you couldn’t even answer the last five questions. “Yes, the first few questions are easy,” he conceded. “There's no broad consensus that we should be giving MoCA's to people as part of their wellness examination or general annual physical,” he said.This, according to Trump, was “misrepresentation”. The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. “If you're looking for Alzheimer's, then you'd be reassured to say that there's no signs of that disease,” Nasreddine said, referring to a perfect score on the test. A person with a a high school education in the United States should be able to get 26 to 30, Honig said. This is because there are often confounding factors such as the level of education and whether the test is being given in the person’s native language. He has seen patients with dementia score greater than 26 and he has seen patients without dementia score below 26. Lawrence Honig, a neurologist and one of the directors of the Alzheimer's Disease Research Center at Columbia University, said while the test is a pretty good indicator, it’s not perfect.
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