Practice Test Geeks(MoCA) Montreal Cognitive Assessment Practice Test
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Language Flashcards

7 cards from real MOCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A clinician notices a patient self-corrects an error on the MoCA repetition task within the same attempt. How should this be scored?

    Answer: Credit is given if the final response is verbatim correct

    Self-corrections are allowed on the MoCA; if the patient ultimately produces the sentence verbatim, the response is credited.

  2. How does poor performance on MoCA letter fluency help differentiate Alzheimer's disease from frontotemporal dementia (FTD)?

    Answer: FTD typically shows more severe fluency deficits early due to frontal involvement

    FTD predominantly affects frontal-executive systems early, causing disproportionate phonemic fluency deficits compared to Alzheimer's, which initially impacts memory more.

  3. Which of the following is NOT a valid reason to give a patient an education adjustment point on the MoCA?

    Answer: Poor performance specifically on naming animals

    The MoCA education adjustment adds 1 point for patients with 12 or fewer years of education regardless of which subtest they failed.

  4. A patient produces the words 'fan, fence, fate, farm, farmer, father, fat' during fluency. How many valid words are counted?

    Answer: 6

    'Farmer' is a morphological variant of 'farm' and is excluded; the remaining 6 words (fan, fence, fate, farm, father, fat) are valid.

  5. The MoCA naming subtest presents pictures in order of increasing difficulty. Which animal is considered the most difficult to name?

    Answer: Rhinoceros

    The rhinoceros is considered the most demanding of the three naming items because it is the least frequently encountered and requires precise lexical retrieval.

  6. Which patient response during MoCA naming demonstrates circumlocution rather than a direct naming attempt?

    Answer: 'It's a big animal with a hump that lives in the desert'

    Circumlocution is the use of a descriptive phrase in place of the target word, indicating the patient knows the concept but cannot retrieve the name.

  7. Across all MoCA language tasks, which combination of deficits would most strongly suggest a significant language impairment requiring referral to a speech-language pathologist?

    Answer: 0/3 naming + 0/2 repetition + 0/1 fluency

    Failing all language subtests (0 out of 6 points) represents pervasive language impairment across naming, repetition, and fluency, warranting comprehensive speech-language evaluation.