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MoCA Reference

Brief cognitive screening, more sensitive than MMSE for mild cognitive impairment. This is a scoring reference — full administration requires licensed materials at mocatest.org.

Indication

  • Brief cognitive screening, more sensitive than MMSE for mild cognitive impairment. This is a scoring reference — full administration requires licensed materials at mocatest.org.

Clinical pearls

  • MoCA is more sensitive than MMSE for MCI (sensitivity ~90% vs ~18%)
  • Clock drawing alone is quick but misses many MCI cases
  • Education adjustment (+1 for ≤12 years) improves specificity in lower-education populations
  • Serial MoCA scores tracking change over time are more useful than a single measurement

Source and review

  • Nasreddine ZS et al. J Am Geriatr Soc 2005. Last reviewed: 2025-01-01