My initial understanding was that it has an advantage over the MMSE through its power to identify very early signs of cognitive deficit, particularly executive function. The MMSE certainly had weaknesses such as not being as sensitive to pick up mild cognitive impairment and the inability to identify signs of progression at the later stages of dementia.Īs the advent of the MoCA came about immediately after my research experience, I was not as intimately familiar with it. Rather the MMSE along with a slew of other tests are designed to screen for signs of dementia. These are indeed not intelligence tests or even methods to determine mental stability. Through this experience, I probably had administered brief cognitive tests such as the Mini Mental State Exam (MMSE) hundreds of times. Why was the President exhibiting such excitement with is results? Might he hold the perception that the MoCA is a measure of intelligence?Įarlier in my career I was part of a team which conducted research studies which included individuals with dementia. He then questioned whether Wallace himself could answer the last five questions on the exam noting their difficulty.
The President appeared quite proud to have achieved a perfect score. In a recent interview with Fox News host Chris Wallace, US President Donald Trump discussed his success taking the Montreal Cognitive Assessment (MoCA).
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