![]() CDT may be influenced by literacy status and education level (21. Despite the simpler scoring instructions, suboptimal inter and intra-rater reliability for MoCA’s CDT were recently reported(30). “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. The scoring criteria for the CDT in the MoCA has been simplified to decrease scoring complexity, scoring time, and minimize inter rater variability. ![]() 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. There are many treatable and reversible causes of cognitive impairment. Knowing your score is only the start of the process, though. He has seen patients with dementia score greater than 26 and he has seen patients without dementia score below 26. Taking a cognitive test and learning the results can be stressful, especially if your score is poor. 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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