| ENTRY SPECIFICATION |
{"name": "MOCA",
recorded here so that the administration can be saved in VistA.<br /> <br /> "
},
{"id": "q5548", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5A. Forward Digit Span.",
"intro": "Read list of words to be recalled.<br /><br />5. Attention ",
"columns": 2,
"choices":[
{"id": "c2956", "text": "1. Correct forward digit span", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5549", "type": "ChoiceQuestion", "required": false, "inline": true,
},
"text": "5B. Backward Digit Span. Correct response for the backwards trial is 2-4-7.",
"intro": "Read list of words to be recalled.<br /><br />5. Attention ",
"columns": 2,
"choices":[
{"id": "c2957", "text": "1. Correct backward digit span", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5550", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "5C. Vigilance. Correct when there is zero to one errors (an error is a tap on a
wrong letter or a failure to tap on letter A).",
{"id": "q5540", "type": "ChoiceQuestion", "required": false, "inline": true,
"intro": "Read list of words to be recalled.<br /><br />5. Attention ",
"columns": 2,
"choices":[
{"id": "c2958", "text": "1. Correct vigilance", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5551", "type": "ChoiceQuestion", "required": false, "inline": false,
"text": "5D. Serial 7s starting at 100. Continue for five responses.",
"intro": "Read list of words to be recalled.<br /><br />5. Attention ",
"columns": 1,
"text": "1. Alternating Trail Making. Correct Pattern: 1-A- 2- B- 3- C- 4- D- 5- E,
"choices":[
{"id": "c3165", "text": "0. No correct subtractions", "quickKey": 0},
{"id": "c3166", "text": "1. One correct subtraction", "quickKey": 1},
{"id": "c3167", "text": "2. Two or three correct subtractions", "quickKey": 2},
{"id": "c3168", "text": "3. No errors or four or more correct subtractions", "quickKey": 3}
]},
{"id": "i1243", "type": "IntroText",
"text": "6. Language "
},
{"id": "q5552", "type": "ChoiceQuestion", "required": false, "inline": true,
without drawing any lines that cross. Any error that is not immediately
"text": "6A. Sentence repetition. I only know that John is the one to help today.",
"intro": "6. Language ",
"columns": 2,
"choices":[
{"id": "c2946", "text": "1. Correctly repeated", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5553", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "6B. Sentence repetition. The cat always hid under the couch when dogs were in the
room.",
self-corrected is scored incorrect.",
"intro": "6. Language ",
"columns": 2,
"choices":[
{"id": "c2946", "text": "1. Correctly repeated", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5554", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "7. Words beginning with the letter F.",
"intro": "6. Language ",
"columns": 2,
"intro": "The administration of the Montreal Cognitive Assessment requires the use of a
"choices":[
{"id": "c2947", "text": "1. Correct: more than 10 words in one minute.", "quickKey": 1},
{"id": "c2948", "text": "2. Incorrect: 10 or less words in a minute.", "quickKey": 2}
]},
{"id": "i1244", "type": "IntroText",
"text": "8. Abstraction "
},
{"id": "q5555", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8A. Similarity between TRAIN - BICYCLE.",
"intro": "8. Abstraction ",
pencil-and-paper answer sheet. Please be familiar with the instructions and
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5556", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "8B. Similarity between WATCH - RULER.",
"intro": "8. Abstraction ",
"columns": 2,
"choices":[
scoring of this instrument prior to administration. The subject's scores are
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "i1245", "type": "IntroText",
"text": "9. Delayed Recall "
},
{"id": "q5557", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9A. Recall FACE",
"intro": "9. Delayed Recall ",
"columns": 2,
recorded here so that the administration can be saved in VistA.<br /> <br /> ",
"choices":[
{"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5558", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9B. Recall VELVET.",
"intro": "9. Delayed Recall ",
"columns": 2,
"choices":[
{"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1},
"copyright": "Copyright (c) Z. Nasreddine MD",
"columns": 2,
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5559", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9C. Recall CHURCH.",
"intro": "9. Delayed Recall ",
"columns": 2,
"choices":[
{"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
"choices":[
{"id": "q5560", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9D. Recall DAISY.",
"intro": "9. Delayed Recall ",
"columns": 2,
"choices":[
{"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5561", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "9E. Recall RED.",
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
"intro": "9. Delayed Recall ",
"columns": 2,
"choices":[
{"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "i1246", "type": "IntroText",
"text": "10. Orientation "
},
{"id": "q5562", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
"text": "10A. Today's date,",
"intro": "10. Orientation ",
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5563", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10B. Current month",
"intro": "10. Orientation ",
]},
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5564", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10C. Current year",
"intro": "10. Orientation ",
"columns": 2,
"choices":[
{"id": "q5541", "type": "ChoiceQuestion", "required": false, "inline": true,
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5565", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10D. Day of the week",
"intro": "10. Orientation ",
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
"text": "2. Cube-Visuoconstructional Skills. Correct: All must be present:
]},
{"id": "q5566", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "10E. What place is this?",
"intro": "10. Orientation ",
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5567", "type": "ChoiceQuestion", "required": false, "inline": true,
three-dimensional, all lines are drawn, no line is added, lines are relatively
"text": "10F. What city are we in?",
"intro": "10. Orientation ",
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5568", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "11. Years of formal education:",
"intro": "10. Orientation ",
parallel and their length is similar.",
"columns": 2,
"choices":[
{"id": "c2962", "text": "1. Twelve years or fewer.", "quickKey": 1},
{"id": "c2963", "text": "2. More than twelve years.", "quickKey": 2}
]}]
}
"intro": "The administration of the Montreal Cognitive Assessment requires the use of a
"restartDays": 2,
pencil-and-paper answer sheet. Please be familiar with the instructions and
scoring of this instrument prior to administration. The subject's scores are
recorded here so that the administration can be saved in VistA.<br /> <br /> ",
"columns": 2,
"choices":[
{"id": "c2504", "text": "1. Correct", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "i1240", "type": "IntroText",
"text": "3. Draw a clock. Put in all the numbers and set the time to 10 past 11. "
"printTitle": "Montreal Cognitive Assessment",
},
{"id": "q5542", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3A. Clock face must be a circle with only minor distortion acceptable (e.g.,
slight imperfection on closing the circle).",
"intro": "3. Draw a clock. Put in all the numbers and set the time to 10 past 11. ",
"columns": 2,
"choices":[
{"id": "c2950", "text": "1. Correct circle", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
"content":[
{"id": "q5543", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3B. All clock numbers must be present with no additional numbers; numbers must be
in the correct order and placed in the approximate quadrants on the clock face;
Roman numerals are acceptable; numbers can be placed outside the circle
contour. ",
"intro": "3. Draw a clock. Put in all the numbers and set the time to 10 past 11. ",
"columns": 2,
"choices":[
{"id": "c2951", "text": "1. Correct clock numbers", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
{"id": "i1239", "type": "IntroText",
]},
{"id": "q5544", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "3C. There must be two hands jointly indicating the correct time; the hour hand
must be clearly shorter than the minute hand; hands must be centered within the
clock face with their junction close to the clock center. ",
"intro": "3. Draw a clock. Put in all the numbers and set the time to 10 past 11. ",
"columns": 2,
"choices":[
{"id": "c2952", "text": "1. Correct clock hands", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
"text": "The administration of the Montreal Cognitive Assessment requires the use of a
]},
{"id": "i1241", "type": "IntroText",
"text": "4. Naming pictured animal. "
},
{"id": "q5545", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4A. Lion",
"intro": "4. Naming pictured animal. ",
"columns": 2,
"choices":[
{"id": "c2953", "text": "1. Correctly named lion", "quickKey": 1},
pencil-and-paper answer sheet. Please be familiar with the instructions and
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "q5546", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4B. Rhinoceros or rhino",
"intro": "4. Naming pictured animal. ",
"columns": 2,
"choices":[
{"id": "c2954", "text": "1. Correctly named rhinoceros", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
scoring of this instrument prior to administration. The subject's scores are
{"id": "q5547", "type": "ChoiceQuestion", "required": false, "inline": true,
"text": "4C. Camel or dromedary",
"intro": "4. Naming pictured animal. ",
"columns": 2,
"choices":[
{"id": "c2955", "text": "1. Correctly named camel", "quickKey": 1},
{"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
]},
{"id": "i1242", "type": "IntroText",
"text": "Read list of words to be recalled.<br /><br />5. Attention "
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