MOCA ALT 1 (66)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT MOCA ALT 1
LAST UPDATE 2022-04-08 09:03:02
ENTRY CHECKSUM 1925433899
ENTRY SPECIFICATION
{"name": "MOCA ALT 1", 
 recorded here so that the administration can be saved in VistA.<br />  <br />   "
    }, 
   {"id": "q5622", "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": "q5623", "type": "ChoiceQuestion", "required": false, "inline": true, 
    }, 
    "text": "5B. Backward Digit Span. Correct response for the backwards trial is 2-5-8.", 
    "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": "q5624", "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": "q5614", "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": "q5625", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5D. Serial 7s starting at 90. 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": "i1227", "type": "IntroText", 
    "text": "6. Language  "
    }, 
   {"id": "q5626", "type": "ChoiceQuestion", "required": false, "inline": true, 
 without drawing any lines that cross. Any error that is not immediately
    "text": "6A. Sentence repetition. A bird can fly into closed windows when it's dark and
 windy.", 
    "intro": "6. Language  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2946", "text": "1. Correctly repeated", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5627", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6B. Sentence repetition. The caring grandmother sent groceries over a week ago.", 
 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": "q5628", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7. Words beginning with the letter S.", 
    "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": "i1228", "type": "IntroText", 
    "text": "8. Abstraction  "
    }, 
   {"id": "q5630", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "8A. Similarity between DIAMOND - RUBY.", 
    "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": "q5643", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "8B. Similarity between CANNON - RIFLE.", 
    "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": "i1229", "type": "IntroText", 
    "text": "9. Delayed Recall  "
    }, 
   {"id": "q5631", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9A. Recall TRUCK", 
    "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": "q5632", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9B. Recall BANANA.", 
    "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": "q5633", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9C. Recall VIOLIN.", 
    "intro": "9. Delayed Recall  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
    "choices":[
   {"id": "q5634", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9D. Recall DESK.", 
    "intro": "9. Delayed Recall  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2949", "text": "1. Correctly recalled", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5635", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "9E. Recall GREEN.", 
     {"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": "i1230", "type": "IntroText", 
    "text": "10. Orientation  "
    }, 
   {"id": "q5636", "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": "q5637", "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": "q5638", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "10C. Current year", 
    "intro": "10. Orientation  ", 
    "columns": 2, 
    "choices":[
   {"id": "q5615", "type": "ChoiceQuestion", "required": false, "inline": true, 
     {"id": "c2504", "text": "1. Correct", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5639", "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. Rectangle-Visuoconstructional Skills. Correct: All must be present:
   ]}, 
   {"id": "q5640", "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": "q5641", "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": "q5642", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "11. Years of formal education:", 
    "intro": "10. Orientation  ", 
 parallel and their length is correct.", 
    "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": "i1224", "type": "IntroText", 
    "text": "3. Draw a clock. Put in all the numbers and set the time to 5 past 4.  "
 "printTitle": "Montreal Cognitive Assessment, Alternate 1",
    }, 
   {"id": "q5616", "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 5 past 4.  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2950", "text": "1. Correct circle", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
 "content":[
   {"id": "q5617", "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 5 past 4.  ", 
    "columns": 2, 
    "choices":[
     {"id": "c2951", "text": "1. Correct clock numbers", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   {"id": "i1223", "type": "IntroText", 
   ]}, 
   {"id": "q5618", "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 5 past 4.  ", 
    "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": "i1225", "type": "IntroText", 
    "text": "4. Naming pictured animal.  "
    }, 
   {"id": "q5619", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4A. Giraffe", 
    "intro": "4. Naming pictured animal.  ", 
    "columns": 2, 
    "choices":[
     {"id": "c3002", "text": "1. Correctly named giraffe", "quickKey": 1}, 
 pencil-and-paper answer sheet. Please be familiar with the instructions and
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "q5620", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4B. Bear", 
    "intro": "4. Naming pictured animal.  ", 
    "columns": 2, 
    "choices":[
     {"id": "c3003", "text": "1. Correctly named bear", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
 scoring of this instrument prior to administration. The subject's scores are
   {"id": "q5621", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4C. Hippopotamus", 
    "intro": "4. Naming pictured animal.  ", 
    "columns": 2, 
    "choices":[
     {"id": "c3004", "text": "1. Correctly named hippopotamus", "quickKey": 1}, 
     {"id": "c2503", "text": "2. Incorrect", "quickKey": 2}
   ]}, 
   {"id": "i1226", "type": "IntroText", 
    "text": "Read list of words to be recalled.<br /><br />5. Attention  "