APPENDIX D Cognitive testing Appendix D.1 The Montreal Cognitive Assessment (MOCA) Copyright Z. Nasreddine MD. Reproduced with permission. Copies are available at www.mocatest.org Psychiatry: Breaking the ICE – Introductions, Common Tasks and Emergencies for Trainees, First Edition. Edited by Sarah Stringer, Juliet Hurn and Anna M Burnside. © 2016 John Wiley & Sons, Ltd. Published 2016 by John Wiley & Sons, Ltd. Companion Website: www.psychiatryice.com 516 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) 517 518 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) 519 520 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) 521 522 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing 523 Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) ACE-III: Scoring <82 suggests dementia if other causes have been excluded. A global reduction across domains is usually seen in dementia; if scores are very skewed, more specialist assessment may be warranted (discuss with Old Age or Neuropsychiatry). ACE-III: Scoring <82 suggests dementia if other causes have been excluded. A global reduction across domains is usually seen in dementia; if scores are very skewed, more specialist assessment may be warranted (discuss with Old Age or Neuropsychiatry). See p530 –531 for M-ACE and scoring. 524 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) 525 526 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) 527 528 Appendix D Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Cognitive testing Appendix D.2 The Addenbrooke’s Cognitive Examination-III (ACE-III) (continued) Copyright J.Hodges; reproduced with permission. 529 530 Appendix D Appendix D.3 The Mini-Addenbrooke’s Cognitive Examination (M-ACE) Cognitive testing 531 Appendix D.3 The Mini-Addenbrooke’s Cognitive Examination (M-ACE) (continued) Copyright J.Hodges; reproduced with permission. M-ACE: scoring ≤ 25/30 strongly suggests cognitive impairment; ≤ 21/30 almost certainly shows dementia, if other diagnoses have been excluded. (NB: If the clock-drawing test is done correctly, it almost certainly excludes dementia, due to the wide range of cognitive skills used.)