A 69-year-old with Parkinson disease reports declining ability to manage finances and increasing visuospatial errors after eight years of motor

Question

A 69-year-old with Parkinson disease reports declining ability to manage finances and increasing visuospatial errors after eight years of motor disease. MMSE is 27/30. Which screening assessment is most appropriate to detect Parkinson-related cognitive impairment?

Accepted Answer

Montreal Cognitive Assessment (MoCA), interpreted with a Parkinson-specific cognitive assessment where required

Answer

MMSE alone because it is more sensitive than executive-function testing

Answer

PHQ-9 because depression is the usual explanation for cognitive symptoms in Parkinson disease

Answer

A single bedside delirium screen because progressive decline cannot represent Parkinson disease dementia

Answer

Clock drawing alone because visuospatial impairment is the only relevant domain

PD Cognitive Assessment – MoCA — SCE Neurology MCQ

A 69-year-old with Parkinson disease reports declining ability to manage finances and increasing visuospatial errors after eight years of motor disease. MMSE is 27/30. Which screening assessment is most appropriate to detect Parkinson-related cognitive impairment?