General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forums30 out of 30 on the cognitive test?
What were the questions?
Seriously, is there anyone out there who knows?
OneBlueDotBama
(1,384 posts)Trump: Yes....30 points!
Motley13
(3,867 posts)If the doc is saying he is healthy & his cognitive abilities are good, then
what is wrong with the moron? I guess you can be a racist & pass the test, but his problems go much further
hlthe2b
(102,292 posts)crazylikafox
(2,758 posts)His aides would have known about the test & it's importance. Of course they would have told him what was on the test. Maybe even had him do a few practice sessions.
Irish_Dem
(47,131 posts)Test security must be maintained with psych/mental status tests.
If the patient can get the test online beforehand then the results
of the test are meaningless.
hlthe2b
(102,292 posts)Many screening tools are available online. I am not vouching for its validity in this instance. In fact I think Trump's team aided him in reviewing the materials ahead of time. I also think that this or any other screening test for dementia should be administered LATE in the day--something I think neurosurgeon Sonjay Gupta was trying to infer when he asked about it, but was cut off.
Read more about this one at MOCAtest.org
Irish_Dem
(47,131 posts)not be coached or have access to the test protocol ahead of time. Even if it is a simple
screening tool, it is still a measure of cognition and basic mental status.
Most patients don't bother to ask ahead of time the name of simple tests.
Or bother to get coaching. So test security is usually maintained on these quick and dirty
tests.
But Trump would ask ahead of time and get coaching.
( I have extensive training and experience in the area of psychological assessment and testing.)
hlthe2b
(102,292 posts)and would pick up personality disorders as well.
This is purely a screening test designed for general practitioners not trained in psychiatry as an easy screen for dementia
Irish_Dem
(47,131 posts)so the patient is not coached or have prior exposure. And even a quick
screening tool is a type of psych assessemnt.
There are all kinds of psych exams, and hundreds of assessment tools
given by different professionals.
No one is saying that Trump was given a full, formal psychological assessment.
That could take several days. And would be given by a licensed psychologist.
Most psychiatrists do not have any training in the area of formal psychological testing.
A formal exam would include tests of personalty, psychopathology,
intellectual functioning, basic mental status, history and also in Trump's case
some neuropsych testing.
hlthe2b
(102,292 posts)If you want to get exorcised about something, how about this "doctor's" blaming the slurred speech on pseudofed
Any ER doc worth his salt upon seeing an obese 72yo with high cholesterol who had slurred speech, would have triggered an immediate code stroke ....stat head CT, MRI, neurology consult, and hospital admission. This doctor says they ultrasounded his parotid glands. Geebus H. Christ
Irish_Dem
(47,131 posts)This physician is in no way qualified to perform a formal psych evaluation.
But a screening test of cognition to measure cognitive slippage in mild
dementia is considered a psychological instrument. My point is that I question
whether the screening tool was administered properly with test security
and novel presentation to the patient.
I am not arguing with you, just trying to educate you about terminology,
methodology and practice of psychological assessment. This topic is my
area of expertise: PhD with major academic study in the area of psychological assessment,
PhD dissertation topic reflected research in in psychological measures of personalty,
taught graduate level courses on psych assessment and testing, and have 40 years clinical practice in area of testing and assessment.
hlthe2b
(102,292 posts)samnsara
(17,622 posts)...I will ask my sis. Shes a 'Phud' in psych and tests veterans..
hlthe2b
(102,292 posts)lapfog_1
(29,205 posts)TheCowsCameHome
(40,168 posts)MLAA
(17,298 posts)when coffee (with almond milk) erupted, spraying my iPad. I believe it is your fault. 😜
maxsolomon
(33,345 posts)Not Alzheimers.
safeinOhio
(32,688 posts)Ask again latter to repeat them. Draw a box. Start at 100 and count backward subtracting 7 each time. A few other questions.
Irish_Dem
(47,131 posts)He got a perfect score?
Don't think so.
PA Democrat
(13,225 posts)There are 11 sections of the assessment, with a total of 30 possible points:
(1 point) In Alternating Trail Making," a patient is told to draw a line from letters to numbers, in ascending order (1-A-2-B-3-C-4-D-5-E), without crossing any lines. Any error will warrant a score of zero.
(1 point) The Visuoconstructional Skills (Cube)" segment relays instructions to copy a drawing of a cube. If a three-dimensional drawing with relatively accurate lines is drawn, the point is awarded.
(3 points) In the Visuoconstructional Skills (Clock)" portion, a patient is asked to draw a clock. One point each is awarded for having a contour, having numbers, and having hands.
(3 points) The Naming" phase asks the patient to name each of three common animals, scoring one point for each correct answer.
(0 points) The first Memory" section involves no points, and simply involves reading a list of five words to be recalled later.
(6 points) Attention" requires a patient to successfully pay attention to verbal commands. Three smaller sections involve repeating digits, acknowledging spoken letters, and counting backward from 100 by sevens.
(2 points) Sentence Repetition" involves two spoken sentences that are repeated: one point is scored for each successful repetition.
(1 point) Verbal Fluency" tests a patient's vocabulary; if 11 or more specific words are spoken (such as words starting with a certain letter), the patient is scored one point.
(3 points) The Abstraction" phase revolves around three pairs of words. A patient is awarded one point for each commonality he/she can identify.
(5 points) Delayed Recall" forces the recall of the terms read in Memory," approximately five minutes later.
(5 points) Orientation" tests a patient's understanding of his current place and the current time.
https://www.dementia.org/diagnosing-dementia-the-montreal-cognitive-assessment
DesertRat
(27,995 posts)The Montreal assessment requires you to correctly identify drawings of a lion, rhinoceros, and a camel (3 points for that one); to explain how an orange and a banana are alike; to correctly draw a clock face showing 10 minutes past 11. It would be shocking if Trump could not score 30/30.
:large
Doodley
(9,094 posts)Freethinker65
(10,024 posts)Chances are Trump and the WH May have even requested it, knowing Trump could prep for some of it. I remember both my parents telling me about drawing the clock, counting back from 100 by 7s, and recalling 3 (or 5?) words after a period of time. My dad did much better with the clock and the counting on subsequent tests because he knew what awas coming and would practice for it. The word recall would trip him up (it can be difficult as we sometimes do it just for fun now among family). My dad died of dementia a few years ago and he never had trouble identifying objects or being oriented in time and space.
Glorfindel
(9,730 posts)I can do it, but it takes time. And counting on my fingers.
highplainsdem
(49,004 posts)miss one of those, and 2 points out of 3 if you miss as many as three, and 1 point if you miss 4 of the 5 answers.
http://beta.latimes.com/politics/washington/la-na-pol-essential-washington-updates-this-is-the-test-trump-s-doctor-says-the-1516138567-htmlstory.html
Glorfindel
(9,730 posts)Thank you for the clarification.
OliverQ
(3,363 posts)Even the freakin military physician is protecting this man. Are we sure he's not the Anti-Christ with supernatural manipulation powers over people?
It's truly amazing how every single person Trump comes into contact with destroys their lives to protect him. I don't get it.
Hortensis
(58,785 posts)Guys, this man's lifelong mental disorder has been DOCUMENTED by 40 years of public appearances and court cases. We lack a formal diagnosis, not a disorder.
Using the Montreat test to look for a very different mental disorder, like some form of senile dementia, would be a bit like using a spelling test to check for gestation. Wrong tool.
And I suspect that's exactly why this very narrow little test was administered--because they already knew Trump could produce a score the doctor could honestly release. Honest as far as it goes, which is about half a step with the doctor standing on one technically ethically anchored foot.
Btw, signs of early dementia, too early to become obvious by altered behaviors, might be detected with a brain scan, but none is mentioned. But that's not the disorder we've all been witness to.
Grammy23
(5,810 posts)True enough, some people have been worried about his cognitive functioning. What is more worrisome is his personality disorder. This man has been observed for decades and many people say his behavior is that of someone with a serious personality defect.
Furthermore, his ethics and morals are well known. His behavior in business and his personal life are littered with lives he has used and cast aside once he is finished with them. He is a notorious womanizer, cheater in business and likely involved with many thugs and thieves. He is just not a very nice man.
The cognitive test gave them something to report but gave us NO INSIGHT into the real reasons he is such a disaster in the Oval Office. tRump will NEVER spend time with a qualified psychiatric professional for an assessment of his personality and any disorders he may have with it. He knows something is wrong and so do the people close to him. But they wont go there to suggest he spend some time on the psychiatrists couch. Never in a million years. And if they did, he would never do it.
Hortensis
(58,785 posts)personality disorders are known to affect cognitive functioning as well.
As for psychiatrists, though, I've read that personality disorders are notoriously hard to treat. Most effective methods seem to be sort of similar to keeping a pig going one direction by consistently waving carrots in front and poking with a stick when he wanders.
unblock
(52,253 posts)that would be funny. and fitting.
Hortensis
(58,785 posts)CanonRay
(14,104 posts)just like everything else in Trumpworld.
Iggo
(47,558 posts)Shit like that.
Thomas Hurt
(13,903 posts)and not during one of his episodes...why couldn't he pass it.
That still address doesn't his pathological lying and malignant narcissism.
Nevernose
(13,081 posts)Who memorized the eye chart at the DMV.
tblue37
(65,408 posts)<iframe width="660" height="371" src="
?ecver=1" frameborder="0" allow="autoplay; encrypted-media" allowfullscreen></iframe>sweetroxie
(776 posts)ask him where is Normay?
True Dough
(17,306 posts)Donna Brazile fed him the answers?!?
JohnnyLib2
(11,212 posts)could easily have prepped him on that. It's one of the most frequently used by physicians.