Which screening tool is named after a Canadian city and used to detect mild cognitive impairment?

• A. MMSE
• B. Mini-Cog
• C. Montreal Cognitive Assessment
• D. Clock Drawing Test

Answer: (C)

The tool in question is the Montreal Cognitive Assessment. It was developed in Montreal and is specifically designed to screen for mild cognitive impairment. It quickly assesses multiple cognitive domains—attention and concentration, executive function, memory, language, visuospatial abilities, abstraction, recall, and orientation—on a 30-point scale. A typical cutoff is 26 or lower, though adjustments may be made for education level. A score suggesting impairment indicates the need for a more comprehensive evaluation, not a final diagnosis. This tool’s name directly reflects the city, which is the clue in the prompt. Other options come from different origins or serve broader or simpler purposes (for example, the MMSE is a long-standing screen that’s less sensitive to subtle deficits; the Mini-Cog combines a clock-drawing task with recall; the Clock Drawing Test is a single task). The Montreal Cognitive Assessment is the one named after a Canadian city and used to detect mild cognitive impairment.