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Trump confuses dementia test with 'IQ test': Does it reflect upon his cognitive health?

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US President Donald Trump has once again sparked discussion about his mental fitness after stating that he took an “IQ test,” apparently mistaking it for a dementia screening . His comments have renewed public debate over whether his frequent verbal gaffes and moments of confusion may signal possible cognitive decline.

Donald Trump, during an October 27 press conference, said that he had taken what he described as an “IQ test” at Walter Reed National Military Medical Center and achieved a perfect result. He challenged Democratic Representatives Jasmine Crockett and Alexandria Ocasio‑Cortez to take the same exam, contending that they would not measure up. The US president said, “The first couple questions are easy: a tiger, an elephant, a giraffe, you know. When you get up to about five or six and then when you get up to 10 and 20 and 25, they couldn’t come close to answering any of those questions.”

However, experts say the test he was referring to is likely the Montreal Cognitive Assessment (MoCA), a brief screening tool used in medical practice to detect early cognitive decline (such as from dementia), not an intelligence (IQ) test.

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This isn’t the first time that questions are being raised upon Trump's cognitive health condition. There have been repeated claims by mental health professionals that Donald Trump exhibits some traits consistent with certain personality disorders.



What is a MoCA test

The MoCA test is a brief screening tool designed to detect mild cognitive impairment (MCI) and early signs of dementia. The MoCA assesses different areas of brain function, including memory, attention and concentration, language, and visuospatial skills.

According to ScienceDirect, This test takes about 10 to 15 minutes to complete and the maximum score is 30 points. A score below 26 may suggest mild cognitive impairment or early dementia, though results can be influenced by education level, language, or mood.



MoCa is not an IQ test

While MoCA is a medical screening tool, an IQ test is a psychological test designed to measure intellectual ability, including reasoning, problem-solving, and verbal comprehension.

As per TOI, Neurologist Ziad Nasreddine, who developed the MoCA, has stated clearly: “There are no studies showing that this test is correlated to IQ tests. The purpose of it was not to determine persons who have a low IQ level.”



Previous claims on trumps cognitive health
While the official White House statements assert that the US President exhibits no signs of memory loss, neurological abnormality and cognitive impairment, many psychologists have raised concerns about incidents related to Trump that indicate neurological decline. Very recently, a senior neuropsychologist and visiting professor at University College London, Dr. Narinder Kapur, claimed Trump’s public statements and behaviors to be ‘odd and strange’. Dr. Kapur publicly stated that Donald Trump should undergo cognitive testing, including Alzheimer’s screening.
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