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Full Breakdown

Trump Repeats Montreal Cognitive Test Amid Public Scrutiny

5/5/2026, 11:07:51 PM

Core Event: Repeated Testing and Public Boasting

President Donald Trump has taken the Montreal Cognitive Assessment (MoCA) three times during his second term, repeatedly declaring that he “aced each one.” He has urged presidential candidates to undergo the same evaluation, framing the test as a measure of mental fitness for office.

Background: Purpose and Global Use of the MoCA

The MoCA was created by Canadian neurologist Dr. Ziad Nasreddine to screen for early signs of dementia and Alzheimer’s disease, not to assess IQ. The ten-minute instrument is administered by a trained professional and is used in roughly 200 countries. Typical items include drawing an analog clock, naming words that begin with a specific letter, and recalling the current date, day of the week, and location.

Key Figures & Groups

  • Donald Trump – 45th President of the United States, self-described “smartest person on Earth” after the tests.
  • Dr. Ziad Nasreddine – Creator of the MoCA, providing expert commentary on its intent and performance norms.
  • Polling organizations – Pew Research Center, Washington Post, and other surveys tracking public confidence in Trump’s mental acuity.

Data & Statistics: Scores and Public Opinion

  • The MoCA’s average score is 26 out of 30.
  • Approximately 10 percent of individuals in Trump’s age group achieve a perfect score.
  • A Pew Research Center poll after the 2024 election found 44 percent of Americans considered Trump “mentally sharp,” down from 55 percent in November 2024.
  • A Washington Post poll reported 59 percent of respondents doubted Trump’s mental sharpness for the presidency, while 40 percent believed he possessed it.
  • The same poll indicated 55 percent thought his physical health was insufficient for the role.

Official Statements & Responses

Trump has publicly asserted that his repeated MoCA results demonstrate his cognitive health, stating, “I’ve aced each one” and encouraging critics to “take another” test. Dr. Nasreddine clarified that the assessment “was designed to assess normal cognitive performance,” emphasizing that it is not an IQ test and that many people attempt it without professional administration. Poll data show a notable decline in public confidence, with a majority now questioning his mental fitness.

Criticism & Opposition

Observers note the frequency of Trump’s testing may signal underlying concerns about age-related cognitive decline, especially given his “advanced age and notable family history of dementia.” Critics argue that self-administered attempts deviate from the test’s intended clinical setting, potentially inflating perceived performance. The lack of precedent—no other U.S. president has taken a cognitive test while in office—has amplified scrutiny.

Conflicting Reports & Gaps

Sources differ on the exact level of public confidence: Pew’s post-election figure (44 percent) contrasts with the Washington Post’s later finding that 59 percent doubt his mental sharpness. Additionally, while the MoCA is widely used internationally, the extent to which Trump’s self-reported scores align with clinically administered results remains unverified.

Verbatim Quotes

  • “It wasn't designed to be a test of IQ,” — Ziad Nasreddine, neurologist
  • “It was designed to assess normal cognitive performance.” — Ziad Nasreddine
  • “I've aced each one,” — Donald Trump, President of the United States
  • “One doctor said, 'It's the first time I've ever seen anyone get all questions right,'” — Donald Trump
  • “Whenever they get a little sassy, saying 'Does he still have it? Does it still have what it takes,' I say 'I'll take another one'.” — Donald Trump

What’s Next

Future polling will likely track whether Trump’s continued testing influences voter perceptions ahead of the 2028 election cycle. Medical experts anticipate renewed debate over the appropriateness of public officials self-administering clinical assessments without professional oversight.