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Results 23.5% of patients without subjective cognitive complaints had evidence of objective cognitive impairment on the MACFIMS (z score less then -1.5 on two or more tests). The MoCA had a sensitivity of 87% and a specificity of 68% for detecting objective cognitive impairment in this patient population using a cut-off score of 27. Conclusion A significant proportion of patients without self-reported cognitive impairment do have evidence of cognitive deficits on more exhaustive cognitive assessment. The MoCA is a rapid screening test th