President Donald Trump scored a perfect 30 out of 30 on his fourth consecutive cognitive exam at Walter Reed National Military Medical Center, calling the result unprecedented and demanding Congress mandate similar testing for all presidential candidates.

A Record Trump Is Quick To Tout

Trump posted late Saturday on Truth Social that he scored 30 out of 30 on the Montreal Cognitive Assessment (MoCA), a standardized screening tool for mild cognitive impairment. He said it marked his fourth consecutive perfect score.

“This is my fourth such test, all PERFECT or, 120 correct answers out of 120 questions asked! It is very rare that anyone gets a Perfect Score, especially when achieved four times in a row.”

What the MoCA Actually Measures

The MoCA is a 10-minute, 30-point exam that screens for memory, attention, language, and executive function. A score of 26 or above is considered normal. Clinicians note that a perfect score is uncommon but achievable.

Trump’s physician declared him in “exceptional health” following a Walter Reed physical in January.

Trump also used the announcement as a political pivot, writing on Truth Social, “All people running for President and Vice President should be forced to take high difficulty Cognitive Tests.” He challenged Congress and Democrats to mandate such screenings.

The push comes amid ongoing debate over the cognitive fitness of elected officials.

No current U.S. law requires cognitive testing for presidential candidates. The debate over standardized fitness benchmarks remains largely unlegislated. In 2024, Patti Davis, daughter of former President Ronald Reagan, called mandatory cognitive testing for presidential candidates “probably a good idea.”