Trump brags he got ‘Perfect Score’ on cognitive test but experts raise questions

US President Donald Trump’s doctor has declared the US president to be in “excellent health” following a recent medical evaluation at Walter Reed National Military Medical Center.

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Accord ing to Dr. Sean Barbabella, Trump is “fully fit” to serve after undergoing a series of examinations including CT scans, heart imaging, cancer screenings, and other preventive assessments conducted by a team of 22 specialists.

Trump, 79, described the three-hour medical visit as having gone “perfectly,” placing particular emphasis on his performance in a cognitive assessment.
 

Writing on Truth Social, Trump claimed he achieved a perfect result on what he described as a difficult cognitive test.
 

“Unlike other US presidents, none of whom have ever taken an approved, high-difficulty cognitive test, I scored a perfect 30 out of 30, considered ‘extreme intelligence,’” Trump wrote.

“In fact, this is my fourth such test, all perfect.”

Reports suggest the assessment may have been the Montreal Cognitive Assessment (MoCA), a screening tool commonly used to evaluate cognitive impairment and detect possible signs of dementia.

Medical experts have questioned why Trump has reportedly undergone the same screening multiple times.
 

Dr. Jonathan Reiner, professor of medicine and surgery and a medical analyst, questioned both the repeated cognitive assessments and additional heart imaging.
 

“Why did the president have another coronary artery CT? He was last scanned in October. We don’t typically scan patients six months later unless we are concerned about a finding on the initial scan,” Reiner wrote.
 

He also questioned why Trump had reportedly taken the MoCA test multiple times in recent years.
 

Following the examination, doctors advised Trump on diet and physical activity after records showed he had gained 14 pounds since April 2025, bringing his weight to 238 pounds (108kg).
 

Although his Body Mass Index places him just below the obesity threshold, physicians concluded that his cognitive and physical condition remains strong.

The medical report also referenced bruising on Trump’s hands, which doctors attributed to frequent handshaking and the use of aspirin therapy.
 

Recommendations reportedly included switching to a low-dose aspirin regimen.
 

The report further noted mild swelling in Trump’s lower legs, linked to previously disclosed chronic venous insufficiency — a condition that affects blood circulation and is relatively common among older adults.
 

Despite these findings, Dr. Barbabella concluded that Trump demonstrated strong cardiac, neurological, pulmonary, and overall health.
 

“His demanding daily schedule, including multiple high-level meetings, public engagements, and regular physical activity, continues to support his overall well-being,” the doctor wrote.
 

Trump, who turns 80 next month, remains the oldest person elected US president after securing a second term in office.
 

Concerns over age and fitness have remained a recurring topic in American politics, particularly following similar scrutiny faced by former President Joe Biden during and after the 2024 election cycle.