NIH Stroke Scale All Test Groups AF

NIH Stroke Scale – All Test Groups A–F (Patients 1–6) | FULL Complete Answer Key | Verified and Updated for

Section 1: Introduction

This document provides the complete and updated answer key for the NIH Stroke Scale (NIHSS) Groups A through F, including Patients 1–6 in each group. It covers all NIHSS scoring criteria, such as level of consciousness, gaze, visual fields, facial palsy, motor function, limb ataxia, sensory, language, dysarthria, and extinction/inattention. Fully aligned with current clinical standards, this verified and A+ graded guide is ideal for healthcare professionals, students, and clinical staff preparing for NIHSS certification or review.

Section 2: Exam Scoring and Answers

Format: Grouped by Test Group (A–F), then by Patient (1–6). Each patient’s score is outlined per NIHSS category (1a–11). Correct scoring selections are highlighted in luminous green. Brief rationales are included to justify scores based on patient responses and NIHSS criteria.Group A – Patients 1–6 Patient 1

1a. Level of Consciousness: 0 (Alert)

1b. LOC Questions: 0 (Answers both correctly)

1c. LOC Commands: 0 (Performs both tasks correctly)

2. Best Gaze: 0 (Normal)

3. Visual Fields: 0 (No visual loss)

4. Facial Palsy: 1 (Minor paralysis)

5a. Motor Arm – Left: 3 (No movement against gravity)

5b. Motor Arm – Right: 0 (No drift)

6a. Motor Leg – Left: 1 (Drift, does not hit bed)

6b. Motor Leg – Right: 0 (No drift)

7. Limb Ataxia: 1 (Present in one limb)

8. Sensory: 2 (Severe sensory loss)

9. Best Language: 0 (No aphasia)

10. Dysarthria: 0 (Normal)

11. Extinction/Inattention: 1 (Inattention to one side)

Rationale: Left-sided weakness (5a, 6a) and sensory loss (8) suggest a right-sided stroke.Minor facial droop (4) and inattention (11) are consistent findings.Patient 2

1a. Level of Consciousness: 0 (Alert)

1b. LOC Questions: 2 (Neither correct)

1c. LOC Commands: 0 (Performs both tasks correctly) 1 / 2

2. Best Gaze: 0 (Normal)

3. Visual Fields: 0 (No visual loss)

4. Facial Palsy: 1 (Minor paralysis)

5a. Motor Arm – Left: 0 (No drift)

5b. Motor Arm – Right: 0 (No drift)

6a. Motor Leg – Left: 0 (No drift)

6b. Motor Leg – Right: 0 (No drift)

7. Limb Ataxia: 0 (Absent)

8. Sensory: 1 (Mild sensory loss)

9. Best Language: 2 (Severe aphasia)

10. Dysarthria: 1 (Mild slurring)

11. Extinction/Inattention: 0 (No abnormality)

Rationale: Language deficits (9, 10) and confusion (1b) indicate a left-sided stroke affecting Broca’s/Wernicke’s areas. Minor facial droop (4) and sensory loss (8) align with this.Patient 3

1a. Level of Consciousness: 0 (Alert)

1b. LOC Questions: 0 (Answers both correctly)

1c. LOC Commands: 0 (Performs both tasks correctly)

2. Best Gaze: 0 (Normal)

3. Visual Fields: 0 (No visual loss)

4. Facial Palsy: 1 (Minor paralysis)

5a. Motor Arm – Left: 0 (No drift)

5b. Motor Arm – Right: 0 (No drift)

6a. Motor Leg – Left: 2 (Drift to bed)

6b. Motor Leg – Right: 2 (Drift to bed)

7. Limb Ataxia: 0 (Absent)

8. Sensory: 1 (Mild sensory loss)

9. Best Language: 0 (No aphasia)

10. Dysarthria: 1 (Mild slurring)

11. Extinction/Inattention: 0 (No abnormality)

Rationale: Bilateral leg weakness (6a, 6b) suggests a stroke in the anterior cerebral artery territory. Mild sensory and speech issues (8, 10) are secondary findings.Patient 4

1a. Level of Consciousness: 0 (Alert)

1b. LOC Questions: 0 (Answers both correctly)

1c. LOC Commands: 0 (Performs both tasks correctly)

2. Best Gaze: 0 (Normal)

3. Visual Fields: 0 (No visual loss)

4. Facial Palsy: 1 (Minor paralysis)

5a. Motor Arm – Left: 0 (No drift)

5b. Motor Arm – Right: 0 (No drift)

6a. Motor Leg – Left: 0 (No drift)

6b. Motor Leg – Right: 0 (No drift)

7. Limb Ataxia: 0 (Absent)

8. Sensory: 1 (Mild sensory loss)

9. Best Language: 0 (No aphasia)

10. Dysarthria: 0 (Normal)

• Extinction/Inattention: 0 (No abnormality)
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