NIH Stroke Scale Group B Patient 1-6 Exam Verified

NIH Stroke Scale Group B Patient 1-6 Exam Verified Questions and Correct Answers

10 Test dysarthria (read words: Mama, Tip-top, Fifty-fifty, Thanks,

Huckleberry, Baseball player) -Correct Answer>>0 - Normal; no dysarthria

1 - Mild-moderate dysarthria: slurring but can be understood

2 - Severe dysarthria: unintelligible slurring or out of proportion to

dysphasia

• - Mute/anarthric
• - Intubated/unable to test

11 - Test extinction/inattention -Correct Answer>>0 - No abnormality

• - Visual/tactile/auditory/spatial/personal inattention
• - Extinction to bilateral simultaneous stimulation
• - Profound hemi-inattention (does not recognize own hand)
• - Extinction to > 1 modality

1A - Level of consciousness -Correct Answer>>0 - Alert; keenly responsive

• - Arouses to minor stimulation
• - Requires repeated stimulation to arouse
• - Movements to pain
• - Postures or unresponsive

1B - Ask month and age -Correct Answer>>0 - Both questions right

• - One question right
• - Dysarthric, intubated, trauma, or language barrier
• - Aphasic

1C - "Blink eyes" and "Squeeze hands" -Correct Answer>>0 - Performs both tasks 1 / 2

• - Performs one task
• - Performs neither task
• - Test horizontal extraocular muscles -Correct Answer>>0 - Normal

1 - Partial gaze palsy: can be overcome

1 - Partial gaze palsy: corrects with oculocephalic reflex

2 - Forced gaze palsy: can not be overcome

• - Test visual fields -Correct Answer>>0 - No visual loss
• - Partial hemianopia
• - Complete hemianopia
• - Patient is bilaterally blind
• - Bilateral hemianopia
• - Test facial palsy (use grimace if obtunded) -Correct Answer>>0 - Normal

symmetry

• - Minor paralysis (flat nasolabial fold, asymmetric smile)
• - Partial paralysis (lower face)
• - Unilateral complete paralysis (upper/lower face)
• - Bilateral complete paralysis

5A - Test left arm motor drift -Correct Answer>>0 - No drift for 10 seconds

• - Drift, but doesn't hit bed
• - Driift, hits bed
• - Some effort against gravity
• - No effort against gravity
• - No movement
• - Amputation/joint fusion

5B - Test right arm motor drift -Correct Answer>>0 - No drift for 10 seconds

• - Drift, but doesn't hit bed
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