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NIH Stroke Scale Test 3 ( –
Get Ready for + Test with Q&As & Answers!
1. 1A: LOC
Answer: We can go back and change this score
2. 1B: LOC
Answer:
-Month of the year, patient's age.-No partial credit given (i.e. giving birthday instead of age, or answering incorrectly and then changing answer) -If patient is score of 3 in 1A scale, then they automatically score a 2 in this scenario
3. 1C: LOC
Answer: 1.) Close eyes, then open 2.) Make fist with hand, then open
-Do not coach, but may mime to show patient how to perform this test -Give credit if partial attempt is made, but cannot be completed due to weakness -Only score first attempt -Trauma/amputee pts need other commands that they can take part in
4. 2: Best gaze
Answer:
-Tests voluntary horizontal eye movement -Look at eyes @ rest, look for spontaneous movement left or right -Then ask pt to follow fingers as you move them left and right w/o them moving their head -If strabismus is present but pt still attempts, this is a normal score -Tonic deviation of eyes = worst score (2) -Comatose pt use oculocephalic maneuver and test result -Do not use caloric testing
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