NIH Stroke Scale Test 4 ( Latest – )
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- The lowest score is a and the highest score is a .
Answer: 0 ; 42
- Components of eyes are
Answer:
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose): GazeVisual fields
3. Components of LOC are:
1.
- (ex.name, month)
- (ex. open eyes, grip/release)
Answer:
- Arousal
- Questions
- Commands
4. Components of are:
-Facial droop: smile & eyebrow raise (normal LOC/drowsy)
-Grimace w/pain (obtunded)
Answer: Face
- Components of Motor Strength
are: 1.
-raise arms 45 degrees (supine) 1 / 2
-raise arms 90 degrees (sitting)2.-raise legs 30 degrees (always test supine)
Answer:
- Arm strength
- Leg strength
6. Components of are:
Finger ---> nose Heel ---> shin
Answer: Limb Ataxia
7. Components of are:
Pinprick---all 4 limbs; up to elbow
Answer: Sensory
8. Components of are:
Aphasia -describe picture; name objects (w/ adequate vision) -describe large objects in room or ask questions (w/ inadequate vision)
Answer: Language
9. Components of are:
Character of speech -read sentences/words (w/adequate vision) -repeat "methodist episcopal" (w/inadequate vision) -listen for slurred, garbled, incoherent
Answer: Dysarthria
10. Components of are:Vision
extinction -look at wiggling handSensory test -upper & lower extensors
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