NIH Stroke Scale Test 5 Latest

NIH Stroke Scale Test 5 ( Latest –

Get Ready for A++ Test with Latest Q&As & Answers!

• Score for large strokes

Answer: > 10

(however, if it is a brainstem stroke it can have a low score and still be a large stroke)

• Lowest score

Highest score

Answer: Lowest score is 0 Highest score is 42

• Components of *Eyes*

Answer: Gaze

• voluntary gaze direction (non-comatose)
• vestibule-ocular reflex (comatose)

Visual fields

• confrontation, all 4 quadrants (non-comatose)
• threat (comatose)

• Components of *LOC*

Answer: Arousal

Questions

• name
• month

Commands

• open eyes
• grip/release 1 / 2

• Components of *Face*

Answer: Facial droop

• smile & eyebrow raise (normal LOC / drowsy)
• grimace w/ pain (obtunded)

• Components of *Motor Strength*

Answer: Arm strength

• raise arms 45° (supine)
• raise arms 90° (sitting)

Leg strength

• raise legs 30° (always test supine)

• Components of *Limb Ataxia*

Answer: Finger’nose & Heel’shin

• Components of *Sensory*

Answer: Pinprick

• all 4 limbs; up to elbow

• Components of *Language*

Answer: Aphasia

• describe picture; name objects (w/ adequate vision)
• describe large objects in room or ask questions (w/ inadequate vision)

• Components of *Dysarthria*

Answer: Character of speech

• read sentences / words (w/ adequate vision)
• repeat "methodist episcopal" (w/ inadequate vision)
• / 2