NIH Stroke Scale | Group B (Patients 1–6) Complete, Real & Authentic | Updated Edition | 100% Correct & Solved Introduction This comprehensive resource includes NIH Stroke Scale testing Group B, containing six real patient evaluations (Patients 1–6) based on the latest standards . Every answer is accurate, verified, and reflective of actual clinical scenarios and expected NIHSS scoring outcomes.Answer Format All correct answers are clearly marked in bold and green for fast and efficient clinical review and exam preparation.Patient 1 Scenario: A 68-year-old male with right-sided facial droop, arm weakness, and slurred speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Right-sided droop. 1 (Minor paralysis).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Drifts within 10 seconds. 1 (Drift).
• 6a. Left Leg Motor: Normal strength. 0 (No drift).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: No ataxia. 0 (Absent).
• 8. Sensory: Normal sensation. 0 (Normal).
• 9. Best Language: Mild word-finding difficulty. 1 (Mild-to-moderate aphasia).
• 10. Dysarthria: Slurred speech. 1 (Mild-to-moderate dysarthria).
• 11. Extinction/Inattention: Normal. 0 (Normal).
Total Score: 4
Rationale: Mild stroke with right-sided deficits and speech impairment.
Patient 2 Scenario: A 77-year-old female with complete left-sided paralysis and no speech. 1 / 2
• 1a. LOC: Alert but disoriented. 1 (Not fully alert).
• 1b. LOC Questions: Answers neither correctly. 2 (Answers neither correctly).
• 1c. LOC Commands: Does not follow commands. 2 (Performs neither correctly).
• 2. Best Gaze: Forced deviation to the right. 2 (Forced deviation).
• 3. Visual Fields: Left hemianopia. 2 (Complete hemianopia).
• 4. Facial Palsy: Left-sided paralysis. 3 (Complete paralysis).
• 5a. Left Arm Motor: No movement. 4 (No movement).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
• 6a. Left Leg Motor: No movement. 4 (No movement).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: Untestable due to paralysis. 0 (Untestable).
• 8. Sensory: No response on left side. 2 (Severe sensory loss).
• 9. Best Language: No speech. 3 (Mute/global aphasia).
• 10. Dysarthria: Unable to assess. 2 (Severe dysarthria).
• 11. Extinction/Inattention: Ignores left side. 2 (Profound inattention).
Total Score: 27
Rationale: Severe stroke with complete left-sided deficits and aphasia.
Patient 3
Scenario: A 60-year-old male with mild left leg weakness and normal speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Normal. 0 (Normal).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
• 6a. Left Leg Motor: Drifts within 5 seconds. 1 (Drift).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: No ataxia. 0 (Absent).
• 8. Sensory: Normal sensation. 0 (Normal).
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