This comprehensive resource includes NIH Stroke Scale testing Group D, containing six

NIH Stroke Scale | Group D (Patients 1–6) Complete, Real & Authentic | Updated Edition | 100% Correct & Solved Introduction This comprehensive resource includes NIH Stroke Scale testing Group D, 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 69-year-old male with right-sided facial droop and leg weakness.

• 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: Normal strength. 0 (No drift).

• 6a. Left Leg Motor: Normal strength. 0 (No drift).

• 6b. Right Leg Motor: Drifts within 5 seconds. 1 (Drift).

• 7. Limb Ataxia: No ataxia. 0 (Absent).

• 8. Sensory: Normal sensation. 0 (Normal).

• 9. Best Language: Normal. 0 (Normal).

• 10. Dysarthria: Normal. 0 (Normal).

• 11. Extinction/Inattention: Normal. 0 (Normal).

Total Score: 2

Rationale: Mild stroke with right-sided facial and leg deficits.

Patient 2 Scenario: A 75-year-old female with complete right-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 left. 2 (Forced deviation).

• 3. Visual Fields: Right hemianopia. 2 (Complete hemianopia).

• 4. Facial Palsy: Right-sided paralysis. 3 (Complete paralysis).

• 5a. Left Arm Motor: Normal strength. 0 (No drift).

• 5b. Right Arm Motor: No movement. 4 (No movement).

• 6a. Left Leg Motor: Normal strength. 0 (No drift).

• 6b. Right Leg Motor: No movement. 4 (No movement).

• 7. Limb Ataxia: Untestable due to paralysis. 0 (Untestable).

• 8. Sensory: No response on right 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 right side. 2 (Profound inattention).

Total Score: 27

Rationale: Severe stroke with right-sided paralysis and aphasia.

Patient 3

Scenario: A 61-year-old male with mild right-sided sensory loss and dysarthria.

• 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: Normal strength. 0 (No drift).

• 6b. Right Leg Motor: Normal strength. 0 (No drift).

• 7. Limb Ataxia: No ataxia. 0 (Absent).

• 8. Sensory: Mild right-sided sensory loss. 1 (Mild-to-moderate sensory loss).

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