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NIH Stroke Scale Group E (Patients 1–6) Complete, Real & Authentic Updated Edition & Solved Introduction This comprehensive resource includes NIH Stroke Scale testing Group E, containing six real patient evaluations (Patients 1–6) based on the standards . Every answer is accurate, , and reflective of clinical scenarios and expected NIHSS scoring outcomes.Answer Format answers are clearly marked in bold and green for fast and efficient clinical review and exam preparation.Patient 1
Scenario: A 63-year-old male with left-sided facial droop and mild aphasia.
• 1a. Level of Consciousness (LOC): Alert. 0 (Normal).
• 1b. LOC Questions: Answers one correctly. 1 (One correct).
• 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: Left-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: 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: Normal. 0 (Normal).
• 11. Extinction/Inattention: Normal. 0 (Normal).
Total Score: 3
Rationale: Mild stroke with facial droop and language deficit.
Patient 2 Scenario: A 78-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 left-sided paralysis and aphasia.
Patient 3
Scenario: A 58-year-old male with mild right 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: 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: Drifts within 5 seconds. 1 (Drift).
• 7. Limb Ataxia: No ataxia. 0 (Absent).
• 8. Sensory: Normal sensation. 0 (Normal).
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