This document contains the complete, 100 correct answers for the APEX NIH Stroke Scale

APEX NIH Stroke Scale Group A Patients 1–6 (Complete) –

Section 1: Introduction

This document contains the complete, answers for the APEX NIH Stroke Scale Group A (Patients 1–6), valid for the cycle. Answers are to align with current stroke assessment guidelines and training protocols. Designed for accuracy and quick reference in clinical or test environments.

Section 2: Exam Questions and Answers

Four answer choices per question (A–D) Correct answer highlighted Patient 1

1. 1a. Level of Consciousness:

(a) 0 - Alert (b) 1 - Arouses to minor stimulation (c) 2 - Requires repeated stimulation (d) 3 - Unresponsive

• - Alert

Explanation: Patient is fully responsive.

2. 1b. Ask month and age:

(a) 0 - Both correct (b) 1 - One correct (c) 2 - Neither correct (d) 3 - Intubated or other barrier

• - Both correct

Explanation: Patient answers accurately.

3. 1c. Ask to open and close eyes:

(a) 0 - Obeys (b) 1 - Partial response (c) 2 - None (d) 3 - Untestable 1 / 3

• - Obeys

Explanation: Patient follows command.

4.

2. Best Gaze:

(a) 0 - Normal (b) 1 - Partial gaze palsy (c) 2 - Forced deviation (d) 3 - Untestable

• - Normal

Explanation: Eye movement is intact.

5.

3. Visual Fields:

(a) 0 - No visual loss (b) 1 - Partial hemianopia (c) 2 - Complete hemianopia (d) 3 - Bilateral hemianopia

• - No visual loss

Explanation: Vision is normal.

6.

4. Facial Palsy:

(a) 0 - Normal (b) 1 - Minor paralysis (c) 2 - Partial paralysis (d) 3 - Complete paralysis

• - Minor paralysis

Explanation: Slight asymmetry noted.

7. 5a. Left Arm:

(a) 0 - No drift (b) 1 - Drift (c) 2 - Some effort against gravity (d) 3 - No effort against gravity 2 / 3

• - No effort against gravity

Explanation: Significant weakness.

8. 5b. Right Arm:

(a) 0 - No drift (b) 1 - Drift (c) 2 - Some effort against gravity (d) 3 - No effort against gravity

• - No drift

Explanation: Normal strength.

9. 6a. Left Leg:

(a) 0 - No drift (b) 1 - Drift (c) 2 - Some effort against gravity (d) 3 - No effort against gravity

• - No drift

Explanation: Normal strength.

10. 6b. Right Leg:

(a) 0 - No drift (b) 1 - Drift (c) 2 - Some effort against gravity (d) 3 - No effort against gravity

• - Drift

Explanation: Mild weakness observed.

11.

7. Limb Ataxia:

(a) 0 - Absent (b) 1 - Present in one limb (c) 2 - Present in two limbs (d) 3 - Untestable

• - Absent

Explanation: No ataxia.

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