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, 100% correct answers for the APEX NIH Stroke Scale Group A (Patients 1–6), valid for the cycle. Answers are verified 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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