.png){kind=logo}
NIH Stroke Scale – All Test Groups A-F (patients 1-6) study guide and quiz QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
Test Group A – Patient 1: Mild Stroke
Scenario:
Patient is alert and oriented. Speech is slightly slurred but understandable. Right facial droop. Right arm drifts down within 10 seconds. Right leg drifts but doesn't hit bed. No sensory loss. No visual deficits.
NIHSS Scoring:
1a. LOC: 0 (Alert)
1b. LOC Questions: 0 (Answers both correctly)
1c. LOC Commands: 0 (Performs both tasks)
2. Best Gaze: 0 (Normal)
3. Visual Fields: 0 (No loss)
4. Facial Palsy: 1 (Minor paralysis – flat nasolabial fold)
5a. Motor Arm – Left: 0 (No drift)
5b. Motor Arm – Right: 1 (Drift)
6a. Motor Leg – Left: 0 (No drift) 1 / 2
6b. Motor Leg – Right: 1 (Drift)
7. Limb Ataxia: 0 (No ataxia)
8. Sensory: 0 (Normal)
9. Best Language: 1 (Mild dysarthria/slurring)
10. Dysarthria: 1 (Mild to moderate)
11. Extinction/Inattention: 0 (None)
Total NIHSS Score: 5
Test Group B – Patient 2: Moderate Stroke
Scenario:
Patient is drowsy but arousable. Cannot answer orientation questions. Performs one of two commands. Left hemianopia. Complete right facial paralysis. No movement in right arm and right leg. No ataxia. Aphasia present.
NIHSS Scoring:
1a. LOC: 1 (Not alert, but arousable)
1b. LOC Questions: 2 (Answers neither)
1c. LOC Commands: 1 (Performs 1 task)
2. Best Gaze: 0
3. Visual Fields: 2 (Left hemianopia)
4. Facial Palsy: 3 (Complete paralysis)
5a. Motor Arm – Left: 0
5b. Motor Arm – Right: 4 (No movement)
6a. Motor Leg – Left: 0
- / 2
.png)