NIH STROKE SCALE ALL TEST GROUPS A F
FINAL PAPER 2026 COMPLETE RESPONSES
◉ NIH 1C - may I repeat the commands?
May I encourage?
May I pantomime command?
May I hold up arm for hand to make fist. Answer: Yes, you can repeat
command ONCE.
No, no encouragement or coaching.
Yes, you should try and pantomime command so that patient
receives verbal and visual input.
Yes, can hold up arm for hand command
◉ NIH scale 1C scoring:
0
1
2. Answer: 0 - both tasks performed correctly
1 - one task performed correctly
2 - neither task if performed correctly
◉ Can a friend/family member translate w/ NIH commands?.
Answer: Yes
,◉ NIH scale 1C
-for patient who has comprehension deficit and perform incorreclty,
what is scored?. Answer: 2
◉ NIH scale 1C
-for patient who gives a real attempt but not completed due to
weakness, is credit given?. Answer: yes, give credit but ONLY score
the first attempt
◉ NIH scale Number 2 item is.... Answer: Best Gaze
◉ what does the best gaze item test?. Answer: voluntary horizontal
eye movements
◉ does NIH scale #2 measure distortions in vertical gaze, nystagmus
or schew deviation. Answer: NO, NIH scale #2 does not measure
these visual issues
◉ NIH scale #2
-first test, noting what?
-second test. Answer: -look at position of eyes at rest, noting
spontaneous eye movements to left or right
, -then move finger or other target from side to side and ask patient to
track MOVING EYES ONLY, being sure to keep asking patient to
follow the target
◉ If patient does not accurately follow finger, a stronger test is
needed
USE what other tests?. Answer: oculocephalic maneuver, eye fixation
or tracking of the examiner's face
◉ Item 2 - if patient has ocular rotary problems, such as strabismus,
but leaves mid-line in attempt to look both left and right, what
should the response be considered?. Answer: normal
◉ Item 2 Best Gaze Scoring
0
1
2. Answer: 0 - normal
1 - partial gaze palsy
2- forced deviation
◉ If there is a conjugate deviation of eyes that can be overcome with
voluntary or reflexive activity, score a. Answer: 1
FINAL PAPER 2026 COMPLETE RESPONSES
◉ NIH 1C - may I repeat the commands?
May I encourage?
May I pantomime command?
May I hold up arm for hand to make fist. Answer: Yes, you can repeat
command ONCE.
No, no encouragement or coaching.
Yes, you should try and pantomime command so that patient
receives verbal and visual input.
Yes, can hold up arm for hand command
◉ NIH scale 1C scoring:
0
1
2. Answer: 0 - both tasks performed correctly
1 - one task performed correctly
2 - neither task if performed correctly
◉ Can a friend/family member translate w/ NIH commands?.
Answer: Yes
,◉ NIH scale 1C
-for patient who has comprehension deficit and perform incorreclty,
what is scored?. Answer: 2
◉ NIH scale 1C
-for patient who gives a real attempt but not completed due to
weakness, is credit given?. Answer: yes, give credit but ONLY score
the first attempt
◉ NIH scale Number 2 item is.... Answer: Best Gaze
◉ what does the best gaze item test?. Answer: voluntary horizontal
eye movements
◉ does NIH scale #2 measure distortions in vertical gaze, nystagmus
or schew deviation. Answer: NO, NIH scale #2 does not measure
these visual issues
◉ NIH scale #2
-first test, noting what?
-second test. Answer: -look at position of eyes at rest, noting
spontaneous eye movements to left or right
, -then move finger or other target from side to side and ask patient to
track MOVING EYES ONLY, being sure to keep asking patient to
follow the target
◉ If patient does not accurately follow finger, a stronger test is
needed
USE what other tests?. Answer: oculocephalic maneuver, eye fixation
or tracking of the examiner's face
◉ Item 2 - if patient has ocular rotary problems, such as strabismus,
but leaves mid-line in attempt to look both left and right, what
should the response be considered?. Answer: normal
◉ Item 2 Best Gaze Scoring
0
1
2. Answer: 0 - normal
1 - partial gaze palsy
2- forced deviation
◉ If there is a conjugate deviation of eyes that can be overcome with
voluntary or reflexive activity, score a. Answer: 1
