NIH Stroke Scale (NIHSS) – Group B
Answer Key
Patients 1–6 | Updated 2025
Patient 1
1a: LOC – 0 (Alert)
1b: LOC Questions – 1 (Answers one correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 4 (No movement)
6a: Motor Leg (Left) – 0 (No drift)
6b: Motor Leg (Right) – 3 (No effort against gravity; limb falls)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild-to-moderate sensory loss)
9: Best Language – 1 (Mild-to-moderate aphasia)
10: Dysarthria – 0 (Normal articulation)
11: Extinction/Inattention – 1 (Inattention to one sensory modality)
Total Score: 11
Patient 2
1a: LOC – 0 (Alert)
1b: LOC Questions – 1 (Answers one correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 0 (No drift)
6a: Motor Leg (Left) – 0 (No drift)
6b: 2 (Some effort against gravity; limb cannot get to or maintain position)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild-to-moderate sensory loss)
9: Best Language – 0 (No aphasia)
10: Dysarthria – 1 (Mild-to-moderate dysarthria)
11: Extinction/Inattention – 0 (No abnormality)
Total Score: 5
Answer Key
Patients 1–6 | Updated 2025
Patient 1
1a: LOC – 0 (Alert)
1b: LOC Questions – 1 (Answers one correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 4 (No movement)
6a: Motor Leg (Left) – 0 (No drift)
6b: Motor Leg (Right) – 3 (No effort against gravity; limb falls)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild-to-moderate sensory loss)
9: Best Language – 1 (Mild-to-moderate aphasia)
10: Dysarthria – 0 (Normal articulation)
11: Extinction/Inattention – 1 (Inattention to one sensory modality)
Total Score: 11
Patient 2
1a: LOC – 0 (Alert)
1b: LOC Questions – 1 (Answers one correctly)
1c: LOC Commands – 0 (Performs both tasks correctly)
2: Best Gaze – 0 (Normal)
3: Visual Fields – 0 (No visual loss)
4: Facial Palsy – 1 (Minor paralysis)
5a: Motor Arm (Left) – 0 (No drift)
5b: Motor Arm (Right) – 0 (No drift)
6a: Motor Leg (Left) – 0 (No drift)
6b: 2 (Some effort against gravity; limb cannot get to or maintain position)
7: Limb Ataxia – 0 (Absent)
8: Sensory – 1 (Mild-to-moderate sensory loss)
9: Best Language – 0 (No aphasia)
10: Dysarthria – 1 (Mild-to-moderate dysarthria)
11: Extinction/Inattention – 0 (No abnormality)
Total Score: 5
