APEX NIH Stroke Scale (NIHSS) –
Group A Answer Key
Patients 1–6 | Updated 2025
APEX NIH Stroke Scale - Group A (Complete)
Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 3 – No effort against gravity; limb falls
5b (Right Arm): 0 – No drift
6a (Left Leg): 1 – Drift, does not hit bed
6b (Right Leg): 0 – No drift
7: 1 – Ataxia present in one limb
8: 2 – Severe or total sensory loss
9: 0 – No aphasia
10: 0 – Normal
11: 1 – Inattention
Total Score: 9
Patient 2
1a: 0 – Alert
1b: 2 – Answers neither correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 0 – No drift
5b (Right Arm): 0 – No drift
6a (Left Leg): 0 – No drift
6b (Right Leg): 0 – No drift
7: 0 – No ataxia
Group A Answer Key
Patients 1–6 | Updated 2025
APEX NIH Stroke Scale - Group A (Complete)
Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 3 – No effort against gravity; limb falls
5b (Right Arm): 0 – No drift
6a (Left Leg): 1 – Drift, does not hit bed
6b (Right Leg): 0 – No drift
7: 1 – Ataxia present in one limb
8: 2 – Severe or total sensory loss
9: 0 – No aphasia
10: 0 – Normal
11: 1 – Inattention
Total Score: 9
Patient 2
1a: 0 – Alert
1b: 2 – Answers neither correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 0 – No drift
5b (Right Arm): 0 – No drift
6a (Left Leg): 0 – No drift
6b (Right Leg): 0 – No drift
7: 0 – No ataxia
