STROKE SCA 411 STROKE SCALE REVIEW PAPER 2026 COMPLETE QUESTIONS WITH EXPERT SOLUTIONS AND MARKING SCHEME

STROKE SCA 411 STROKE SCALE REVIEW
PAPER 2026 COMPLETE QUESTIONS WITH
EXPERT SOLUTIONS AND MARKING SCHEME

◉ 1B - Ask month and age.
Answer: 0 - Both questions right
1 - One question right
1 - Dysarthric, intubated, trauma, or language barrier
2 - Aphasic


◉ 1C - "Blink eyes" and "Squeeze hands".
Answer: 0 - Performs both tasks
1 - Performs one task
2 - Performs neither task


◉ 2 - Test horizontal extraocular muscles.
Answer: 0 - Normal
1 - Partial gaze palsy: can be overcome
1 - Partial gaze palsy: corrects with oculocephalic reflex
2 - Forced gaze palsy: can not be overcome

, ◉ 3 - Test visual fields.
Answer: 0 - No visual loss
1 - Partial hemianopia
2 - Complete hemianopia
3 - Patient is bilaterally blind
3 - Bilateral hemianopia


◉ 4 - Test facial palsy (use grimace if obtunded).
Answer: 0 - Normal symmetry
1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)
3 - Bilateral complete paralysis


◉ 5A - Test left arm motor drift.
Answer: 0 - No drift for 10 seconds
1 - Drift, but doesn't hit bed
2 - Driift, hits bed
2 - Some effort against gravity
3 - No effort against gravity
4 - No movement
0 - Amputation/joint fusion