NIHSS 2026 Training Group B V5 Patients 1-6 Complete Answer key (Newest 2026 / 2027 Update) Detailed Answers | 100% Verified Correct

NIHSS 2026 Training Group B V5 Patients 1-
6 Complete Answer key (Newest
Update) Detailed Answers | 100% Verified
Correct
NIHSS 2026 Training Group B V5 - Multiple Choice Exam
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Instructions

Select the best answer for each question. Each question is worth 1 point.
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SECTION 1: Level of Consciousness (Questions 1-3)
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1. A patient opens their eyes only to painful stimulation, responds with inappropriate wo
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rds, and localizes to pain. What is the correct LOC score?
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• A) 0 nb




• B) 3 nb




• C) 6 nb




• D) 9 nb




Correct Answer: B) 3 (1 point each for eyes, verbal, motor = 1+1+1=3)
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2. A patient is drowsy but awakens to minor verbal stimulation, follows commands, and
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is oriented. What LOC score should be assigned?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: A) 0 (Alert and fully responsive = 0)
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,3. A patient requires repeated painful stimulation to arouse, mumbles incomprehensible
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sounds, and withdraws from pain. The correct total LOC score is:
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• A) 2 nb




• B) 4 nb




• C) 5 nb




• D) 6 nb




Correct Answer: D) 6 (Eyes=2, Verbal=2, Motor=2 = 6)
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SECTION 2: Best Gaze (Questions 4-5)
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4. A patient has forced deviation of the eyes to the left that cannot be overcome by volu
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ntary or reflexive movements. What is the gaze score?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: C) 2 (Forced deviation = 2)
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5. A patient has partial gaze palsy where the eyes can be brought to midline but cannot
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track past midline. What score is assigned?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) Cannot determine
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Correct Answer: B) 1 (Partial gaze palsy = 1)
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SECTION 3: Visual Fields (Questions 6-8)
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6. A patient has a left homonymous hemianopia confirmed by visual threat testing. Wha
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t score is given?
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, • A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: C) 2 (Complete hemianopia = 2)
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7. A patient has a right inferior quadrantanopia. The correct visual field score is:
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: B) 1 (Partial hemianopia/quadrantanopia = 1)
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8. A patient is blind in the left eye due to a pre-
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existing condition but has full fields in the right eye. What score is appropriate?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: A) 0 (Score based on intact fields; pre-
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existing blindness in one eye does not score if other field is normal)
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SECTION 4: Facial Palsy (Questions 9-10)
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9. A patient has flattening of the nasolabial fold on the right, with asymmetric smile but
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can raise eyebrows symmetrically. What is the facial palsy score?
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• A) 0 nb




• B) 1 nb




• C) 2 nb

, • D) 3 nb




Correct Answer: B) 1 (Minor paralysis = 1)
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10. A patient has complete bilateral facial paralysis with no movement of upper or lower
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face. What score is assigned?
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• A) 1 nb




• B) 2 nb




• C) 3 nb




• D) 4 nb




Correct Answer: C) 3 (Total paralysis = 3)
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SECTION 5: Motor Arm (Questions 11-13)
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11. A patient holds the left arm at 90° for 8 seconds before drifting downward. The right
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arm holds for 10 seconds. What is the left arm score?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: B) 1 (Drift before 10 seconds = 1)
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12. A patient's right arm drifts to the bed within 3 seconds. What score is given?
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• A) 0 nb




• B) 1 nb




• C) 2 nb




• D) 3 nb




Correct Answer: C) 2 (Some effort against gravity but drifts to bed = 2)
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