2026 APEX NIH Stroke Scale Group F
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group F - Patients 1-6
NIHSS ITEMS (REFERENCE)
1. 1a. Level of Consciousness (LOC)
2. 1b. LOC Questions
3. 1c. LOC Commands
4. 2. Best Gaze
5. 3. Visual Fields
6. 4. Facial Palsy
7. 5. Motor Arm (L/R)
8. 6. Motor Leg (L/R)
9. 7. Limb Ataxia
10. 8. Sensory
11. 9. Best Language
, 12. 10. Dysarthria
13. 11. Extinction & Inattention (Neglect)
Patient 1 - [Likely Presentation: Alert with Minor Deficits]
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 0
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: [2]
Rationale: This patient is alert, oriented, and follows commands. The primary
findings are mild right leg drift (6b=1) and mild-to-moderate sensory loss (8=1).
No other deficits are present. This represents a mild stroke with minimal
neurologic impairment, consistent with patterns seen in the search results for
Group F patient scenarios .
,Patient 2 - [Likely Presentation: Gaze Palsy and Motor Deficits]
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 2
3 Visual Fields: 1
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 2
9 Best Language: 1
10 Dysarthria: 1
11 Neglect: 1
Total NIHSS: [15+]
Rationale: This patient has a left gaze preference that cannot be overcome (2=2),
suggesting a right frontal lobe lesion (frontal eye field) . Additional findings include
partial visual field loss (3=1), facial palsy (4=1), severe right arm paralysis with no
movement (5b=4), right leg with no effort against gravity (6b=3), severe sensory
loss (8=2), mild aphasia (9=1), dysarthria (10=1), and neglect (11=1). This
represents a significant left hemispheric or right hemispheric stroke depending
on the laterality of findings.
, Patient 3 - [Likely Presentation: Comatose with Severe Deficits]
Scores
1a LOC: 3
1b LOC Questions: 2
1c LOC Commands: 2
2 Best Gaze: 2
3 Visual Fields: 2
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 2
9 Best Language: 3
10 Dysarthria: 2
11 Neglect: 2
Total NIHSS: [24+]
Rationale: This represents a catastrophic, large hemispheric stroke with coma.
The patient is unresponsive to pain (1a=3), cannot answer questions (1b=2) or
follow commands (1c=2). There is forced gaze deviation (2=2), complete
hemianopia (3=2), partial facial palsy (4=2), severe bilateral paralysis (5b=4,
6a=4, 6b=4), severe sensory loss (8=2), global aphasia (9=3), severe dysarthria
(10=2), and profound neglect (11=2). This is consistent with a massive stroke
affecting multiple brain regions, often requiring endovascular intervention or
palliation.
Patient 4 - [Likely Presentation: Aphasia with Motor/Sensory Deficits]
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group F - Patients 1-6
NIHSS ITEMS (REFERENCE)
1. 1a. Level of Consciousness (LOC)
2. 1b. LOC Questions
3. 1c. LOC Commands
4. 2. Best Gaze
5. 3. Visual Fields
6. 4. Facial Palsy
7. 5. Motor Arm (L/R)
8. 6. Motor Leg (L/R)
9. 7. Limb Ataxia
10. 8. Sensory
11. 9. Best Language
, 12. 10. Dysarthria
13. 11. Extinction & Inattention (Neglect)
Patient 1 - [Likely Presentation: Alert with Minor Deficits]
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 0
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: [2]
Rationale: This patient is alert, oriented, and follows commands. The primary
findings are mild right leg drift (6b=1) and mild-to-moderate sensory loss (8=1).
No other deficits are present. This represents a mild stroke with minimal
neurologic impairment, consistent with patterns seen in the search results for
Group F patient scenarios .
,Patient 2 - [Likely Presentation: Gaze Palsy and Motor Deficits]
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 2
3 Visual Fields: 1
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 2
9 Best Language: 1
10 Dysarthria: 1
11 Neglect: 1
Total NIHSS: [15+]
Rationale: This patient has a left gaze preference that cannot be overcome (2=2),
suggesting a right frontal lobe lesion (frontal eye field) . Additional findings include
partial visual field loss (3=1), facial palsy (4=1), severe right arm paralysis with no
movement (5b=4), right leg with no effort against gravity (6b=3), severe sensory
loss (8=2), mild aphasia (9=1), dysarthria (10=1), and neglect (11=1). This
represents a significant left hemispheric or right hemispheric stroke depending
on the laterality of findings.
, Patient 3 - [Likely Presentation: Comatose with Severe Deficits]
Scores
1a LOC: 3
1b LOC Questions: 2
1c LOC Commands: 2
2 Best Gaze: 2
3 Visual Fields: 2
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 2
9 Best Language: 3
10 Dysarthria: 2
11 Neglect: 2
Total NIHSS: [24+]
Rationale: This represents a catastrophic, large hemispheric stroke with coma.
The patient is unresponsive to pain (1a=3), cannot answer questions (1b=2) or
follow commands (1c=2). There is forced gaze deviation (2=2), complete
hemianopia (3=2), partial facial palsy (4=2), severe bilateral paralysis (5b=4,
6a=4, 6b=4), severe sensory loss (8=2), global aphasia (9=3), severe dysarthria
(10=2), and profound neglect (11=2). This is consistent with a massive stroke
affecting multiple brain regions, often requiring endovascular intervention or
palliation.
Patient 4 - [Likely Presentation: Aphasia with Motor/Sensory Deficits]
