NIH Stroke Scale All top Mandatory Questions and Correct Answers 2024

1A - Level of consciousness - 0 - Alert; keenly responsive 1 - Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 2 - Movements to pain 3 - Postures or unresponsive 1B - Ask month and age - 0 - Both questions right 1 - One question right 1 - Dysarthric, intubated, trauma, or language barrier 2 - Aphasic 1C - "Blink eyes" and "Squeeze hands" - 0 - Performs both tasks 1 - Performs one task 2 - Performs neither task 2 - Test horizontal extraocular muscles - 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 - 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) - 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 - 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 movemen