1. A score of "0" for "Sensory" on the NIHSS suggests what?
A. No sensory impairment.
B. Mild sensory loss.
C. Complete sensory loss.
D. The patient cannot respond to sensory stimuli.
Answer: a) No sensory impairment.
Rationale: A score of "0" indicates that the patient exhibits no sensory
deficits, such as normal response to light touch or pinprick tests,
suggesting intact sensory pathways.
2. What is indicated by a "0" score for "Motor Leg" on the NIHSS?
A. Severe weakness with no movement.
B. Normal motor function and strength in the leg.
C. Inability to feel sensation in the leg.
D. No ability to move the leg at all.
Answer: b) Normal motor function and strength in the leg.
Rationale: A score of "0" indicates that the patient has normal strength
and motor function in the leg, showing no signs of weakness or
paralysis.
3. What does a score of "1" for "Facial Palsy" mean on the NIHSS?
,A. No facial weakness.
B. Mild weakness, with partial movement of the face.
C. Complete facial paralysis.
D. Full facial movement on both sides.
Answer: b) Mild weakness, with partial movement of the face.
Rationale: A score of "1" for facial palsy indicates mild facial weakness
with some facial movement on the affected side, which is an early sign
of stroke-related damage to facial nerves.
4. What does a score of "1" on the NIHSS for "Level of Consciousness"
indicate?
A. Fully alert.
B. Responds to verbal stimuli.
C. Responds to painful stimuli.
D. Unresponsive.
Answer: b) Responds to verbal stimuli.
Rationale: A score of "1" indicates that the patient is not fully alert but
responds to verbal stimuli, which may suggest mild impairment of
consciousness.
5. How is "Extinction and Inattention" (Item 11) evaluated on the
NIHSS?
A. By assessing the patient’s ability to speak clearly.
, B. By determining if the patient can perceive stimuli on both sides of
the body.
C. By testing motor strength in the arms.
D. By evaluating visual field function.
Answer: b) By determining if the patient can perceive stimuli on both
sides of the body.
Rationale: This item assesses whether a patient is able to notice or
respond to stimuli on both sides of their body, which can indicate
neglect or inattention, often seen in strokes affecting one hemisphere of
the brain.
6. What is the significance of a high NIHSS score in a patient with
stroke?
A. It suggests a mild stroke with minimal neurological impairment.
B. It indicates the need for aggressive stroke treatment.
C. It suggests the patient will recover fully without intervention.
D. It reflects normal brain function and no stroke.
Answer: b) It indicates the need for aggressive stroke treatment.
Rationale: A higher NIHSS score indicates greater neurological
impairment, which often correlates with the severity of the stroke and
may require more urgent medical intervention.
7. What is being tested in the "Visual Fields" section of the NIHSS
(Item 3)?
A. No sensory impairment.
B. Mild sensory loss.
C. Complete sensory loss.
D. The patient cannot respond to sensory stimuli.
Answer: a) No sensory impairment.
Rationale: A score of "0" indicates that the patient exhibits no sensory
deficits, such as normal response to light touch or pinprick tests,
suggesting intact sensory pathways.
2. What is indicated by a "0" score for "Motor Leg" on the NIHSS?
A. Severe weakness with no movement.
B. Normal motor function and strength in the leg.
C. Inability to feel sensation in the leg.
D. No ability to move the leg at all.
Answer: b) Normal motor function and strength in the leg.
Rationale: A score of "0" indicates that the patient has normal strength
and motor function in the leg, showing no signs of weakness or
paralysis.
3. What does a score of "1" for "Facial Palsy" mean on the NIHSS?
,A. No facial weakness.
B. Mild weakness, with partial movement of the face.
C. Complete facial paralysis.
D. Full facial movement on both sides.
Answer: b) Mild weakness, with partial movement of the face.
Rationale: A score of "1" for facial palsy indicates mild facial weakness
with some facial movement on the affected side, which is an early sign
of stroke-related damage to facial nerves.
4. What does a score of "1" on the NIHSS for "Level of Consciousness"
indicate?
A. Fully alert.
B. Responds to verbal stimuli.
C. Responds to painful stimuli.
D. Unresponsive.
Answer: b) Responds to verbal stimuli.
Rationale: A score of "1" indicates that the patient is not fully alert but
responds to verbal stimuli, which may suggest mild impairment of
consciousness.
5. How is "Extinction and Inattention" (Item 11) evaluated on the
NIHSS?
A. By assessing the patient’s ability to speak clearly.
, B. By determining if the patient can perceive stimuli on both sides of
the body.
C. By testing motor strength in the arms.
D. By evaluating visual field function.
Answer: b) By determining if the patient can perceive stimuli on both
sides of the body.
Rationale: This item assesses whether a patient is able to notice or
respond to stimuli on both sides of their body, which can indicate
neglect or inattention, often seen in strokes affecting one hemisphere of
the brain.
6. What is the significance of a high NIHSS score in a patient with
stroke?
A. It suggests a mild stroke with minimal neurological impairment.
B. It indicates the need for aggressive stroke treatment.
C. It suggests the patient will recover fully without intervention.
D. It reflects normal brain function and no stroke.
Answer: b) It indicates the need for aggressive stroke treatment.
Rationale: A higher NIHSS score indicates greater neurological
impairment, which often correlates with the severity of the stroke and
may require more urgent medical intervention.
7. What is being tested in the "Visual Fields" section of the NIHSS
(Item 3)?
