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APEX NIH Stroke Scale Group A Patient 3

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APEX NIH Stroke Scale Group A Patient 3

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Apex nih stroke scale group a patient
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Apex nih stroke scale group a patient

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Uploaded on
March 10, 2025
Number of pages
27
Written in
2024/2025
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1. What does the NIHSS score of "0" indicate in the "Motor Function"
subcategory?
A. No motor impairment.
B. Severe motor impairment.
C. Total paralysis.
D. Mild motor impairment.
Answer: a) No motor impairment.
Rationale: A score of "0" in motor function indicates that the patient is
showing normal motor movement and has no detectable weakness or
paralysis in the limbs.


2. What is evaluated in the NIHSS under "Level of Consciousness"
(Item 1)?
A. The patient’s ability to speak.
B. The patient’s ability to understand language.
C. The patient’s responsiveness to stimuli.
D. The patient’s ability to follow motor commands.
Answer: c) The patient’s responsiveness to stimuli.
Rationale: Item 1 evaluates the patient's level of consciousness by
assessing their responsiveness to verbal or painful stimuli, helping to
assess the depth of impaired consciousness.

,3. What is assessed in the "Motor Function" for the legs in the NIHSS
(Item 10)?
A. The patient's ability to walk.
B. The ability to move the leg against gravity.
C. The strength of the quadriceps.
D. The sensation in the leg.
Answer: b) The ability to move the leg against gravity.
Rationale: This item tests the motor strength and voluntary movement
of the legs, particularly assessing whether the patient can move the legs
against gravity and the degree of weakness.


4. A score of "2" on the NIHSS for "Gaze" suggests what?
A. Normal eye movement.
B. One eye is deviated.
C. Both eyes are deviated.
D. Eye movement is completely absent.
Answer: b) One eye is deviated.
Rationale: A score of "2" on the Best Gaze section of the NIHSS
indicates that one eye is deviated, suggesting a possible neurological
deficit affecting gaze control.

, 5. If a patient scores "0" for "Facial Palsy" in the NIHSS, what does it
indicate?
A. Complete facial paralysis.
B. Mild facial weakness.
C. No facial weakness.
D. Severe facial drooping.
Answer: c) No facial weakness.
Rationale: A score of "0" for facial palsy indicates that the patient has
no visible weakness or asymmetry in facial movements.


6. How does the NIHSS help guide treatment decisions in stroke
patients?
A. By diagnosing the type of stroke.
B. By predicting the patient’s likelihood of full recovery.
C. By assessing the severity of neurological impairment and guiding
treatment based on the score.
D. By identifying the exact cause of the stroke.
Answer: c) By assessing the severity of neurological impairment and
guiding treatment based on the score.
Rationale: The NIHSS provides a standardized way of evaluating the
severity of neurological deficits, which helps clinicians determine the
most appropriate course of treatment and monitor the patient’s
progress.
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