1. 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.
2. What does a score of "1" for "Best Language" indicate in the NIHSS?
A. Normal speech.
B. The patient has difficulty speaking but can still communicate.
C. The patient cannot speak.
D. The patient speaks in short, disjointed phrases.
Answer: b) The patient has difficulty speaking but can still
communicate.
Rationale: A score of "1" for Best Language suggests mild expressive
aphasia, where the patient can still communicate but with some
difficulty.
,3. 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.
4. What is the main purpose of the "Motor Function" section in the
NIHSS?
A. To assess cognitive function.
B. To evaluate the strength and movement of the arms and legs.
C. To determine the level of consciousness.
D. To measure sensory loss.
Answer: b) To evaluate the strength and movement of the arms and
legs.
Rationale: The "Motor Function" section assesses the presence of
weakness or paralysis in the arms and legs, which helps determine the
severity of the stroke's impact on motor abilities.
, 5. Which item on the NIHSS evaluates the patient's ability to follow
commands?
A. Item 5
B. Item 7
C. Item 8
D. Item 9
Answer: a) Item 5
Rationale: Item 5 tests for the patient's ability to follow simple
commands, such as "raise your arm" or "stick out your tongue," which
provides insight into their cognitive and motor function.
6. 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.
7. What does a score of "3" for "Best Language" indicate in 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.
2. What does a score of "1" for "Best Language" indicate in the NIHSS?
A. Normal speech.
B. The patient has difficulty speaking but can still communicate.
C. The patient cannot speak.
D. The patient speaks in short, disjointed phrases.
Answer: b) The patient has difficulty speaking but can still
communicate.
Rationale: A score of "1" for Best Language suggests mild expressive
aphasia, where the patient can still communicate but with some
difficulty.
,3. 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.
4. What is the main purpose of the "Motor Function" section in the
NIHSS?
A. To assess cognitive function.
B. To evaluate the strength and movement of the arms and legs.
C. To determine the level of consciousness.
D. To measure sensory loss.
Answer: b) To evaluate the strength and movement of the arms and
legs.
Rationale: The "Motor Function" section assesses the presence of
weakness or paralysis in the arms and legs, which helps determine the
severity of the stroke's impact on motor abilities.
, 5. Which item on the NIHSS evaluates the patient's ability to follow
commands?
A. Item 5
B. Item 7
C. Item 8
D. Item 9
Answer: a) Item 5
Rationale: Item 5 tests for the patient's ability to follow simple
commands, such as "raise your arm" or "stick out your tongue," which
provides insight into their cognitive and motor function.
6. 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.
7. What does a score of "3" for "Best Language" indicate in the NIHSS?
