NIH Stroke Scale
How many items on the NIH stroke scale? correct
answers11
NIH Stroke scale is correct answersan 11-item clinical evaluation
instrument
used in clinical
widely
trials and practice to assess neurologic outcome and degree
of recovery
from
stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia
on (7
... levels
items)
of correct
answerslevels of:
consciousnes
visio
s
n
motor function (facial and
cerebellar
extremities)
function
sensatio
languag
n
extinction or
inattention
NIH SS is used to measure patient's status after a stroke and to assess the
after correct
outcome
answerstreatment
Should the patient be coached? Should you go back and rethink a
particular
assessment? correct
answersNO
Having what when using NIH scale is important? correct answersreference
materials
DO NOT RATE what you think the patient wants to do or what you think
they can
RATE ONLYdo,correct answersrate only what they
actually do
use patient"s first response? correct answersYES - DO NOT USE
SUMMARY OF
RESPONSES
re ataxia
1-if real weak, assume ataxia
score
score
2-if is...can hold leg or arm up w/ minimal drift but are all over place when
they
to nosefinger
trying test, that's
probably...
3) Important to know if ataxia is present or not and if present in or
4) if patient very weak or paralyzed, the ataxia score is... correct
limbs
answers1) 0
2)
3) 1 or
ataxia
2
4)
0
, You should only score loss of sensation if you can really
demonstrate...
answersthat they
correct
have loss of
sensation
if patient has sensory loss from neuropathy, do you count thatt? correct
answersno,
you but loss on top of the
do if there's
neuropathy
aphasia is difficult because it can take a while to go through the battery
and it can be
subjective as to whether it is one of which classification? correct
answersmild, mod,
sever
e
start to recognise aphasia when you meet them and start talking and you
don't get
history of...
a correct answerswhat
happened
dysarthria is interesting because there are many cultural things
about slurred
? correct
answersspeech.
Score is associated with prognosis? correct
answersYES
Is NIH scale a measure of disability? correct answersNO. The NIH scale is a
of
measure
impairments.
The NIH scale creates a common currency so that everybody understands
the patient's
level of... correct answersdeficit, by giving a number that
communicateshow
professionals to other
sick the
patient is
how much time to budget to perorm NIH scale correct
answers7-10 mins
What effort should be recorded? Do not do what? correct answersThe
patient's
effort. firstgo back and change
Don't
scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact
-Avoid ing
-Accept patient's
patient
effort
-Score only what the patient
-Be
consistent
-Include all s into scoring, including those that may be from s
s correct answers-
order
-
-
coaching
first
-
does
-Be
consistent
-previous
strokes
ITEM 1a and how to get it correct answers-examiner's overall impression
of patient
alertnes
s
How many items on the NIH stroke scale? correct
answers11
NIH Stroke scale is correct answersan 11-item clinical evaluation
instrument
used in clinical
widely
trials and practice to assess neurologic outcome and degree
of recovery
from
stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia
on (7
... levels
items)
of correct
answerslevels of:
consciousnes
visio
s
n
motor function (facial and
cerebellar
extremities)
function
sensatio
languag
n
extinction or
inattention
NIH SS is used to measure patient's status after a stroke and to assess the
after correct
outcome
answerstreatment
Should the patient be coached? Should you go back and rethink a
particular
assessment? correct
answersNO
Having what when using NIH scale is important? correct answersreference
materials
DO NOT RATE what you think the patient wants to do or what you think
they can
RATE ONLYdo,correct answersrate only what they
actually do
use patient"s first response? correct answersYES - DO NOT USE
SUMMARY OF
RESPONSES
re ataxia
1-if real weak, assume ataxia
score
score
2-if is...can hold leg or arm up w/ minimal drift but are all over place when
they
to nosefinger
trying test, that's
probably...
3) Important to know if ataxia is present or not and if present in or
4) if patient very weak or paralyzed, the ataxia score is... correct
limbs
answers1) 0
2)
3) 1 or
ataxia
2
4)
0
, You should only score loss of sensation if you can really
demonstrate...
answersthat they
correct
have loss of
sensation
if patient has sensory loss from neuropathy, do you count thatt? correct
answersno,
you but loss on top of the
do if there's
neuropathy
aphasia is difficult because it can take a while to go through the battery
and it can be
subjective as to whether it is one of which classification? correct
answersmild, mod,
sever
e
start to recognise aphasia when you meet them and start talking and you
don't get
history of...
a correct answerswhat
happened
dysarthria is interesting because there are many cultural things
about slurred
? correct
answersspeech.
Score is associated with prognosis? correct
answersYES
Is NIH scale a measure of disability? correct answersNO. The NIH scale is a
of
measure
impairments.
The NIH scale creates a common currency so that everybody understands
the patient's
level of... correct answersdeficit, by giving a number that
communicateshow
professionals to other
sick the
patient is
how much time to budget to perorm NIH scale correct
answers7-10 mins
What effort should be recorded? Do not do what? correct answersThe
patient's
effort. firstgo back and change
Don't
scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact
-Avoid ing
-Accept patient's
patient
effort
-Score only what the patient
-Be
consistent
-Include all s into scoring, including those that may be from s
s correct answers-
order
-
-
coaching
first
-
does
-Be
consistent
-previous
strokes
ITEM 1a and how to get it correct answers-examiner's overall impression
of patient
alertnes
s
