NIH Stroke Scale Exam |150 Questions
and Answers
How many items on the NIH stroke scale? - -11
- NIH Stroke scale is - -an 11-item clinical evaluation instrument widely used
in clinical 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 levels of ... (7 items) - -levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
- NIH SS is used to measure patient's status after a stroke and to assess the
outcome after - -treatment
- Should the patient be coached? Should you go back and rethink a
particular assessment? - -NO
- Having what when using NIH scale is important? - -reference materials
- DO NOT RATE what you think the patient wants to do or what you think
they can do, RATE ONLY - -rate only what they actually do
- use patient"s first response? - -YES - DO NOT USE SUMMARY OF
RESPONSES
- re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when
trying finger to nose test, that's probably...
3) Important to know if ataxia is present or not and if present in _____ or
_______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - -1) 0
2) ataxia
3) 1 or 2
4) 0
, - You should only score loss of sensation if you can really demonstrate... - -
that they have loss of sensation
- if patient has sensory loss from neuropathy, do you count thatt? - -no, but
you do if there's loss on top of the 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? - -
mild, mod, severe
- start to recognise aphasia when you meet them and start talking and you
don't get a history of... - -what happened
- dysarthria is interesting because there are many cultural things about
slurred ________? - -speech.
- Score is associated with prognosis? - -YES
- Is NIH scale a measure of disability? - -NO. The NIH scale is a measure of
impairments.
- The NIH scale creates a common currency so that everybody understands
the patient's level of... - -deficit, by giving a number that communicates to
other professionals how sick the patient is
- how much time to budget to perorm NIH scale - -7-10 mins
- What effort should be recorded? Do not do what? - -The patient's first
effort. Don't go back and change scores.
- IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from
_________s ______s - --order
-coaching
-first
-does
-Be consistent
-previous strokes
- ITEM 1a and how to get it - --examiner's overall impression of patient
alertness
and Answers
How many items on the NIH stroke scale? - -11
- NIH Stroke scale is - -an 11-item clinical evaluation instrument widely used
in clinical 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 levels of ... (7 items) - -levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
- NIH SS is used to measure patient's status after a stroke and to assess the
outcome after - -treatment
- Should the patient be coached? Should you go back and rethink a
particular assessment? - -NO
- Having what when using NIH scale is important? - -reference materials
- DO NOT RATE what you think the patient wants to do or what you think
they can do, RATE ONLY - -rate only what they actually do
- use patient"s first response? - -YES - DO NOT USE SUMMARY OF
RESPONSES
- re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when
trying finger to nose test, that's probably...
3) Important to know if ataxia is present or not and if present in _____ or
_______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - -1) 0
2) ataxia
3) 1 or 2
4) 0
, - You should only score loss of sensation if you can really demonstrate... - -
that they have loss of sensation
- if patient has sensory loss from neuropathy, do you count thatt? - -no, but
you do if there's loss on top of the 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? - -
mild, mod, severe
- start to recognise aphasia when you meet them and start talking and you
don't get a history of... - -what happened
- dysarthria is interesting because there are many cultural things about
slurred ________? - -speech.
- Score is associated with prognosis? - -YES
- Is NIH scale a measure of disability? - -NO. The NIH scale is a measure of
impairments.
- The NIH scale creates a common currency so that everybody understands
the patient's level of... - -deficit, by giving a number that communicates to
other professionals how sick the patient is
- how much time to budget to perorm NIH scale - -7-10 mins
- What effort should be recorded? Do not do what? - -The patient's first
effort. Don't go back and change scores.
- IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from
_________s ______s - --order
-coaching
-first
-does
-Be consistent
-previous strokes
- ITEM 1a and how to get it - --examiner's overall impression of patient
alertness
