NIH Stroke Scale Group B Actual 2025 Patient 1-6 Questions and Answers 100% Correct

NIH Stroke Scale Group B Actual 2025 Patient 1-
6 Questions and Answers 100% Correct


Patient 1: 68-year-old male, right-sided weakness, alert
 1a. Level of Consciousness: Alert, keenly responsive. 0
Rationale: Patient is fully alert, responding appropriately ().
 1b. LOC Questions (Month and Age): Answers month correctly, age incorrect. 1
Rationale: One correct answer scores 1 ().
 1c. LOC Commands (Close Eyes, Make Fist): Performs both tasks correctly. 0
Rationale: Both commands performed accurately ().
 2. Best Gaze: Normal eye movements. 0
Rationale: No gaze deviation ().
 3. Visual Fields: No visual loss. 0
Rationale: Full visual fields on confrontation testing ().
 4. Facial Palsy: Minor right-sided weakness. 1
Rationale: Minor asymmetry scores 1 ().
 5a. Motor Arm (Left): No drift for 10 seconds. 0
Rationale: Normal arm strength ().
 5b. Motor Arm (Right): No movement. 4
Rationale: Complete paralysis scores 4 ().
 6a. Motor Leg (Left): No drift for 5 seconds. 0
Rationale: Normal leg strength ().
 6b. Motor Leg (Right): Some effort against gravity. 3
Rationale: Partial movement scores 3 ().
 7. Limb Ataxia: No ataxia. 0
Rationale: No cerebellar dysfunction ().
 8. Sensory: Mild sensory loss on right side. 1
Rationale: Mild sensory deficit scores 1 ().
 9. Best Language: Mild aphasia, some word-finding difficulty. 1
Rationale: Mild language impairment scores 1 ().
 10. Dysarthria: Normal speech. 0
Rationale: No speech impairment ().
 11. Extinction/Inattention: Mild inattention on right side. 1
Rationale: Mild neglect scores 1 (). Total Score: 12 (Mild to moderately severe stroke)
().

Patient 2: 72-year-old female, left-sided weakness, alert
 1a. Level of Consciousness: Alert, keenly responsive. 0
Rationale: Fully alert ().

,  1b. LOC Questions: Answers one question correctly. 1
Rationale: One correct answer scores 1 ().
 1c. LOC Commands: Performs both tasks correctly. 0
Rationale: Both commands performed ().
 2. Best Gaze: Normal eye movements. 0
Rationale: No gaze deviation ().
 3. Visual Fields: No visual loss. 0
Rationale: Full visual fields ().
 4. Facial Palsy: Minor left-sided weakness. 1
Rationale: Minor asymmetry scores 1 ().
 5a. Motor Arm (Left): No movement. 4
Rationale: Complete paralysis scores 4 ().
 5b. Motor Arm (Right): No drift. 0
Rationale: Normal arm strength ().
 6a. Motor Leg (Left): Some effort against gravity. 2
Rationale: Partial movement scores 2 ().
 6b. Motor Leg (Right): No drift. 0
Rationale: Normal leg strength ().
 7. Limb Ataxia: No ataxia. 0
Rationale: No cerebellar dysfunction ().
 8. Sensory: Normal sensation. 0
Rationale: No sensory loss ().
 9. Best Language: Normal language. 0
Rationale: No aphasia ().
 10. Dysarthria: Mild slurring. 1
Rationale: Mild dysarthria scores 1 ().
 11. Extinction/Inattention: No inattention. 0
Rationale: No neglect (). Total Score: 9 (Mild to moderately severe stroke) ().

Patient 3: 55-year-old male, confused, bilateral weakness
 1a. Level of Consciousness: Requires minor stimulation to arouse. 1
Rationale: Arousable with minor stimulation scores 1 ().
 1b. LOC Questions: Answers neither correctly. 2
Rationale: No correct answers scores 2 ().
 1c. LOC Commands: Performs one task correctly. 1
Rationale: One task performed scores 1 ().
 2. Best Gaze: Partial gaze palsy. 1
Rationale: Partial gaze deviation scores 1 ().
 3. Visual Fields: Partial hemianopia. 1
Rationale: Partial visual loss scores 1 ().
 4. Facial Palsy: Minor bilateral weakness. 1
Rationale: Minor asymmetry scores 1 ().
 5a. Motor Arm (Left): Drifts but does not hit bed. 1
Rationale: Mild weakness scores 1 ().