APEX NIH Stroke Scale Group A
Patients 1–6 (Complete) –
2025/2026
Section 1: Introduction
This document contains the complete, 100% correct answers for the APEX NIH Stroke Scale
Group A (Patients 1–6), valid for the 2025/2026 cycle. Answers are verified to align with
current stroke assessment guidelines and training protocols. Designed for accuracy and quick
reference in clinical or test environments.
Section 2: Exam Questions and Answers
Four answer choices per question (A–D)
Correct answer highlighted
Patient 1
1. 1a. Level of Consciousness:
(a) 0 - Alert
(b) 1 - Arouses to minor stimulation
(c) 2 - Requires repeated stimulation
(d) 3 - Unresponsive
0 - Alert
Explanation: Patient is fully responsive.
2. 1b. Ask month and age:
(a) 0 - Both correct
(b) 1 - One correct
(c) 2 - Neither correct
(d) 3 - Intubated or other barrier
0 - Both correct
Explanation: Patient answers accurately.
3. 1c. Ask to open and close eyes:
(a) 0 - Obeys
(b) 1 - Partial response
(c) 2 - None
(d) 3 - Untestable
, 0 - Obeys
Explanation: Patient follows command.
4.
2. Best Gaze:
(a) 0 - Normal
(b) 1 - Partial gaze palsy
(c) 2 - Forced deviation
(d) 3 - Untestable
0 - Normal
Explanation: Eye movement is intact.
5.
3. Visual Fields:
(a) 0 - No visual loss
(b) 1 - Partial hemianopia
(c) 2 - Complete hemianopia
(d) 3 - Bilateral hemianopia
0 - No visual loss
Explanation: Vision is normal.
6.
4. Facial Palsy:
(a) 0 - Normal
(b) 1 - Minor paralysis
(c) 2 - Partial paralysis
(d) 3 - Complete paralysis
1 - Minor paralysis
Explanation: Slight asymmetry noted.
7. 5a. Left Arm:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
, 3 - No effort against gravity
Explanation: Significant weakness.
8. 5b. Right Arm:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
0 - No drift
Explanation: Normal strength.
9. 6a. Left Leg:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
0 - No drift
Explanation: Normal strength.
10. 6b. Right Leg:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
1 - Drift
Explanation: Mild weakness observed.
11.
7. Limb Ataxia:
(a) 0 - Absent
(b) 1 - Present in one limb
(c) 2 - Present in two limbs
(d) 3 - Untestable
0 - Absent
Explanation: No ataxia.
12.
Patients 1–6 (Complete) –
2025/2026
Section 1: Introduction
This document contains the complete, 100% correct answers for the APEX NIH Stroke Scale
Group A (Patients 1–6), valid for the 2025/2026 cycle. Answers are verified to align with
current stroke assessment guidelines and training protocols. Designed for accuracy and quick
reference in clinical or test environments.
Section 2: Exam Questions and Answers
Four answer choices per question (A–D)
Correct answer highlighted
Patient 1
1. 1a. Level of Consciousness:
(a) 0 - Alert
(b) 1 - Arouses to minor stimulation
(c) 2 - Requires repeated stimulation
(d) 3 - Unresponsive
0 - Alert
Explanation: Patient is fully responsive.
2. 1b. Ask month and age:
(a) 0 - Both correct
(b) 1 - One correct
(c) 2 - Neither correct
(d) 3 - Intubated or other barrier
0 - Both correct
Explanation: Patient answers accurately.
3. 1c. Ask to open and close eyes:
(a) 0 - Obeys
(b) 1 - Partial response
(c) 2 - None
(d) 3 - Untestable
, 0 - Obeys
Explanation: Patient follows command.
4.
2. Best Gaze:
(a) 0 - Normal
(b) 1 - Partial gaze palsy
(c) 2 - Forced deviation
(d) 3 - Untestable
0 - Normal
Explanation: Eye movement is intact.
5.
3. Visual Fields:
(a) 0 - No visual loss
(b) 1 - Partial hemianopia
(c) 2 - Complete hemianopia
(d) 3 - Bilateral hemianopia
0 - No visual loss
Explanation: Vision is normal.
6.
4. Facial Palsy:
(a) 0 - Normal
(b) 1 - Minor paralysis
(c) 2 - Partial paralysis
(d) 3 - Complete paralysis
1 - Minor paralysis
Explanation: Slight asymmetry noted.
7. 5a. Left Arm:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
, 3 - No effort against gravity
Explanation: Significant weakness.
8. 5b. Right Arm:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
0 - No drift
Explanation: Normal strength.
9. 6a. Left Leg:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
0 - No drift
Explanation: Normal strength.
10. 6b. Right Leg:
(a) 0 - No drift
(b) 1 - Drift
(c) 2 - Some effort against gravity
(d) 3 - No effort against gravity
1 - Drift
Explanation: Mild weakness observed.
11.
7. Limb Ataxia:
(a) 0 - Absent
(b) 1 - Present in one limb
(c) 2 - Present in two limbs
(d) 3 - Untestable
0 - Absent
Explanation: No ataxia.
12.
