NIHSS GROUP A VERSION 5 COMPLETE
SOLVED SOLUTION UPDATE QUESTIONS
AND ANSWERS 2024 EXAMINATION TEST
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ item 3, ask patient to do what? Answer: count fingers in all four
quadrants
⩥ Item 3 - if a patient scored 3 on item 1a, they are tested for 3 using
what? and what is it? Answer: bilateral threat
⩥ NIH scale 3 scoring:
0
1
2
3? Answer: 0- no visual loss, upper and lower visual fields are normal
1- clear cut asymetry, including quadrantanopia or partial hemianopia
2-complete hemianopia
3-bilateral hemianopia (blindness of any cause including cortical
blindness)
,⩥ item 3: if patient has severe monocular visual loss d/t intrinsic eye
disease and visual fields in other eye are normal, examiner should score
as? Answer: normal
⩥ if there is unilateral blindness or enucleation, what is scored Answer:
visual fields in the remaining eye
⩥ arbitrary rule that if they extinguish even if intact to confrontation,
visual field item is scored as a... Answer: 1
⩥ NIH item 4 is... Answer: facial palsy
⩥ in NIH #4,you ask patient Answer: "show me your teeth," if no teeth
in say "show me your gums"
"open and close your eyes" - can say "squeeze eyes shut as hard as you
can"
"raise the eyebrows" or "lift up your eyebrows as much as you can"
⩥ for NIH 4, where MUST patient look? Answer: directly at examiner
⩥ NIH 4: for aphasic, poorly responsive or noncomprehending patient,
use what kind of stimulus?
If using this stimulus, what is the basis for the scoring? Answer: noxious
-the symmetry of the grimace
, ⩥ NIH Item #4 Scoring
0
1
2
3 Answer: 0 - normal symmetrical movement
1 - minor paralysis such as a flattened nasolabial fold or mild asymmetry
while smiling - proper score if function is less than clearly normal
2-paralysis of the lower face - appropriate for clear cut upper motor
neuron facial palsy
3- complete paralysis of the upper and lower face - appropriate score for
obtunded or comatose patient or one with unilateral-lower motor neuron
facial weakness
⩥ decreased spontaneous and forced facial movements are most
prominent at what location? Answer: the mouth
⩥ if there is a clear cut asymmetry of the smile, the score is... Answer:
two, all other subtle asymmetries are scored as a one
⩥ score of 3 re: face is reserved for unusual complete paralysis seen
with some strokes of what kind? Answer: some brain stem strokes
⩥ NIH scale item 5 is... Answer: Item 5 - Motor Arm
SOLVED SOLUTION UPDATE QUESTIONS
AND ANSWERS 2024 EXAMINATION TEST
2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ item 3, ask patient to do what? Answer: count fingers in all four
quadrants
⩥ Item 3 - if a patient scored 3 on item 1a, they are tested for 3 using
what? and what is it? Answer: bilateral threat
⩥ NIH scale 3 scoring:
0
1
2
3? Answer: 0- no visual loss, upper and lower visual fields are normal
1- clear cut asymetry, including quadrantanopia or partial hemianopia
2-complete hemianopia
3-bilateral hemianopia (blindness of any cause including cortical
blindness)
,⩥ item 3: if patient has severe monocular visual loss d/t intrinsic eye
disease and visual fields in other eye are normal, examiner should score
as? Answer: normal
⩥ if there is unilateral blindness or enucleation, what is scored Answer:
visual fields in the remaining eye
⩥ arbitrary rule that if they extinguish even if intact to confrontation,
visual field item is scored as a... Answer: 1
⩥ NIH item 4 is... Answer: facial palsy
⩥ in NIH #4,you ask patient Answer: "show me your teeth," if no teeth
in say "show me your gums"
"open and close your eyes" - can say "squeeze eyes shut as hard as you
can"
"raise the eyebrows" or "lift up your eyebrows as much as you can"
⩥ for NIH 4, where MUST patient look? Answer: directly at examiner
⩥ NIH 4: for aphasic, poorly responsive or noncomprehending patient,
use what kind of stimulus?
If using this stimulus, what is the basis for the scoring? Answer: noxious
-the symmetry of the grimace
, ⩥ NIH Item #4 Scoring
0
1
2
3 Answer: 0 - normal symmetrical movement
1 - minor paralysis such as a flattened nasolabial fold or mild asymmetry
while smiling - proper score if function is less than clearly normal
2-paralysis of the lower face - appropriate for clear cut upper motor
neuron facial palsy
3- complete paralysis of the upper and lower face - appropriate score for
obtunded or comatose patient or one with unilateral-lower motor neuron
facial weakness
⩥ decreased spontaneous and forced facial movements are most
prominent at what location? Answer: the mouth
⩥ if there is a clear cut asymmetry of the smile, the score is... Answer:
two, all other subtle asymmetries are scored as a one
⩥ score of 3 re: face is reserved for unusual complete paralysis seen
with some strokes of what kind? Answer: some brain stem strokes
⩥ NIH scale item 5 is... Answer: Item 5 - Motor Arm
