EXAM NIHSS: NIHSS GROUP C - PATIENTS
1-6, (LATEST 2026/2027 UPDATE) | Q/A |
GRADE A| 100% CORRECT (VERIFIED
ANSWERS)
NIHSS GROUP C - PATIENTS 1-6
EXAM NIHSS: NIHSS GROUP C - PATIENTS 1-6, 2026 WITH
CORRECT/ACCURATE ANSWERS
Patient 1
1a. Level of Consciousness (LOC): 0 – alert.
Explanation: The patient is fully awake and responsive, with no decrease in
alertness. This indicates intact arousal and orientation.
1b. LOC Questions: 2 – neither correct.
Explanation: The patient could not answer either orientation question (month and
age) correctly, suggesting mild cognitive or language impairment.
1c. LOC Commands: 1 – performs one task correctly.
Explanation: The patient was able to follow one command but not both, indicating
partial comprehension or mild motor impairment.
2. Best Gaze: 0 – normal.
Explanation: Eye movements are intact with no deviation, indicating no gaze palsy.
3. Visual Fields: 2 – severe.
Explanation: There is a severe visual field loss, possibly indicating homonymous
hemianopia. This impacts safety and mobility.
4. Facial Palsy: 1 – minor paralysis.
Explanation: Mild facial droop is present, likely affecting only one side, reflecting
upper motor neuron involvement.
5a. Motor Arm – Right: 0 – no drift.
5b. Motor Arm – Left: 4 – no movement.
, Explanation: Complete paralysis on the left arm indicates severe motor deficit on the
contralateral side of a brain lesion.
6a. Motor Leg – Right: 0 – no drift.
6b. Motor Leg – Left: 4 – no movement.
Explanation: Complete paralysis on the left leg, consistent with severe hemiplegia.
7. Limb Ataxia: 1 – present in one limb.
Explanation: Mild incoordination observed, possibly due to cerebellar involvement or
motor planning deficit.
8. Sensory: 2 – severe or total sensory loss.
Explanation: Patient has severe sensory loss, indicating significant somatosensory
pathway disruption.
9. Best Language: 2 – severe aphasia.
Explanation: Patient cannot express or comprehend language well, indicating
dominant hemisphere cortical involvement.
10. Dysarthria: 1 – mild to moderate.
Explanation: Slurred or slow speech is present but intelligible, showing mild motor
speech impairment.
11. Extinction/Inattention (Neglect): 1 – complete neglect.
Explanation: Patient ignores one side of the body or space, typical with right
hemisphere lesions.
Patient 2
1a. LOC: 0 – alert.
Explanation: Fully awake, responsive, oriented, no level of consciousness
impairment.
1b. LOC Questions: 0 – answers both correctly.
Explanation: Normal orientation, indicating intact cognitive function.
1c. LOC Commands: 0 – performs both tasks correctly.
Explanation: Patient follows commands fully, suggesting normal comprehension and
motor function.
2. Best Gaze: 0 – normal.
Explanation: Eye movements intact, no deviation or gaze palsy.
3. Visual Fields: 0 – no visual loss.
Explanation: Full visual fields, indicating no occipital lobe involvement.
1-6, (LATEST 2026/2027 UPDATE) | Q/A |
GRADE A| 100% CORRECT (VERIFIED
ANSWERS)
NIHSS GROUP C - PATIENTS 1-6
EXAM NIHSS: NIHSS GROUP C - PATIENTS 1-6, 2026 WITH
CORRECT/ACCURATE ANSWERS
Patient 1
1a. Level of Consciousness (LOC): 0 – alert.
Explanation: The patient is fully awake and responsive, with no decrease in
alertness. This indicates intact arousal and orientation.
1b. LOC Questions: 2 – neither correct.
Explanation: The patient could not answer either orientation question (month and
age) correctly, suggesting mild cognitive or language impairment.
1c. LOC Commands: 1 – performs one task correctly.
Explanation: The patient was able to follow one command but not both, indicating
partial comprehension or mild motor impairment.
2. Best Gaze: 0 – normal.
Explanation: Eye movements are intact with no deviation, indicating no gaze palsy.
3. Visual Fields: 2 – severe.
Explanation: There is a severe visual field loss, possibly indicating homonymous
hemianopia. This impacts safety and mobility.
4. Facial Palsy: 1 – minor paralysis.
Explanation: Mild facial droop is present, likely affecting only one side, reflecting
upper motor neuron involvement.
5a. Motor Arm – Right: 0 – no drift.
5b. Motor Arm – Left: 4 – no movement.
, Explanation: Complete paralysis on the left arm indicates severe motor deficit on the
contralateral side of a brain lesion.
6a. Motor Leg – Right: 0 – no drift.
6b. Motor Leg – Left: 4 – no movement.
Explanation: Complete paralysis on the left leg, consistent with severe hemiplegia.
7. Limb Ataxia: 1 – present in one limb.
Explanation: Mild incoordination observed, possibly due to cerebellar involvement or
motor planning deficit.
8. Sensory: 2 – severe or total sensory loss.
Explanation: Patient has severe sensory loss, indicating significant somatosensory
pathway disruption.
9. Best Language: 2 – severe aphasia.
Explanation: Patient cannot express or comprehend language well, indicating
dominant hemisphere cortical involvement.
10. Dysarthria: 1 – mild to moderate.
Explanation: Slurred or slow speech is present but intelligible, showing mild motor
speech impairment.
11. Extinction/Inattention (Neglect): 1 – complete neglect.
Explanation: Patient ignores one side of the body or space, typical with right
hemisphere lesions.
Patient 2
1a. LOC: 0 – alert.
Explanation: Fully awake, responsive, oriented, no level of consciousness
impairment.
1b. LOC Questions: 0 – answers both correctly.
Explanation: Normal orientation, indicating intact cognitive function.
1c. LOC Commands: 0 – performs both tasks correctly.
Explanation: Patient follows commands fully, suggesting normal comprehension and
motor function.
2. Best Gaze: 0 – normal.
Explanation: Eye movements intact, no deviation or gaze palsy.
3. Visual Fields: 0 – no visual loss.
Explanation: Full visual fields, indicating no occipital lobe involvement.
