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NIH Stroke Scale (NIHSS) Practice Exam – 6 Full Patient Cases with Scoring & Detailed Rationales | 2026 Certification Prep Guide| pdf

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NIH Stroke Scale (NIHSS) Practice Exam – 6 Full Patient Cases with Scoring & Detailed Rationales | 2026 Certification Prep Guide| pdf

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NIH Stroke Scale (NIHSS) Practice Exam – 6 Full Patient
Cases with Scoring & Detailed Rationales | 2026
Certification Prep Guide| pdf
✅ PATIENT 1
Findings:

 Alert, answers month correctly, misses age
 Follows both commands
 Partial gaze palsy to left
 Right facial droop
 Right arm drifts before 10 sec
 Right leg holds full 5 sec
 Mild sensory loss right side
 Mild dysarthria

Scoring

1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 1
3 Visual Fields: 0
4 Facial Palsy: 1
5a Left Arm: 0
5b Right Arm: 1
6a Left Leg: 0
6b Right Leg: 0
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 1
11 Extinction/Inattention: 0

Total Score: 6
Mild stroke




✅ PATIENT 2
Findings:

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