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NIH Stroke Scale Group F Answer Key 2025 | Patients 1-6 with Severity Classification and Detailed Item Scores

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Complete your NIH Stroke Scale (NIHSS) certification preparation with this comprehensive Group F answer key featuring accurate scoring for Patients 1 through 6 with updated 2025 answers and severity classifications. This essential resource provides detailed breakdowns of all 11 assessment items for each patient case, including level of consciousness (LOC questions and commands), best gaze, visual fields, facial palsy, motor function for both arms and legs, limb ataxia, sensory function, best language, dysarthria, and extinction/inattention. Each patient includes the specific descriptor for every item score, the calculated total score, and a severity classification: Patient 1 (Total Score 4 - Minor Stroke) with right arm drift and mild dysarthria, Patient 2 (Total Score 18 - Moderate to Severe Stroke) presenting with right-sided hemiplegia, complete hemianopia, severe aphasia, and severe sensory loss, Patient 3 (Total Score 1 - Minor Stroke) with mild sensory loss only, Patient 4 (Total Score 2 - Minor Stroke) featuring minor facial paralysis and mild sensory loss, Patient 5 (Total Score 4 - Minor Stroke) with bilateral leg drift and mild sensory loss, and Patient 6 (Total Score 12 - Moderate Stroke) with left-sided weakness, partial gaze palsy, partial visual field deficit, ataxia in two limbs, mild aphasia, and mild dysarthria. Designed for healthcare professionals seeking initial NIHSS certification or recertification, this answer key enables accurate self-assessment and validation of stroke severity scoring proficiency through the complete Group F patient set.

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NIH Stroke Scale (NIHSS) – Group F
Answer Key
Patients 1–6 | Updated 2025




NIHSS – Group F


Patient 1
1a: LOC – 0 (Alert).
1b: LOC Questions – 1 (Answers one correctly).
1c: LOC Commands – 0 (Performs both correctly).
2: Best Gaze – 0 (Normal).
3: Visual – 0 (No visual loss).
4: Facial Palsy – 1 (Minor paralysis).
5a: Motor Arm Left – 0 (No drift).
5b: Motor Arm Right – 1 (Drift).
6a: Motor Leg Left – 0 (No drift).
6b: Motor Leg Right – 0 (No drift).
7: Limb Ataxia – 0 (Absent).
8: Sensory – 0 (Normal).
9: Best Language – 0 (No aphasia).
10: Dysarthria – 1 (Mild dysarthria).
11: Extinction/Inattention – 0 (None).

Total: 4 – Minor Stroke




Patient 2
1a: LOC – 0 (Alert).
1b: LOC Questions – 2 (Answers neither correctly).
1c: LOC Commands – 1 (Performs one task).
2: Best Gaze – 0 (Normal).
3: Visual – 2 (Complete hemianopia).
4: Facial Palsy – 0 (Normal).
5a: Motor Arm Left – 0 (No drift).
5b: Motor Arm Right – 4 (No movement).
6a: Motor Leg Left – 0 (No drift).
6b: Motor Leg Right – 4 (No movement).
7: Limb Ataxia – 0 (Absent).

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