NIH STROKE SCALE GROUP D PATIENTS 1-6 COMPLETE
SUMMARY 2026/2027 | Verified NIHSS Answers & Scoring |
NINDS/NIHSS Certification Standards | Pass Guaranteed - A+
Graded
Patient 1: Acute Left MCA Stroke with Moderate Aphasia and Right
Hemiparesis
Scenario Description: 71-year-old male, 4 hours post symptom onset. Alert and
cooperative. Normal gaze. Right visual extinction. Flat nasolabial fold on right. Right
arm drift, right leg weakness. No ataxia. Decreased sensation on right. Moderate
non-fluent aphasia with paraphasic errors. Mild slurring. No neglect.
NIHSS Item Scores:
1a. LOC Responsiveness: 0 [CORRECT]
Alert, spontaneously opens eyes and tracks
1b. LOC Questions: 1 [CORRECT]
Answers one question correctly (knows month but not age)
1c. LOC Commands: 0 [CORRECT]
Performs both tasks correctly (opens/closes eyes, grips/releases)
Best Gaze: 0 [CORRECT]
2. Normal horizontal eye movements, no gaze preference
Visual Fields: 1 [CORRECT]
3. Partial right hemianopia, extinction to double simultaneous stimulation
Facial Palsy: 1 [CORRECT]
4. Minor right facial paralysis, flattened nasolabial fold
, Motor Arm - Left: 0 [CORRECT]
5. No drift, holds position 10 seconds
Motor Arm - Right: 1 [CORRECT]
6. Drift, does not hit bed but cannot maintain 10 seconds
Motor Leg - Left: 0 [CORRECT]
7. No drift, holds position 5 seconds
Motor Leg - Right: 1 [CORRECT]
8. Drift, some effort against gravity
Limb Ataxia: 0 [CORRECT]
9. No ataxia in finger-nose or heel-shin testing
Sensory: 1 [CORRECT]
10. Mild-to-moderate sensory loss on right side, pinprick less sharp
Best Language: 2 [CORRECT]
11. Severe aphasia, fragmented output, listener must infer content
Dysarthria: 1 [CORRECT]
12. Mild-to-moderate slurring, some words intelligible
Extinction/Inattention: 1 [CORRECT]
13. Extinction to simultaneous stimulation on right side
Total Score: 9 [CORRECT]
Patient 2: Right Hemisphere Stroke with Left Neglect and Dense Hemiplegia
Scenario Description: 64-year-old female, 6 hours post onset. Alert. Left gaze
preference. Complete left hemianopia. Complete left facial droop. No movement left
SUMMARY 2026/2027 | Verified NIHSS Answers & Scoring |
NINDS/NIHSS Certification Standards | Pass Guaranteed - A+
Graded
Patient 1: Acute Left MCA Stroke with Moderate Aphasia and Right
Hemiparesis
Scenario Description: 71-year-old male, 4 hours post symptom onset. Alert and
cooperative. Normal gaze. Right visual extinction. Flat nasolabial fold on right. Right
arm drift, right leg weakness. No ataxia. Decreased sensation on right. Moderate
non-fluent aphasia with paraphasic errors. Mild slurring. No neglect.
NIHSS Item Scores:
1a. LOC Responsiveness: 0 [CORRECT]
Alert, spontaneously opens eyes and tracks
1b. LOC Questions: 1 [CORRECT]
Answers one question correctly (knows month but not age)
1c. LOC Commands: 0 [CORRECT]
Performs both tasks correctly (opens/closes eyes, grips/releases)
Best Gaze: 0 [CORRECT]
2. Normal horizontal eye movements, no gaze preference
Visual Fields: 1 [CORRECT]
3. Partial right hemianopia, extinction to double simultaneous stimulation
Facial Palsy: 1 [CORRECT]
4. Minor right facial paralysis, flattened nasolabial fold
, Motor Arm - Left: 0 [CORRECT]
5. No drift, holds position 10 seconds
Motor Arm - Right: 1 [CORRECT]
6. Drift, does not hit bed but cannot maintain 10 seconds
Motor Leg - Left: 0 [CORRECT]
7. No drift, holds position 5 seconds
Motor Leg - Right: 1 [CORRECT]
8. Drift, some effort against gravity
Limb Ataxia: 0 [CORRECT]
9. No ataxia in finger-nose or heel-shin testing
Sensory: 1 [CORRECT]
10. Mild-to-moderate sensory loss on right side, pinprick less sharp
Best Language: 2 [CORRECT]
11. Severe aphasia, fragmented output, listener must infer content
Dysarthria: 1 [CORRECT]
12. Mild-to-moderate slurring, some words intelligible
Extinction/Inattention: 1 [CORRECT]
13. Extinction to simultaneous stimulation on right side
Total Score: 9 [CORRECT]
Patient 2: Right Hemisphere Stroke with Left Neglect and Dense Hemiplegia
Scenario Description: 64-year-old female, 6 hours post onset. Alert. Left gaze
preference. Complete left hemianopia. Complete left facial droop. No movement left
