NIH STROKE SCALE PRACTICE LATEST EXAM 2026
UPDATE 100 QUESTIONS AND DETAILED VERIFIED
ANSWERS FROM ACTUAL EXAMS TEST GRADE A+
1. Level of Consciousness (LOC)
A patient opens their eyes spontaneously and responds appropriately to questions
and commands. What is the LOC score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: A. 0
Rationale: A patient who is fully alert and responsive receives a score of 0 for LOC.
2. LOC Questions
The patient correctly states their age but gives the wrong month. What is the
score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: B. 1
Rationale: One correct answer to the LOC questions (age and month) results in a
score of 1.
,3. LOC Commands
The patient opens and closes their eyes but cannot grip and release the non-
paretic hand. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: B. 1
Rationale: Successfully performing one of the two commands earns a score of 1.
4. Best Gaze
A patient demonstrates a forced deviation of the eyes to the left that cannot be
overcome by the oculocephalic maneuver. Score?
A. 0
B. 1
C. 2
Answer: BOLD: C. 2
Rationale: Forced gaze deviation indicates a complete gaze palsy, which is scored
as 2.
5. Visual Fields
The patient has a complete loss of vision in the right visual field of both eyes.
Score?
A. 0
B. 1
,C. 2
D. 3
Answer: BOLD: C. 2
Rationale: Complete homonymous hemianopia is scored as 2.
6. Facial Palsy
There is complete paralysis of the lower and upper face on one side. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: D. 3
Rationale: Total facial paralysis affecting both upper and lower facial muscles is
scored as 3.
7. Motor Arm
The patient’s left arm drifts down to the bed before 10 seconds but shows some
effort against gravity. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: C. 2
Rationale: Drift to the bed before 10 seconds with effort against gravity
corresponds to a score of 2.
8. Motor Leg
, The right leg falls to the bed immediately with no effort against gravity. Score?
A. 0
B. 1
C. 2
D. 3
E. 4
Answer: BOLD: D. 3
Rationale: No effort against gravity is scored as 3; a score of 4 indicates no
movement at all.
9. Limb Ataxia
Ataxia is present in both the right arm and right leg. Score?
A. 0
B. 1
C. 2
Answer: BOLD: C. 2
Rationale: Ataxia in two limbs results in a score of 2.
10. Sensory
The patient reports mild numbness on the left side but can still feel pinprick.
Score?
A. 0
B. 1
C. 2
Answer: BOLD: B. 1
Rationale: Mild-to-moderate sensory loss is scored as 1.
UPDATE 100 QUESTIONS AND DETAILED VERIFIED
ANSWERS FROM ACTUAL EXAMS TEST GRADE A+
1. Level of Consciousness (LOC)
A patient opens their eyes spontaneously and responds appropriately to questions
and commands. What is the LOC score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: A. 0
Rationale: A patient who is fully alert and responsive receives a score of 0 for LOC.
2. LOC Questions
The patient correctly states their age but gives the wrong month. What is the
score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: B. 1
Rationale: One correct answer to the LOC questions (age and month) results in a
score of 1.
,3. LOC Commands
The patient opens and closes their eyes but cannot grip and release the non-
paretic hand. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: B. 1
Rationale: Successfully performing one of the two commands earns a score of 1.
4. Best Gaze
A patient demonstrates a forced deviation of the eyes to the left that cannot be
overcome by the oculocephalic maneuver. Score?
A. 0
B. 1
C. 2
Answer: BOLD: C. 2
Rationale: Forced gaze deviation indicates a complete gaze palsy, which is scored
as 2.
5. Visual Fields
The patient has a complete loss of vision in the right visual field of both eyes.
Score?
A. 0
B. 1
,C. 2
D. 3
Answer: BOLD: C. 2
Rationale: Complete homonymous hemianopia is scored as 2.
6. Facial Palsy
There is complete paralysis of the lower and upper face on one side. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: D. 3
Rationale: Total facial paralysis affecting both upper and lower facial muscles is
scored as 3.
7. Motor Arm
The patient’s left arm drifts down to the bed before 10 seconds but shows some
effort against gravity. Score?
A. 0
B. 1
C. 2
D. 3
Answer: BOLD: C. 2
Rationale: Drift to the bed before 10 seconds with effort against gravity
corresponds to a score of 2.
8. Motor Leg
, The right leg falls to the bed immediately with no effort against gravity. Score?
A. 0
B. 1
C. 2
D. 3
E. 4
Answer: BOLD: D. 3
Rationale: No effort against gravity is scored as 3; a score of 4 indicates no
movement at all.
9. Limb Ataxia
Ataxia is present in both the right arm and right leg. Score?
A. 0
B. 1
C. 2
Answer: BOLD: C. 2
Rationale: Ataxia in two limbs results in a score of 2.
10. Sensory
The patient reports mild numbness on the left side but can still feel pinprick.
Score?
A. 0
B. 1
C. 2
Answer: BOLD: B. 1
Rationale: Mild-to-moderate sensory loss is scored as 1.
