NIH Stroke Scale Test Groups A–F Questions and Answers

NIH Stroke Scale Test Groups A–F Questions and Answers A patient is asked to smile and close both eyes tightly. The examiner notes symmetrical nasolabial folds and equal strength in eye closure bilaterally. What NIHSS facial palsy score is most appropriate? a. 1 b. 0 c. 2 d. 3 Correct Answer: b. 0 Rationale: Normal facial movement is present with no asymmetry in smile or eye closure. This corresponds to NIHSS score 0, indicating no facial palsy. During stroke assessment, a patient shows flattened nasolabial fold on the right and slight asymmetry when smiling, but can still close both eyes completely. How should this be scored? a. 2 b. 0 c. 3 d. 1 Correct Answer: d. 1 Rationale: Minor facial paralysis is characterized by subtle asymmetry such as flattened nasolabial fold but preserved full eye closure and voluntary movement, consistent with NIHSS score 1. A patient is unable to move the lower right half of the face, but can still wrinkle the forehead and close both eyes tightly. What is the correct NIHSS facial palsy score? a. 3 b. 1 c. 2 d. 0 Correct Answer: c. 2 Rationale: Partial paralysis affecting the lower face while sparing the upper face indicates NIHSS score 2.