NIH Stroke Scale Group E Test – Complete
Exam Study Guide 2026/2027 Questions with
Verified Correct Answers & Detailed
Rationales | Graded A+
PATIENT 1 – COMPLETE SCORING PROFILE
Patient 1: Alert, older white male with mustache and blue eyes, fully responsive
with no significant neurological deficits.
Item Score Description
1a. Level of
0 Alert, keenly responsive
Consciousness
1b. LOC Questions 0 Answers both correctly (month, age)
1c. LOC Commands 0 Performs both tasks correctly
2. Best Gaze 0 Normal horizontal eye movements
3. Visual Fields 0 No visual loss
4. Facial Palsy 0 Normal symmetric movement
5a. Motor Arm Left 0 No drift
5b. Motor Arm Right 0 No drift
6a. Motor Leg Left 0 No drift
,Item Score Description
6b. Motor Leg Right 1 Drift
7. Limb Ataxia 0 No ataxia
8. Sensory 1 Mild sensory loss
9. Best Language 0 No aphasia
10. Dysarthria 0 Normal articulation
11. Extinction/Inattention 0 No neglect
Total Score: 2 – Minor stroke
PATIENT 2 – COMPLETE SCORING PROFILE
Item Score Description
1a. Level of Consciousness 0 Alert
1b. LOC Questions 1 Answers one question correctly
1c. LOC Commands 0 Performs both tasks correctly
2. Best Gaze 0 Normal
3. Visual Fields 0 No visual loss
4. Facial Palsy 1 Minor paralysis
,Item Score Description
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 3 No effort against gravity
7. Limb Ataxia 0 No ataxia
8. Sensory 1 Mild sensory loss
9. Best Language 1 Mild-to-moderate aphasia
10. Dysarthria 0 Normal
11. Extinction/Inattention 1 Mild neglect
Total Score: 12 – Moderate stroke
PATIENT 3 – COMPLETE SCORING PROFILE
Item Score Description
1a. Level of Consciousness 3 Comatose (reflex only)
1b. LOC Questions 2 Answers neither
1c. LOC Commands 2 Performs neither
, Item Score Description
2. Best Gaze 2 Forced deviation
3. Visual Fields 2 Complete hemianopia
4. Facial Palsy 2 Partial paralysis
5a. Motor Arm Left 0 No drift
5b. Motor Arm Right 4 No movement
6a. Motor Leg Left 2 Some effort against gravity
6b. Motor Leg Right 4 No movement
7. Limb Ataxia 0 Cannot assess
8. Sensory 1 Sensory loss
9. Best Language 3 Global aphasia/mute
10. Dysarthria 2 Severe
11. Extinction/Inattention 2 Severe neglect
Total Score: 29 – Severe stroke
PATIENT 4 – COMPLETE SCORING PROFILE
Exam Study Guide 2026/2027 Questions with
Verified Correct Answers & Detailed
Rationales | Graded A+
PATIENT 1 – COMPLETE SCORING PROFILE
Patient 1: Alert, older white male with mustache and blue eyes, fully responsive
with no significant neurological deficits.
Item Score Description
1a. Level of
0 Alert, keenly responsive
Consciousness
1b. LOC Questions 0 Answers both correctly (month, age)
1c. LOC Commands 0 Performs both tasks correctly
2. Best Gaze 0 Normal horizontal eye movements
3. Visual Fields 0 No visual loss
4. Facial Palsy 0 Normal symmetric movement
5a. Motor Arm Left 0 No drift
5b. Motor Arm Right 0 No drift
6a. Motor Leg Left 0 No drift
,Item Score Description
6b. Motor Leg Right 1 Drift
7. Limb Ataxia 0 No ataxia
8. Sensory 1 Mild sensory loss
9. Best Language 0 No aphasia
10. Dysarthria 0 Normal articulation
11. Extinction/Inattention 0 No neglect
Total Score: 2 – Minor stroke
PATIENT 2 – COMPLETE SCORING PROFILE
Item Score Description
1a. Level of Consciousness 0 Alert
1b. LOC Questions 1 Answers one question correctly
1c. LOC Commands 0 Performs both tasks correctly
2. Best Gaze 0 Normal
3. Visual Fields 0 No visual loss
4. Facial Palsy 1 Minor paralysis
,Item Score Description
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 3 No effort against gravity
7. Limb Ataxia 0 No ataxia
8. Sensory 1 Mild sensory loss
9. Best Language 1 Mild-to-moderate aphasia
10. Dysarthria 0 Normal
11. Extinction/Inattention 1 Mild neglect
Total Score: 12 – Moderate stroke
PATIENT 3 – COMPLETE SCORING PROFILE
Item Score Description
1a. Level of Consciousness 3 Comatose (reflex only)
1b. LOC Questions 2 Answers neither
1c. LOC Commands 2 Performs neither
, Item Score Description
2. Best Gaze 2 Forced deviation
3. Visual Fields 2 Complete hemianopia
4. Facial Palsy 2 Partial paralysis
5a. Motor Arm Left 0 No drift
5b. Motor Arm Right 4 No movement
6a. Motor Leg Left 2 Some effort against gravity
6b. Motor Leg Right 4 No movement
7. Limb Ataxia 0 Cannot assess
8. Sensory 1 Sensory loss
9. Best Language 3 Global aphasia/mute
10. Dysarthria 2 Severe
11. Extinction/Inattention 2 Severe neglect
Total Score: 29 – Severe stroke
PATIENT 4 – COMPLETE SCORING PROFILE
