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, 11 components of NIHSS - correct ans:1. LOC (Question & Command)
2. Gaze
3. Visual field
4. Facial palsy
5. Upper extremity
6. Lower extremity
7. Limb ataxia
8. Sensory
9. Best language
10. Dysarthria
11. Extinction & inattention
1A - LOC - correct ans:0 = Alert
1 = Not alert; aroused with minor verbal stimulation
2 = Not alert; requires strong or painful stimulation
3 = Reflex movements only or totally unresponsive (COMA ~ try rub on chest)
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1a. Level of Consciousness: The investigator must choose a response, even if a full evaluation is
prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A
3 is scored only if the patient makes no movement (other than reflexive posturing) in response to
noxious stimulation.*
1B - LOC Questions (2) - correct ans:Month of year
Patient age
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0 = Answers both questions correctly
1 = Answers one question correctly