2026 APEX NIH Stroke Scale Group B
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group B - Patients 1-6
NIHSS ITEMS (REFERENCE)
1. 1a. Level of Consciousness (LOC)
2. 1b. LOC Questions
3. 1c. LOC Commands
4. 2. Best Gaze
5. 3. Visual Fields
6. 4. Facial Palsy
7. 5. Motor Arm (L/R)
8. 6. Motor Leg (L/R)
9. 7. Limb Ataxia
10. 8. Sensory
, 11. 9. Best Language
12. 10. Dysarthria
13. 11. Extinction & Inattention (Neglect)
Patient 1 - [Mild Aphasia, Sensory Loss, Hemiparesis]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 1
10 Dysarthria: 0
11 Neglect: 1
Total NIHSS: [11]
Rationale: This patient presents with a combination of mild aphasia, facial
asymmetry, severe right-sided weakness, and sensory loss with neglect.
,The motor scores (5b=4 for right arm, 6b=3 for right leg) indicate
significant hemiparesis. The language score of 1 reflects mild aphasia with
effective communication. This pattern is consistent with a left middle
cerebral artery stroke affecting both motor and language function .
Patient 2 - [Mild Dysarthria, Sensory Loss]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 1
11 Neglect: 0
Total NIHSS: [6]
Rationale: This patient demonstrates mild dysarthria with some leg
weakness (6b=2 - leg falls to bed before 5 seconds), sensory loss, and
, mild facial palsy. Language is intact (0), suggesting no aphasia. This
profile may represent a lacunar or small vessel stroke .
Patient 3 - [Severe Facial Palsy & Dysarthria]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 2 or 3
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
10 Dysarthria: 1
11 Neglect: 0
Total NIHSS: [4-5]
Rationale: The primary findings are facial palsy (score 2 = partial lower
face, or 3 = complete paralysis) and mild dysarthria. No motor or sensory
deficits in the limbs are present. This pattern is consistent with a
brainstem or peripheral facial nerve stroke. Note: One source indicates a
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group B - Patients 1-6
NIHSS ITEMS (REFERENCE)
1. 1a. Level of Consciousness (LOC)
2. 1b. LOC Questions
3. 1c. LOC Commands
4. 2. Best Gaze
5. 3. Visual Fields
6. 4. Facial Palsy
7. 5. Motor Arm (L/R)
8. 6. Motor Leg (L/R)
9. 7. Limb Ataxia
10. 8. Sensory
, 11. 9. Best Language
12. 10. Dysarthria
13. 11. Extinction & Inattention (Neglect)
Patient 1 - [Mild Aphasia, Sensory Loss, Hemiparesis]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 1
10 Dysarthria: 0
11 Neglect: 1
Total NIHSS: [11]
Rationale: This patient presents with a combination of mild aphasia, facial
asymmetry, severe right-sided weakness, and sensory loss with neglect.
,The motor scores (5b=4 for right arm, 6b=3 for right leg) indicate
significant hemiparesis. The language score of 1 reflects mild aphasia with
effective communication. This pattern is consistent with a left middle
cerebral artery stroke affecting both motor and language function .
Patient 2 - [Mild Dysarthria, Sensory Loss]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 1
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 1
11 Neglect: 0
Total NIHSS: [6]
Rationale: This patient demonstrates mild dysarthria with some leg
weakness (6b=2 - leg falls to bed before 5 seconds), sensory loss, and
, mild facial palsy. Language is intact (0), suggesting no aphasia. This
profile may represent a lacunar or small vessel stroke .
Patient 3 - [Severe Facial Palsy & Dysarthria]
Scores
1a LOC: 0
1b LOC Questions: 1
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 2 or 3
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
10 Dysarthria: 1
11 Neglect: 0
Total NIHSS: [4-5]
Rationale: The primary findings are facial palsy (score 2 = partial lower
face, or 3 = complete paralysis) and mild dysarthria. No motor or sensory
deficits in the limbs are present. This pattern is consistent with a
brainstem or peripheral facial nerve stroke. Note: One source indicates a
