2026 APEX NIH Stroke Scale Group E
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group E - 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 - "Pretty ok, older white man with mustache and blue
eyes"
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 0
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 2
,Rationale: This patient is alert, oriented, and follows commands without
difficulty. The primary findings are mild right leg drift (6b=1) and mild-to-
moderate sensory loss (8=1). The patient has no facial palsy, no visual
field deficits, normal language, clear speech, and no neglect . This
represents a mild stroke with minimal neurologic impairment. Total score
of 2 indicates minor deficit .
Patient 2 - "1, 2, 3, 4, 5 and a 1/2"
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: 0
Total NIHSS: [10]
, Rationale: This patient is alert but answers only one LOC question
correctly (1b=1). Key findings include minor facial palsy (4=1), severe right
arm paralysis with no movement (5b=4), right leg with no effort against
gravity (6b=3), mild-to-moderate sensory loss (8=1), and mild-to-
moderate aphasia (9=1) . No neglect is present. This pattern is consistent
with a left hemispheric stroke affecting motor function, language, and
sensation .
Patient 3 - "Comatose black woman"
Scores
1a LOC: 3
1b LOC Questions: 2
1c LOC Commands: 2
2 Best Gaze: 2
3 Visual Fields: 2
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 3
10 Dysarthria: 2
11 Neglect: 2
Patients 1-6 (Complete) - Verified
Answers
APEX NIH Stroke Scale (NIHSS)
Group E - 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 - "Pretty ok, older white man with mustache and blue
eyes"
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 0
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 2
,Rationale: This patient is alert, oriented, and follows commands without
difficulty. The primary findings are mild right leg drift (6b=1) and mild-to-
moderate sensory loss (8=1). The patient has no facial palsy, no visual
field deficits, normal language, clear speech, and no neglect . This
represents a mild stroke with minimal neurologic impairment. Total score
of 2 indicates minor deficit .
Patient 2 - "1, 2, 3, 4, 5 and a 1/2"
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: 0
Total NIHSS: [10]
, Rationale: This patient is alert but answers only one LOC question
correctly (1b=1). Key findings include minor facial palsy (4=1), severe right
arm paralysis with no movement (5b=4), right leg with no effort against
gravity (6b=3), mild-to-moderate sensory loss (8=1), and mild-to-
moderate aphasia (9=1) . No neglect is present. This pattern is consistent
with a left hemispheric stroke affecting motor function, language, and
sensation .
Patient 3 - "Comatose black woman"
Scores
1a LOC: 3
1b LOC Questions: 2
1c LOC Commands: 2
2 Best Gaze: 2
3 Visual Fields: 2
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 1
9 Best Language: 3
10 Dysarthria: 2
11 Neglect: 2
