2026 APEX NIH Stroke Scale Groups
A-F Patients 1-6 (Complete Summary)
– Correct Verified Answers
APEX NIH Stroke Scale (NIHSS)
Groups A, B, C, D, E & F - 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)
GROUP A - PATIENTS 1-6
Patient 1 - Normal Neurologic Status
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): 0
6 Motor Legs (L/R): 0
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 0
,Rationale: The patient is alert, follows commands, answers questions
correctly, and demonstrates no focal neurologic deficits. A total score of
0 reflects no evidence of acute stroke-related impairment.
Patient 2 - Mild Expressive Aphasia
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: 0
9 Best Language: 1
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 1
Rationale: Speech is fluent but with word-finding difficulty. The patient
communicates ideas but with mild impairment. An NIHSS language score
of 1 reflects mild aphasia without loss of meaningful communication.
, Patient 3 - Right Arm Drift
Scores (Image placeholders omitted)
Total NIHSS: 2
Rationale: The right arm cannot maintain position against gravity and
drifts down before 10 seconds, meeting criteria for a score of 2. No
additional neurologic deficits are present.
Patient 4 - Left Facial Droop & Slurred Speech
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
A-F Patients 1-6 (Complete Summary)
– Correct Verified Answers
APEX NIH Stroke Scale (NIHSS)
Groups A, B, C, D, E & F - 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)
GROUP A - PATIENTS 1-6
Patient 1 - Normal Neurologic Status
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): 0
6 Motor Legs (L/R): 0
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 0
,Rationale: The patient is alert, follows commands, answers questions
correctly, and demonstrates no focal neurologic deficits. A total score of
0 reflects no evidence of acute stroke-related impairment.
Patient 2 - Mild Expressive Aphasia
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: 0
9 Best Language: 1
10 Dysarthria: 0
11 Neglect: 0
Total NIHSS: 1
Rationale: Speech is fluent but with word-finding difficulty. The patient
communicates ideas but with mild impairment. An NIHSS language score
of 1 reflects mild aphasia without loss of meaningful communication.
, Patient 3 - Right Arm Drift
Scores (Image placeholders omitted)
Total NIHSS: 2
Rationale: The right arm cannot maintain position against gravity and
drifts down before 10 seconds, meeting criteria for a score of 2. No
additional neurologic deficits are present.
Patient 4 - Left Facial Droop & Slurred Speech
Scores
1a LOC: 0
1b LOC Questions: 0
1c LOC Commands: 0
2 Best Gaze: 0
3 Visual Fields: 0
4 Facial Palsy: 2
5 Motor Arms (L/R):
6 Motor Legs (L/R):
7 Limb Ataxia: 0
8 Sensory: 0
9 Best Language: 0
