NIH Stroke Scale (NIHSS) Group E Test Answers
Patients 1 to 6 Itemized & Descriptive Key
Patient 1: Older White Man with Mustache and Blue Eyes
1a. Level of Consciousness (LOC): 0 (Alert)
1b. LOC Questions: 0 (Answers both correctly)
1c. LOC Commands: 0 (Performs both tasks correctly)
2. Best Gaze: 0 (Normal)
3. Visual Fields: 0 (No visual loss)
4. Facial Palsy: 0 (Normal symmetrical movement)
5a. Motor Arm (Left): 0 (No drift)
5b. Motor Arm (Right): 0 (No drift)
6a. Motor Leg (Left): 0 (No drift)
6b. Motor Leg (Right): 0 (No drift)
7. Limb Ataxia: 0 (Absent)
8. Sensory: 0 (Normal; no sensory loss)
9. Best Language: 0 (Normal; no aphasia)
10. Dysarthria: 0 (Normal)
11. Extinction / Inattention: 0 (No abnormality)
Total Score: 0
, Patient 2: "1, 2, 3, 4, 5 and a 1/2"
1a. Level of Consciousness (LOC): 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 / flattened nasolabial fold)
5a. Motor Arm (Left): 0 (No drift)
5b. Motor Arm (Right): 4 (No movement / flaccid)
6a. Motor Leg (Left): 0 (No drift)
6b. Motor Leg (Right): 3 (Effort against gravity is not maintained /
drops to bed)
7. Limb Ataxia: 0 (Absent)
8. Sensory: 1 (Mild to moderate sensory loss)
9. Best Language: 1 (Mild to moderate aphasia)
10. Dysarthria: 0 (Normal)
11. Extinction / Inattention: 0 (No abnormality)
Total Score: 9
Patient 3: Comatose Black Woman
1a. Level of Consciousness (LOC): 2 (Unresponsive / movements to
pain)
Patients 1 to 6 Itemized & Descriptive Key
Patient 1: Older White Man with Mustache and Blue Eyes
1a. Level of Consciousness (LOC): 0 (Alert)
1b. LOC Questions: 0 (Answers both correctly)
1c. LOC Commands: 0 (Performs both tasks correctly)
2. Best Gaze: 0 (Normal)
3. Visual Fields: 0 (No visual loss)
4. Facial Palsy: 0 (Normal symmetrical movement)
5a. Motor Arm (Left): 0 (No drift)
5b. Motor Arm (Right): 0 (No drift)
6a. Motor Leg (Left): 0 (No drift)
6b. Motor Leg (Right): 0 (No drift)
7. Limb Ataxia: 0 (Absent)
8. Sensory: 0 (Normal; no sensory loss)
9. Best Language: 0 (Normal; no aphasia)
10. Dysarthria: 0 (Normal)
11. Extinction / Inattention: 0 (No abnormality)
Total Score: 0
, Patient 2: "1, 2, 3, 4, 5 and a 1/2"
1a. Level of Consciousness (LOC): 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 / flattened nasolabial fold)
5a. Motor Arm (Left): 0 (No drift)
5b. Motor Arm (Right): 4 (No movement / flaccid)
6a. Motor Leg (Left): 0 (No drift)
6b. Motor Leg (Right): 3 (Effort against gravity is not maintained /
drops to bed)
7. Limb Ataxia: 0 (Absent)
8. Sensory: 1 (Mild to moderate sensory loss)
9. Best Language: 1 (Mild to moderate aphasia)
10. Dysarthria: 0 (Normal)
11. Extinction / Inattention: 0 (No abnormality)
Total Score: 9
Patient 3: Comatose Black Woman
1a. Level of Consciousness (LOC): 2 (Unresponsive / movements to
pain)
