TABLE OF CONTENTS
✓ APEX NIH Stroke Scale Group A Patient 1-6
✓ APEX NIH Stroke Scale Group B Patient 1-6
✓ APEX NIH Stroke Scale Group C Patient 1-6
✓ APEX NIH Stroke Scale Group D Patient 1-6
✓ APEX NIH Stroke Scale Group E Patient 1-6
✓ APEX NIH Stroke Scale Group F Patient 1-6
GROUP A – PATIENT 1
1. 1a. Level of Consciousness:
1) 0 - Alert
2) 1 - Arouses to minor stimulation
3) 2 - Requires repeated stimulation
4) 3 - Unresponsive
Correct Answer: 1) 0 - Alert
Explanation: Patient is fully responsive and awake.
2. 1b. Ask month and age:
1) 0 - Both correct
2) 1 - One correct
3) 2 - Neither correct
4) 3 - Intubated or other barrier
Correct Answer: 1) 0 - Both correct
Explanation: Patient answers both questions accurately.
3. 1c. Ask to open and close eyes:
, 1) 0 - Obeys
2) 1 - Partial response
3) 2 - None
4) 3 - Untestable
Correct Answer: 1) 0 - Obeys
Explanation: Patient follows commands correctly.
4. 2. Best Gaze:
1) 0 - Normal
2) 1 - Partial gaze palsy
3) 2 - Forced deviation
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Eye movement is intact and normal.
5. 3. Visual Fields:
1) 0 - No visual loss
2) 1 - Partial hemianopia
3) 2 - Complete hemianopia
4) 3 - Bilateral hemianopia
Correct Answer: 1) 0 - No visual loss
Explanation: Vision is normal in all fields.
6. 4. Facial Palsy:
1) 0 - Normal
2) 1 - Minor paralysis
3) 2 - Partial paralysis
4) 3 - Complete paralysis
Correct Answer: 2) 1 - Minor paralysis
Explanation: Slight facial asymmetry noted.
7. 5a. Left Arm:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 4) 3 - No effort against gravity
Explanation: Significant weakness present.
8. 5b. Right Arm:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 1) 0 - No drift
, Explanation: Normal strength.
9. 6a. Left Leg:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 1) 0 - No drift
Explanation: Normal strength.
10. 6b. Right Leg:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 2) 1 - Drift
Explanation: Mild weakness observed.
11. 7. Limb Ataxia:
1) 0 - Absent
2) 1 - Present in one limb
3) 2 - Present in two limbs
4) 3 - Untestable
Correct Answer: 1) 0 - Absent
Explanation: No ataxia detected.
12. 8. Sensory:
1) 0 - Normal
2) 1 - Mild loss
3) 2 - Severe loss
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Sensation is intact.
13. 9. Best Language:
1) 0 - No aphasia
2) 1 - Mild aphasia
3) 2 - Severe aphasia
4) 3 - Mute/global aphasia
Correct Answer: 1) 0 - No aphasia
Explanation: Language function is normal.
14. 10. Dysarthria:
1) 0 - Normal
2) 1 - Mild dysarthria
, 3) 2 - Severe dysarthria
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Speech is clear.
15. 11. Extinction/Inattention:
1) 0 - No neglect
2) 1 - Partial neglect
3) 2 - Complete neglect
4) 3 - Untestable
Correct Answer: 1) 0 - No neglect
Explanation: No inattention detected.
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GROUP A – PATIENT 2
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16. 1a. Level of Consciousness:
1) 0 - Alert
2) 1 - Arouses to minor stimulation
3) 2 - Requires repeated stimulation
4) 3 - Unresponsive
Correct Answer: 1) 0 - Alert
Explanation: Patient is fully alert.
17. 1b. Ask month and age:
1) 0 - Both correct
2) 1 - One correct
3) 2 - Neither correct
4) 3 - Intubated or other barrier
Correct Answer: 2) 1 - One correct
Explanation: Patient answers one question correctly.
18. 1c. Ask to open and close eyes:
1) 0 - Obeys
2) 1 - Partial response
3) 2 - None
4) 3 - Untestable
Correct Answer: 1) 0 - Obeys
Explanation: Patient follows commands.
19. 2. Best Gaze:
1) 0 - Normal
✓ APEX NIH Stroke Scale Group A Patient 1-6
✓ APEX NIH Stroke Scale Group B Patient 1-6
✓ APEX NIH Stroke Scale Group C Patient 1-6
✓ APEX NIH Stroke Scale Group D Patient 1-6
✓ APEX NIH Stroke Scale Group E Patient 1-6
✓ APEX NIH Stroke Scale Group F Patient 1-6
GROUP A – PATIENT 1
1. 1a. Level of Consciousness:
1) 0 - Alert
2) 1 - Arouses to minor stimulation
3) 2 - Requires repeated stimulation
4) 3 - Unresponsive
Correct Answer: 1) 0 - Alert
Explanation: Patient is fully responsive and awake.
2. 1b. Ask month and age:
1) 0 - Both correct
2) 1 - One correct
3) 2 - Neither correct
4) 3 - Intubated or other barrier
Correct Answer: 1) 0 - Both correct
Explanation: Patient answers both questions accurately.
3. 1c. Ask to open and close eyes:
, 1) 0 - Obeys
2) 1 - Partial response
3) 2 - None
4) 3 - Untestable
Correct Answer: 1) 0 - Obeys
Explanation: Patient follows commands correctly.
4. 2. Best Gaze:
1) 0 - Normal
2) 1 - Partial gaze palsy
3) 2 - Forced deviation
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Eye movement is intact and normal.
5. 3. Visual Fields:
1) 0 - No visual loss
2) 1 - Partial hemianopia
3) 2 - Complete hemianopia
4) 3 - Bilateral hemianopia
Correct Answer: 1) 0 - No visual loss
Explanation: Vision is normal in all fields.
6. 4. Facial Palsy:
1) 0 - Normal
2) 1 - Minor paralysis
3) 2 - Partial paralysis
4) 3 - Complete paralysis
Correct Answer: 2) 1 - Minor paralysis
Explanation: Slight facial asymmetry noted.
7. 5a. Left Arm:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 4) 3 - No effort against gravity
Explanation: Significant weakness present.
8. 5b. Right Arm:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 1) 0 - No drift
, Explanation: Normal strength.
9. 6a. Left Leg:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 1) 0 - No drift
Explanation: Normal strength.
10. 6b. Right Leg:
1) 0 - No drift
2) 1 - Drift
3) 2 - Some effort against gravity
4) 3 - No effort against gravity
Correct Answer: 2) 1 - Drift
Explanation: Mild weakness observed.
11. 7. Limb Ataxia:
1) 0 - Absent
2) 1 - Present in one limb
3) 2 - Present in two limbs
4) 3 - Untestable
Correct Answer: 1) 0 - Absent
Explanation: No ataxia detected.
12. 8. Sensory:
1) 0 - Normal
2) 1 - Mild loss
3) 2 - Severe loss
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Sensation is intact.
13. 9. Best Language:
1) 0 - No aphasia
2) 1 - Mild aphasia
3) 2 - Severe aphasia
4) 3 - Mute/global aphasia
Correct Answer: 1) 0 - No aphasia
Explanation: Language function is normal.
14. 10. Dysarthria:
1) 0 - Normal
2) 1 - Mild dysarthria
, 3) 2 - Severe dysarthria
4) 3 - Untestable
Correct Answer: 1) 0 - Normal
Explanation: Speech is clear.
15. 11. Extinction/Inattention:
1) 0 - No neglect
2) 1 - Partial neglect
3) 2 - Complete neglect
4) 3 - Untestable
Correct Answer: 1) 0 - No neglect
Explanation: No inattention detected.
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GROUP A – PATIENT 2
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16. 1a. Level of Consciousness:
1) 0 - Alert
2) 1 - Arouses to minor stimulation
3) 2 - Requires repeated stimulation
4) 3 - Unresponsive
Correct Answer: 1) 0 - Alert
Explanation: Patient is fully alert.
17. 1b. Ask month and age:
1) 0 - Both correct
2) 1 - One correct
3) 2 - Neither correct
4) 3 - Intubated or other barrier
Correct Answer: 2) 1 - One correct
Explanation: Patient answers one question correctly.
18. 1c. Ask to open and close eyes:
1) 0 - Obeys
2) 1 - Partial response
3) 2 - None
4) 3 - Untestable
Correct Answer: 1) 0 - Obeys
Explanation: Patient follows commands.
19. 2. Best Gaze:
1) 0 - Normal
