Apex Innovations National Institutes of
Health Stroke Scale (NIHSS) Group B
Certification answers for Patients 1
through 6 - Severity & Deficit Analysis |
Latest Update 2026
Patient B1
Total Score: 12
Severity: Moderate Stroke
Dominant Deficit Pattern: Dense right-sided hemiplegia (arm flaccid, leg
severely weak) with mild aphasia, mild neglect, facial palsy, and sensory loss.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 1 Answers one question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm 4 Critical: No movement at all (flaccid).
(Right)
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 3 Significant: No effort against gravity; falls
immediately.
pg. 1
, 7 Limb Ataxia 0 No ataxia.
8 Sensory 1 Mild-to-moderate sensory loss.
9 Best Language 1 Mild-to-moderate aphasia (obvious
impairment, but some communication).
10 Dysarthria 0 Normal articulation.
11 Extinction/Neglect 1 Mild inattention or extinction to one sensory
modality.
Patient B2
Total Score: 6
Severity: Moderate Stroke
Dominant Deficit Pattern: Right leg weakness (moderate), with mild facial palsy,
sensory loss, and dysarthria. Arms and language are completely spared.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 1 Answers one question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm 0 No drift; normal strength.
(Right)
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 2 Significant: Some effort against gravity, but
leg falls before 5 seconds.
pg. 2
Health Stroke Scale (NIHSS) Group B
Certification answers for Patients 1
through 6 - Severity & Deficit Analysis |
Latest Update 2026
Patient B1
Total Score: 12
Severity: Moderate Stroke
Dominant Deficit Pattern: Dense right-sided hemiplegia (arm flaccid, leg
severely weak) with mild aphasia, mild neglect, facial palsy, and sensory loss.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 1 Answers one question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm 4 Critical: No movement at all (flaccid).
(Right)
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 3 Significant: No effort against gravity; falls
immediately.
pg. 1
, 7 Limb Ataxia 0 No ataxia.
8 Sensory 1 Mild-to-moderate sensory loss.
9 Best Language 1 Mild-to-moderate aphasia (obvious
impairment, but some communication).
10 Dysarthria 0 Normal articulation.
11 Extinction/Neglect 1 Mild inattention or extinction to one sensory
modality.
Patient B2
Total Score: 6
Severity: Moderate Stroke
Dominant Deficit Pattern: Right leg weakness (moderate), with mild facial palsy,
sensory loss, and dysarthria. Arms and language are completely spared.
Item Domain Score Clinical Description
1a LOC 0 Fully alert.
1b LOC Questions 1 Answers one question correctly.
1c LOC Commands 0 Performs both commands.
2 Best Gaze 0 Normal horizontal eye movements.
3 Visual Fields 0 No visual loss.
4 Facial Palsy 1 Minor facial asymmetry.
5a Motor Arm (Left) 0 No drift; normal strength.
5b Motor Arm 0 No drift; normal strength.
(Right)
6a Motor Leg (Left) 0 No drift; normal strength.
6b Motor Leg (Right) 2 Significant: Some effort against gravity, but
leg falls before 5 seconds.
pg. 2
