NIHSS Group B-style Original practice scenario for Patients 1–6, with the findings, scoring, Deficit Analysis and Overall severity |2026 Latest Update.

NIHSS Group B-style Original practice scenario for Patients 1–6, with
the findings, scoring, Deficit Analysis and Overall severity |2026
Latest Update.


Clinical Scenario NIHSS Score Deficit Overall
Findings Analysis Severity

Patient A 67-year-old patient LOC: 1; LOC 15 Findings Moderate–
1 suddenly develops questions: 1; indicate a severe
right-sided weakness LOC substantial left stroke
and difficulty commands: hemispheric
speaking. The 0; Gaze: 1; neurologic
patient is awake but Visual: 0; deficit
answers only one of Facial palsy: involving
two orientation 1; Right arm: motor
questions correctly. 3; Left arm: function,
They follow 0; Right leg: language,
commands, have a 3; Left leg: 0; facial
left gaze preference, Ataxia: 0; movement,
right facial Sensory: 1; sensation, and
weakness, and Language: 2; attention.
significant right arm Dysarthria: 1;
and leg weakness. Extinction: 1
Sensation is mildly
decreased on the
right.

Patient A 54-year-old patient LOC: 0; 7 Predominantl Moderate
2 presents with Questions: 0; y unilateral stroke
sudden left arm and Commands: motor deficits
leg weakness. The 0; Gaze: 0; with mild
patient is alert, Visual: 0; facial, sensory,
answers orientation Facial palsy: and speech
questions correctly, 1; Left arm: involvement.
and follows 2; Right arm: Consciousness
commands. There is 0; Left leg: 2; and language
mild left facial Right leg: 0; remain intact.
weakness and Ataxia: 0;
decreased sensation Sensory: 1;
on the left. Speech is Language: 0;
understandable but Dysarthria: 1;
slightly slurred. Extinction: 0

pg. 1