NIHSS-GROUP A COMPLETE COMPREHENSIVE
ACTUAL FINAL PRACTICE EXAM STUDY GUIDE
WITH REAL WELL ELABORATED AND MOST TESTED
EVALUATION 100 PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS FULLY SOLVED
(BASED ON OFFICIAL IDOI OUTLINE) WITH
ACCURATE RELIABLE RATIONALES PLUS
APPROVED ANSWER KEY (100% COMPLETE
SOLUTIONS) LATEST UPDATED VERSION 2026-2027
Q&A 93% SCORE AND ABOVE INSTANT DOWNLOAD
PDF
1. Patient is asked to describe a picture. The
patient speaks fluently but uses incorrect words
("The car is a flying thing"). The words are not
understandable in context. What is the score for
Best Language?
A) 0
B) 1
, C) 2
D) 3
Correct Answer: C
*Rationale: Score 2 indicates severe aphasia where
all communication is through fragmentary
expression, and the listener carries the burden of
communication. Fluency with severe paraphasic
errors (using incorrect words) that interfere with
understanding is a classic sign of Wernicke's
aphasia, which scores 2. *
2. The patient's eyes are open. The examiner asks
the patient to follow a finger moving
horizontally. The patient's eyes track the finger
to the right but cannot move past the midline to
the left. What is the score for Best Gaze?
A) 0
B) 1
C) 2
D) 3
,Correct Answer: B
*Rationale: Score 1 is given for a partial gaze palsy
where gaze is abnormal in one or both eyes, but
there is no forced deviation or total gaze paresis.
The inability to move past midline in one direction
without forced deviation is a partial palsy. *
3. A patient is asked to show their teeth and raise
their eyebrows. The right side of the face moves
fully. The left side of the face shows no
movement at all, including the forehead. What
is the score for Facial Palsy?
A) 0
B) 1
C) 2
D) 3
Correct Answer: C
*Rationale: Score 3 is for complete paralysis of one
or both sides (absence of facial movement in the
upper and lower face). Score 2 is for minor or
partial paralysis (flattening of nasolabial fold,
, asymmetric smile). Complete hemifacial paralysis
including the forehead indicates a peripheral or
large central lesion, scoring 3. *
4. The patient is lying in bed. The examiner asks
the patient to hold their left arm at a 90-degree
angle (palm down). The arm drifts down to the
bed before 10 seconds but does not hit the bed.
What is the score for Left Arm Motor?
A) 0
B) 1
C) 2
D) 3
E) UN (Untestable)
Correct Answer: B
*Rationale: Score 1 indicates drift; the limb is held
at 90 degrees but drifts down before the full 10
seconds, yet does not hit the bed or other
support. *
5. The patient is asked to hold their right leg at 30
degrees (lying flat). The leg falls to the bed
ACTUAL FINAL PRACTICE EXAM STUDY GUIDE
WITH REAL WELL ELABORATED AND MOST TESTED
EVALUATION 100 PRACTICE QUESTIONS AND 100%
CORRECT VERIFIED ANSWERS FULLY SOLVED
(BASED ON OFFICIAL IDOI OUTLINE) WITH
ACCURATE RELIABLE RATIONALES PLUS
APPROVED ANSWER KEY (100% COMPLETE
SOLUTIONS) LATEST UPDATED VERSION 2026-2027
Q&A 93% SCORE AND ABOVE INSTANT DOWNLOAD
1. Patient is asked to describe a picture. The
patient speaks fluently but uses incorrect words
("The car is a flying thing"). The words are not
understandable in context. What is the score for
Best Language?
A) 0
B) 1
, C) 2
D) 3
Correct Answer: C
*Rationale: Score 2 indicates severe aphasia where
all communication is through fragmentary
expression, and the listener carries the burden of
communication. Fluency with severe paraphasic
errors (using incorrect words) that interfere with
understanding is a classic sign of Wernicke's
aphasia, which scores 2. *
2. The patient's eyes are open. The examiner asks
the patient to follow a finger moving
horizontally. The patient's eyes track the finger
to the right but cannot move past the midline to
the left. What is the score for Best Gaze?
A) 0
B) 1
C) 2
D) 3
,Correct Answer: B
*Rationale: Score 1 is given for a partial gaze palsy
where gaze is abnormal in one or both eyes, but
there is no forced deviation or total gaze paresis.
The inability to move past midline in one direction
without forced deviation is a partial palsy. *
3. A patient is asked to show their teeth and raise
their eyebrows. The right side of the face moves
fully. The left side of the face shows no
movement at all, including the forehead. What
is the score for Facial Palsy?
A) 0
B) 1
C) 2
D) 3
Correct Answer: C
*Rationale: Score 3 is for complete paralysis of one
or both sides (absence of facial movement in the
upper and lower face). Score 2 is for minor or
partial paralysis (flattening of nasolabial fold,
, asymmetric smile). Complete hemifacial paralysis
including the forehead indicates a peripheral or
large central lesion, scoring 3. *
4. The patient is lying in bed. The examiner asks
the patient to hold their left arm at a 90-degree
angle (palm down). The arm drifts down to the
bed before 10 seconds but does not hit the bed.
What is the score for Left Arm Motor?
A) 0
B) 1
C) 2
D) 3
E) UN (Untestable)
Correct Answer: B
*Rationale: Score 1 indicates drift; the limb is held
at 90 degrees but drifts down before the full 10
seconds, yet does not hit the bed or other
support. *
5. The patient is asked to hold their right leg at 30
degrees (lying flat). The leg falls to the bed
