2
NIHSS Certification Exam with precise detailed answers || || || || || ||
11 components of NIHSS
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1. LOC (Question & Command)
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2. Gaze
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3. Visual field
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4. Facial palsy
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5. Upper extremity
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6. Lower extremity
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7. Limb ataxia
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8. Sensory
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9. Best language
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10. Dysarthria ||
11. Extinction & inattention
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1A - LOC || ||
0 = Alert
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1 = Not alert; aroused with minor verbal stimulation
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2 = Not alert; requires strong or painful stimulation
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3 = Reflex movements only or totally unresponsive (COMA ~ try rub on chest)
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,2
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1a. Level of Consciousness: The investigator must choose a response, even if a full
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evaluation is prevented by such obstacles as an endotracheal tube, language barrier,
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orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other
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than reflexive posturing) in response to noxious stimulation.*
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1B - LOC Questions (2)
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Month of year || ||
Patient age ||
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0 = Answers both questions correctly
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1 = Answers one question correctly
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2 = Answers neither question correctly
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---
1b. LOC Questions: The patient is asked the month and his/her age. The answer must be
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correct - there is no partial credit for being close. Aphasic and stuporous patients who do
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not comprehend the questions will score 2. Patients unable to speak because of
|| || || || || || || || || || || || ||
, 2
endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language
|| || || || || || || || || ||
barrier or any other problem not secondary to aphasia are given a 1. It is important that
|| || || || || || || || || || || || || || || || ||
only the initial answer be graded and that the examiner not "help" the patient with verbal or
|| || || || || || || || || || || || || || || ||
non-verbal cues.*
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1C - LOC Commands
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Two tasks ||
- Close your eye for me and now open
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- Make a fist with your hand
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--------
LEVEL OF CONSCIOUSNESS: COMMANDS || || ||
0 = Performs both tasks correctly
|| || || || ||
1 = Performs one task correctly
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2 = Performs neither task correctly
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--
NIHSS Certification Exam with precise detailed answers || || || || || ||
11 components of NIHSS
|| || ||
1. LOC (Question & Command)
|| || || ||
2. Gaze
||
3. Visual field
|| ||
4. Facial palsy
|| ||
5. Upper extremity
|| ||
6. Lower extremity
|| ||
7. Limb ataxia
|| ||
8. Sensory
||
9. Best language
|| ||
10. Dysarthria ||
11. Extinction & inattention
|| || ||
1A - LOC || ||
0 = Alert
|| ||
1 = Not alert; aroused with minor verbal stimulation
|| || || || || || || ||
2 = Not alert; requires strong or painful stimulation
|| || || || || || || ||
3 = Reflex movements only or totally unresponsive (COMA ~ try rub on chest)
|| || || || || || || || || || || || ||
,2
---
1a. Level of Consciousness: The investigator must choose a response, even if a full
|| || || || || || || || || || || || || ||
evaluation is prevented by such obstacles as an endotracheal tube, language barrier,
|| || || || || || || || || || || ||
orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other
|| || || || || || || || || || || || || ||
than reflexive posturing) in response to noxious stimulation.*
|| || || || || || ||
1B - LOC Questions (2)
|| || || ||
Month of year || ||
Patient age ||
-----
0 = Answers both questions correctly
|| || || || ||
1 = Answers one question correctly
|| || || || ||
2 = Answers neither question correctly
|| || || || ||
---
1b. LOC Questions: The patient is asked the month and his/her age. The answer must be
|| || || || || || || || || || || || || || || ||
correct - there is no partial credit for being close. Aphasic and stuporous patients who do
|| || || || || || || || || || || || || || || ||
not comprehend the questions will score 2. Patients unable to speak because of
|| || || || || || || || || || || || ||
, 2
endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language
|| || || || || || || || || ||
barrier or any other problem not secondary to aphasia are given a 1. It is important that
|| || || || || || || || || || || || || || || || ||
only the initial answer be graded and that the examiner not "help" the patient with verbal or
|| || || || || || || || || || || || || || || ||
non-verbal cues.*
|| ||
1C - LOC Commands
|| || ||
Two tasks ||
- Close your eye for me and now open
|| || || || || || || ||
- Make a fist with your hand
|| || || || || ||
--------
LEVEL OF CONSCIOUSNESS: COMMANDS || || ||
0 = Performs both tasks correctly
|| || || || ||
1 = Performs one task correctly
|| || || || ||
2 = Performs neither task correctly
|| || || || ||
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