NIHSS STROKE SCALE QUESTIONS WITH CORRECT ANSWERS

common signs of a stroke - Answer •Confusion •Slurred speech •Facial droop •Extremity weakness and/or numbness •Vision disturbance •Dysphasia •Ataxia FAST - Answer •FAST - rapid identification for lay people •Does not identify sensory impairment, vertigo or gait changes -Facial droop -Arm weakness -Slurred speech -Time ways to assess a stroke - Answer •FAST - rapid identification for lay people •CPSS, LAPSS, ROSIER - used for prehospital and ER recognition •NIHSS NIHSS (National Institutes of Health Stroke Scale) - Answer •Reliable and valid •Used to objectively quantify the stroke impairments •Also used in emergent situations to determine treatment planning (the need for tPA) in the 3 - 4.5 hour window, along with clinical decision making •Predictor of short and long-term outcomes •Does not capture all stroke symptoms - vertebrobasilar stroke can cause vertigo, nausea and vomiting, headache, oculomotor signs 1. Level of Consciousness 2. Best Gaze 3. Visual Fields 4. Facial Paresis 5. Motor Arm 6. Motor Leg 7. Limb Ataxia 8. Sensory 9. Best Language 10. Speech 11. Extinction and Inattention - Answer 1-11 of the NIHSS