NIH Stroke Scale

NIH STROKE SCALE EXAM WITH 100% CORRECT ANSWERS How many items on the NIH stroke scale? - correct answer 11 NIH Stroke scale is - correct answer an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) - correct answer levels of: consciousness vision motor function (facial and extremities) cerebellar function sensation language extinction or inattention NIH SS is used to measure patient's status after a stroke and to assess the outcome after - correct answer treatment Should the patient be coached? Should you go back and rethink a particular assessment? - correct answer NO Having what when using NIH scale is important? - correct answer reference materials DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY - correct answer rate only what they actually do use patient"s first response? - correct answer YES - DO NOT USE SUMMARY OF RESPONSES re ataxia score 1-if real weak, assume ataxia score is... 2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test, that's probably... 3) Important to know if ataxia is present or not and if present in _____ or _______ limbs 4) if patient very weak or paralyzed, the ataxia score is... - correct answer 1) 0 2) ataxia 3) 1 or 2 4) 0 You should only score loss of sensation if you can really demonstrate... - correct answer that they have loss of sensation if patient has sensory loss from neuropathy, do you count thatt? - correct answer no, but you do if there's loss on top of the neuropathy aphasia is difficult because it can take a while to go through the battery and it can be subjective as to whether it is one of which classification? - correct answer mild, mod, severe start to recognise aphasia when you meet them and start talking and you don't get a history of... - correct answer what happened dysarthria is interesting because there are many cultural things about slurred ________? - correct answer speech. Score is associated with prognosis? - correct answer YES Is NIH scale a measure of disability? - correct answer NO. The NIH scale is a measure of impairments. The NIH scale creates a common currency so that everybody understands the patient's level of... - correct answer deficit, by giving a number that communicates to other professionals how sick the patient is how much time to budget to perorm NIH scale - correct answer 7-10 mins What effort should be recorded? Do not do what? - correct answer The patient's first effort. Don't go back and change scores. IMPORTANT CONVENTIONS IN ADMINISTRATION: Administer scale items in their exact ______ -Avoid ______ing patient -Accept patient's _______ effort -Score only what the patient _______ -Be consistent -Include all _________s into scoring, including those that may be from _________s ______s - correct answer -order -coaching -first -does -Be consistent -previous strokes ITEM 1a and how to get it - correct answer -examiner's overall impression of patient alertness -ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping, occasionally pinching NIH Item 1a Scoring: 0 1 2 3 - correct answer -Alert -Not alert, aroused w/ minor verbal stim -Not alert, requires strong or painful stim -Only reflexive movements or totally unresponsive ITEM 1a - patient w/ 3 on this item is generally considered to be in... 3 is scored ONLY if patient makes no movement other than.... - correct answer a coma reflexive posturing in response to noxious stimulation If difficult to determine 1 vs 2 in item 1a, continue with... - correct answer medical hx qs until confident in assigning a score - THIS IS ONLY TIME IN NIH scale where you can go back EVEN IF PRESENTED WITH OBSTACLES OR BARRIERS, YOU MUST CHOOSE A - correct answer SCORE NIH Item 1B based on responses to two items: When? -What about patient - correct answer -month of year