NIH Stroke Scale Exam Questions and Answers 100% Accurate

1B - ANSWER-LOC Q's: age and month 0 = both correct 1 = one wrong 2 = two wrong * physical or language barriers are scored 1 * comatose or aphasic scored 2 1C - ANSWER-LOC commands: eyes, fist (or other commands) 0 = both correct 1 = one wrong 2 = two wrong * count it if they make a visible effort 2 - ANSWER-GAZE: 0 = no paresis 1 = partial gaze palsy, cranial nerve palsy, or deviation which can be overcome with VOR 2 = forced deviation or paresis not overcome with VOR 3 - ANSWER-VISUAL: 0 = normal 1 = partial hemianopia or quadrantanopia 2 = complete hemianopia 3 = bilateral hemianopia / complete blindness (of any cause) * if one eye is damaged, only test good eye * if extinction present, give score of 1 4 - ANSWER-FACIAL: 0 = normal 1 = minor paralysis 2 = partial / lower face paralysis 3 = complete / upper-lower face paralysis * if no response to pain, score a 3 5 - ANSWER-MOTOR ARM: 0 = no drift 1 = drift 2 = drifts to bed 3 = moves but not against gravity 4 = no movement