NIH STROKE SCALE – ALL TEST GROUPS A-F
(PATIENTS 1-6) ANSWER KEY UPDATED SPRING
2024.
NIH Stroke scale is - ANS-an 11-item clinical evaluation instrument
widely used in clinical trials and practice to assess neurologic outcome
and degree of recovery from stroke.
what items are the most reproducible of the NIH scale?
are they important to ultimate outcome? - ANS-5 and 6
yes, they are the most imporant
watch limbs very carefully and compare to what to gauge whether the
limb is drifting slightly? - ANS-compare to a marker behind the patient
patients scoring a 3 on 1a are scored as what on item 6 - ANS-they are
scored as a 4
NIH scale item is... - ANS-limb ataxia
item 7 for limb ataxia is an assessment for evidence of...
it attempts to distinguish a clinically significant incoordination from... -
ANS-unilateral cerebellar lesion
general weakness
how do we perform item 7 tests - ANS-finger-nose-finger on both sides
heel - shin on both sides
,finger nose finger - how - ANS-ask patient to touch my finger, their nose
and my finger again, moving finger - enough times to thoroughly test
for ataxia - THEN DO OTHER SIDE
heel-shin test - how - ANS-instruct patient to move one heel down and
up shin of opposite leg - THEN DO OTHER SIDE
which side gets tested first? - ANS-unaffected side
if visual field defect, attempt to pefrom test where? - ANS-perform test
in the intact visual field
NIH scale item 7 scoring
0 - ANS-0 - absent, there is normal coordination - movements well
performed, smooth accurate and not clumsy
1 - if ataxia, dysmetria, or dyssynergia is present in 1 limb
2-if any are present in 2 limbs, both arms, both legs or an arm and a leg
on the same side of the body - also score 2 if bilateral signs
if significant weakness, assume ataxia is ... - ANS-0
in the patient who cannot understand or is paralyzed, ataxia is scored
as a ___ on this item - ANS-0
item 7 is scored a 1 or 2 only if ataxia is both _______ and out of
proportion to ________ - ANS-present
weakness
for item 7, patients scoring a 3 on item 1a are scored only if what is
present, otherwise are scored as what? - ANS-ataxia
otherwise 0
NIH scale item 8 is - ANS-sensory perception
, item 8 is tested using a series of...
for the obtunded or aphasic patient, withdrawal from... - ANS-pin pricks
noxious stimulus is used
How many items on the NIH stroke scale? - ANS-11
NIH Stroke Scale is used to quantify the effects of acute cerebral
ischemia on levels of ... (7 items) - ANS-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 - ANS-treatment
Should the patient be coached? Should you go back and rethink a
particular assessment? - ANS-NO
Having what when using NIH scale is important? - ANS-reference
materials
DO NOT RATE what you think the patient wants to do or what you think
they can do, RATE ONLY - ANS-rate only what they actually do
use patient"s first response? - ANS-YES - DO NOT USE SUMMARY OF
RESPONSES
re ataxia score
(PATIENTS 1-6) ANSWER KEY UPDATED SPRING
2024.
NIH Stroke scale is - ANS-an 11-item clinical evaluation instrument
widely used in clinical trials and practice to assess neurologic outcome
and degree of recovery from stroke.
what items are the most reproducible of the NIH scale?
are they important to ultimate outcome? - ANS-5 and 6
yes, they are the most imporant
watch limbs very carefully and compare to what to gauge whether the
limb is drifting slightly? - ANS-compare to a marker behind the patient
patients scoring a 3 on 1a are scored as what on item 6 - ANS-they are
scored as a 4
NIH scale item is... - ANS-limb ataxia
item 7 for limb ataxia is an assessment for evidence of...
it attempts to distinguish a clinically significant incoordination from... -
ANS-unilateral cerebellar lesion
general weakness
how do we perform item 7 tests - ANS-finger-nose-finger on both sides
heel - shin on both sides
,finger nose finger - how - ANS-ask patient to touch my finger, their nose
and my finger again, moving finger - enough times to thoroughly test
for ataxia - THEN DO OTHER SIDE
heel-shin test - how - ANS-instruct patient to move one heel down and
up shin of opposite leg - THEN DO OTHER SIDE
which side gets tested first? - ANS-unaffected side
if visual field defect, attempt to pefrom test where? - ANS-perform test
in the intact visual field
NIH scale item 7 scoring
0 - ANS-0 - absent, there is normal coordination - movements well
performed, smooth accurate and not clumsy
1 - if ataxia, dysmetria, or dyssynergia is present in 1 limb
2-if any are present in 2 limbs, both arms, both legs or an arm and a leg
on the same side of the body - also score 2 if bilateral signs
if significant weakness, assume ataxia is ... - ANS-0
in the patient who cannot understand or is paralyzed, ataxia is scored
as a ___ on this item - ANS-0
item 7 is scored a 1 or 2 only if ataxia is both _______ and out of
proportion to ________ - ANS-present
weakness
for item 7, patients scoring a 3 on item 1a are scored only if what is
present, otherwise are scored as what? - ANS-ataxia
otherwise 0
NIH scale item 8 is - ANS-sensory perception
, item 8 is tested using a series of...
for the obtunded or aphasic patient, withdrawal from... - ANS-pin pricks
noxious stimulus is used
How many items on the NIH stroke scale? - ANS-11
NIH Stroke Scale is used to quantify the effects of acute cerebral
ischemia on levels of ... (7 items) - ANS-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 - ANS-treatment
Should the patient be coached? Should you go back and rethink a
particular assessment? - ANS-NO
Having what when using NIH scale is important? - ANS-reference
materials
DO NOT RATE what you think the patient wants to do or what you think
they can do, RATE ONLY - ANS-rate only what they actually do
use patient"s first response? - ANS-YES - DO NOT USE SUMMARY OF
RESPONSES
re ataxia score
