NIH STROKE SCALE NEWEST EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) 2024 ALREADY GRADED A+

NIH STROKE SCALE NEWEST EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) 2024 ALREADY GRADED A+
Score for large strokes - ......answer.....> 10


(however, if it is a brainstem stroke it can have a low score and still be a large
stroke)


Lowest score


Highest score - ......answer.....Lowest score is 0


Highest score is 42


Components of *Eyes* - ......answer.....Gaze
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)


Visual fields
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose)


Components of *LOC* - ......answer.....Arousal


Questions
- name
- month


Commands
- open eyes

, - grip/release


Components of *Face* - ......answer.....Facial droop
- smile & eyebrow raise (normal LOC / drowsy)
- grimace w/ pain (obtunded)


Components of *Motor Strength* - ......answer.....Arm strength
- raise arms 45° (supine)
- raise arms 90° (sitting)


Leg strength
- raise legs 30° (always test supine)


Components of *Limb Ataxia* - ......answer.....Finger→nose & Heel→shin


Components of *Sensory* - ......answer.....Pinprick
- all 4 limbs; up to elbow


Components of *Language* - ......answer.....Aphasia
- describe picture; name objects (w/ adequate vision)
- describe large objects in room or ask questions (w/ inadequate vision)


Components of *Dysarthria* - ......answer.....Character of speech
- read sentences / words (w/ adequate vision)
- repeat "methodist episcopal" (w/ inadequate vision)
- listen for slurred, garbled, incoherent


Components of *Extinction/Inattention* - ......answer.....Vision extinction:
- look at wiggling hand


Sensory test