Stroke Certification questions with
complete solutions A+ rated
1a) LOC - correct answer ✔✔-General alertness
-Includes Questions and Commands
0=Alert; keenly responsive
1=Not alert; but arousable by minor verbal stimulation to obey, answer, or
respond.
2=Not alert; requires repeated stimulation to attend or is obtunded and requires
strong or painful stimulation to make movements (not stereotyped).
3=Responds only with reflex motor after noxious stimulus or autonomic effects or
totally unresponsive, flaccid, and areflexic.
(if in coma use noxious stimulus (chest rub) or pain (pinching))
1b) LOC Questions - correct answer ✔✔-What is the month?
-How old are you?
0=answers to questions correctly
1=Answers one questions correctly (score 1 for trach tubes, severe dysarthria,
language barrier or any other problem NOT secondary to aphasia)
2= Answers neither questions correctly
, scored 3 on 1a will score a 2
pt who cannot speak can write the answer
1c) LOC Commands - correct answer ✔✔Pt is asked to:
-close/open eyes
-Grip then release NON-paretic hand
0=Performs two tasks correctly
1=Perrforms one task correctly
2=Performs neither task correctly
if pt does not speak english friend or family can translate
give credit if a real attempt if made but weakness interfered
2) Best Gaze - correct answer ✔✔-Have pt follow your finger/object side to side
with eyes only
-Only voluntary horizontal movements are tested (nystagmus and skew deviation
are not measured)
- see if pt follows your face around the room
0=Normal
complete solutions A+ rated
1a) LOC - correct answer ✔✔-General alertness
-Includes Questions and Commands
0=Alert; keenly responsive
1=Not alert; but arousable by minor verbal stimulation to obey, answer, or
respond.
2=Not alert; requires repeated stimulation to attend or is obtunded and requires
strong or painful stimulation to make movements (not stereotyped).
3=Responds only with reflex motor after noxious stimulus or autonomic effects or
totally unresponsive, flaccid, and areflexic.
(if in coma use noxious stimulus (chest rub) or pain (pinching))
1b) LOC Questions - correct answer ✔✔-What is the month?
-How old are you?
0=answers to questions correctly
1=Answers one questions correctly (score 1 for trach tubes, severe dysarthria,
language barrier or any other problem NOT secondary to aphasia)
2= Answers neither questions correctly
, scored 3 on 1a will score a 2
pt who cannot speak can write the answer
1c) LOC Commands - correct answer ✔✔Pt is asked to:
-close/open eyes
-Grip then release NON-paretic hand
0=Performs two tasks correctly
1=Perrforms one task correctly
2=Performs neither task correctly
if pt does not speak english friend or family can translate
give credit if a real attempt if made but weakness interfered
2) Best Gaze - correct answer ✔✔-Have pt follow your finger/object side to side
with eyes only
-Only voluntary horizontal movements are tested (nystagmus and skew deviation
are not measured)
- see if pt follows your face around the room
0=Normal
