APEX NIH Stroke Scale Group A Patient 2

1. What does a score of "0" on the NIHSS for "Sensory Function"
indicate?
A. Severe sensory loss.
B. Mild sensory loss.
C. No sensory loss.
D. Complete sensory paralysis.
Answer: c) No sensory loss.
Rationale: A score of "0" indicates that the patient has normal sensory
function and can detect stimuli such as light touch or pinprick.


2. What is the main purpose of the "Motor Function" section in the
NIHSS?
A. To assess cognitive function.
B. To evaluate the strength and movement of the arms and legs.
C. To determine the level of consciousness.
D. To measure sensory loss.
Answer: b) To evaluate the strength and movement of the arms and
legs.
Rationale: The "Motor Function" section assesses the presence of
weakness or paralysis in the arms and legs, which helps determine the
severity of the stroke's impact on motor abilities.

,3. A score of "2" for "Motor Arm" on the NIHSS suggests what?
A. Severe weakness with no movement.
B. Mild weakness with partial movement.
C. No weakness or normal movement.
D. Complete paralysis of the arm.
Answer: b) Mild weakness with partial movement.
Rationale: A score of "2" indicates mild weakness, with the patient
showing some voluntary movement but reduced strength in the
affected arm.


4. What is evaluated in the NIHSS under "Level of Consciousness"
(Item 1)?
A. The patient’s ability to speak.
B. The patient’s ability to understand language.
C. The patient’s responsiveness to stimuli.
D. The patient’s ability to follow motor commands.
Answer: c) The patient’s responsiveness to stimuli.
Rationale: Item 1 evaluates the patient's level of consciousness by
assessing their responsiveness to verbal or painful stimuli, helping to
assess the depth of impaired consciousness.

, 5. What is assessed in the "Motor Function" for the legs in the NIHSS
(Item 10)?
A. The patient's ability to walk.
B. The ability to move the leg against gravity.
C. The strength of the quadriceps.
D. The sensation in the leg.
Answer: b) The ability to move the leg against gravity.
Rationale: This item tests the motor strength and voluntary movement
of the legs, particularly assessing whether the patient can move the legs
against gravity and the degree of weakness.


6. In assessing the NIHSS score for "Limb Ataxia," which of the
following is true?
A. The test evaluates for weakness only.
B. The patient is asked to touch their nose and perform other
coordinated movements.
C. The patient is asked to speak.
D. The test involves assessing the patient’s ability to walk.
Answer: b) The patient is asked to touch their nose and perform other
coordinated movements.
Rationale: Limb ataxia evaluates motor coordination by asking the
patient to perform movements like touching their nose, assessing for
any clumsiness or incoordination.