2025 NIH Stroke Scale Group F Patient 1-6 100% CORRECT
(Fully solved)
NIH Stroke Scale Example Exam
Patient: Group F – Patient 1
Setting: Stroke evaluation unit
Instructions: Watch the video of the patient and score each item using the NIHSS criteria.
1. Level of Consciousness (LOC)
• a. LOC Responsiveness (0–3):
o Ask the patient to open eyes, respond to voice/touch.
o Score: 0 (Alert, responsive)
• b. LOC Questions (0–2):
o Ask the patient: "What month is it?" and "How old are you?"
o Score: 1 (One correct)
• c. LOC Commands (0–2):
o Ask the patient to open and close eyes, then grip and release hand.
o Score: 0 (Follows both commands correctly)
2. Best Gaze (0–2):
• Ask patient to follow finger or object with eyes.
• Score: 0 (Normal horizontal eye movements)
3. Visual Fields (0–3):
• Test visual fields by confrontation.
• Score: 0 (No visual loss)
4. Facial Palsy (0–3):
, • Ask patient to smile, show teeth, raise eyebrows.
• Score: 1 (Minor facial weakness)
5. Motor Arm – Left (0–4):
• Lift arm to 90° (or 45° in bed), observe for drift (10 seconds).
• Score: 0 (No drift)
6. Motor Arm – Right (0–4):
• Same as above.
• Score: 0 (No drift)
7. Motor Leg – Left (0–4):
• Raise leg to 30°, observe for drift (5 seconds).
• Score: 0 (No drift)
8. Motor Leg – Right (0–4):
• Same as above.
• Score: 0 (No drift)
9. Limb Ataxia (0–2):
• Finger-to-nose and heel-to-shin tests.
• Score: 0 (No ataxia)
10. Sensory (0–2):
• Pinprick in arms and legs.
• Score: 0 (Normal sensation)
11. Best Language (0–3):
• Name objects, describe picture, read phrases.
(Fully solved)
NIH Stroke Scale Example Exam
Patient: Group F – Patient 1
Setting: Stroke evaluation unit
Instructions: Watch the video of the patient and score each item using the NIHSS criteria.
1. Level of Consciousness (LOC)
• a. LOC Responsiveness (0–3):
o Ask the patient to open eyes, respond to voice/touch.
o Score: 0 (Alert, responsive)
• b. LOC Questions (0–2):
o Ask the patient: "What month is it?" and "How old are you?"
o Score: 1 (One correct)
• c. LOC Commands (0–2):
o Ask the patient to open and close eyes, then grip and release hand.
o Score: 0 (Follows both commands correctly)
2. Best Gaze (0–2):
• Ask patient to follow finger or object with eyes.
• Score: 0 (Normal horizontal eye movements)
3. Visual Fields (0–3):
• Test visual fields by confrontation.
• Score: 0 (No visual loss)
4. Facial Palsy (0–3):
, • Ask patient to smile, show teeth, raise eyebrows.
• Score: 1 (Minor facial weakness)
5. Motor Arm – Left (0–4):
• Lift arm to 90° (or 45° in bed), observe for drift (10 seconds).
• Score: 0 (No drift)
6. Motor Arm – Right (0–4):
• Same as above.
• Score: 0 (No drift)
7. Motor Leg – Left (0–4):
• Raise leg to 30°, observe for drift (5 seconds).
• Score: 0 (No drift)
8. Motor Leg – Right (0–4):
• Same as above.
• Score: 0 (No drift)
9. Limb Ataxia (0–2):
• Finger-to-nose and heel-to-shin tests.
• Score: 0 (No ataxia)
10. Sensory (0–2):
• Pinprick in arms and legs.
• Score: 0 (Normal sensation)
11. Best Language (0–3):
• Name objects, describe picture, read phrases.
