1
NIH STROKE SCALE QUESTIONS
& 100% CORRECT ANSWERS
How many items on the NIH stroke scale?
✓ -:- 11
NIH Stroke scale is
✓ -:- an 11-item clinical evaluation instrument widely used in clinical trials and practice
to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7
items)
✓ -:- levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
,2
NIH SS is used to measure patient's status after a stroke and to assess the outcome after
✓ -:- treatment
Should the patient be coached? Should you go back and rethink a particular assessment?
✓ -:- NO
Having what when using NIH scale is important?
✓ -:- reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do, RATE
ONLY
✓ -:- rate only what they actually do
use patient"s first response?
✓ -:- YES - DO NOT USE SUMMARY OF RESPONSES
re ataxia score
1- if real weak, assume ataxia score is...
,3
2- if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to
nose test, that's probably...
3) Important to know if ataxia is present or not and if present in or limbs
4) if patient very weak or paralyzed, the ataxia score is...
✓ -:- 1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate...
✓ -:- that they have loss of sensation
if patient has sensory loss from neuropathy, do you count thatt?
✓ -:- no, but you do if there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be
subjective as to whether it is one of which classification?
✓ -:- mild, mod, severe
, 4
start to recognise aphasia when you meet them and start talking and you don't get a
history of...
✓ -:- what happened
dysarthria is interesting because there are many cultural things about slurred ?
✓ -:- speech.
Score is associated with prognosis?
✓ -:- YES
Is NIH scale a measure of disability?
✓ -:- NO. The NIH scale is a measure of impairments.
The NIH scale creates a common currency so that everybody understands the patient's
level of...
✓ -:- deficit, by giving a number that communicates to other professionals how sick
the patient is
how much time to budget to perorm NIH scale
NIH STROKE SCALE QUESTIONS
& 100% CORRECT ANSWERS
How many items on the NIH stroke scale?
✓ -:- 11
NIH Stroke scale is
✓ -:- an 11-item clinical evaluation instrument widely used in clinical trials and practice
to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7
items)
✓ -:- levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
,2
NIH SS is used to measure patient's status after a stroke and to assess the outcome after
✓ -:- treatment
Should the patient be coached? Should you go back and rethink a particular assessment?
✓ -:- NO
Having what when using NIH scale is important?
✓ -:- reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do, RATE
ONLY
✓ -:- rate only what they actually do
use patient"s first response?
✓ -:- YES - DO NOT USE SUMMARY OF RESPONSES
re ataxia score
1- if real weak, assume ataxia score is...
,3
2- if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to
nose test, that's probably...
3) Important to know if ataxia is present or not and if present in or limbs
4) if patient very weak or paralyzed, the ataxia score is...
✓ -:- 1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate...
✓ -:- that they have loss of sensation
if patient has sensory loss from neuropathy, do you count thatt?
✓ -:- no, but you do if there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be
subjective as to whether it is one of which classification?
✓ -:- mild, mod, severe
, 4
start to recognise aphasia when you meet them and start talking and you don't get a
history of...
✓ -:- what happened
dysarthria is interesting because there are many cultural things about slurred ?
✓ -:- speech.
Score is associated with prognosis?
✓ -:- YES
Is NIH scale a measure of disability?
✓ -:- NO. The NIH scale is a measure of impairments.
The NIH scale creates a common currency so that everybody understands the patient's
level of...
✓ -:- deficit, by giving a number that communicates to other professionals how sick
the patient is
how much time to budget to perorm NIH scale
