NIH Stroke Scale | Group F (Patients 1–6)
Complete, Real & Authentic | 2025/2026 Updated Edition | 100% Correct & Solved
Introduction
This comprehensive resource includes NIH Stroke Scale testing Group F, containing six
real patient evaluations (Patients 1–6) based on the latest 2025/2026 standards. Every
answer is accurate, verified, and reflective of actual clinical scenarios and expected NIHSS
scoring outcomes.
Answer Format
All correct answers are clearly marked in bold and green for fast and efficient clinical
review and exam preparation.
Patient 1
Scenario: A 67-year-old male with right-sided facial droop, mild arm weakness, and slurred
speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Right-sided droop. 1 (Minor paralysis).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Drifts within 10 seconds. 1 (Drift).
• 6a. Left Leg Motor: Normal strength. 0 (No drift).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: No ataxia. 0 (Absent).
• 8. Sensory: Normal sensation. 0 (Normal).
• 9. Best Language: Mild word-finding difficulty. 1 (Mild-to-moderate aphasia).
• 10. Dysarthria: Slurred speech. 1 (Mild-to-moderate dysarthria).
• 11. Extinction/Inattention: Normal. 0 (Normal).
Total Score: 4
Rationale: Mild stroke with right-sided facial, motor, and speech deficits.
Patient 2
, Scenario: A 79-year-old female with complete left-sided paralysis, no speech, and
unresponsive to stimuli.
• 1a. LOC: Unresponsive to stimuli. 3 (Unresponsive).
• 1b. LOC Questions: Unable to answer. 2 (Answers neither correctly).
• 1c. LOC Commands: Does not follow commands. 2 (Performs neither correctly).
• 2. Best Gaze: Forced deviation to the right. 2 (Forced deviation).
• 3. Visual Fields: Unable to assess due to unresponsiveness. 2 (Complete
hemianopia).
• 4. Facial Palsy: Left-sided paralysis. 3 (Complete paralysis).
• 5a. Left Arm Motor: No movement. 4 (No movement).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
• 6a. Left Leg Motor: No movement. 4 (No movement).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: Untestable due to paralysis. 0 (Untestable).
• 8. Sensory: No response on left side. 2 (Severe sensory loss).
• 9. Best Language: No speech output. 3 (Mute/global aphasia).
• 10. Dysarthria: Unable to assess due to no speech. 2 (Severe dysarthria).
• 11. Extinction/Inattention: Ignores left side stimuli. 2 (Profound inattention).
Total Score: 29
Rationale: Severe stroke with left-sided paralysis, unresponsiveness, and global
deficits.
Patient 3
Scenario: A 60-year-old male with mild right-sided sensory loss and normal speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Normal. 0 (Normal).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
Complete, Real & Authentic | 2025/2026 Updated Edition | 100% Correct & Solved
Introduction
This comprehensive resource includes NIH Stroke Scale testing Group F, containing six
real patient evaluations (Patients 1–6) based on the latest 2025/2026 standards. Every
answer is accurate, verified, and reflective of actual clinical scenarios and expected NIHSS
scoring outcomes.
Answer Format
All correct answers are clearly marked in bold and green for fast and efficient clinical
review and exam preparation.
Patient 1
Scenario: A 67-year-old male with right-sided facial droop, mild arm weakness, and slurred
speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Right-sided droop. 1 (Minor paralysis).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Drifts within 10 seconds. 1 (Drift).
• 6a. Left Leg Motor: Normal strength. 0 (No drift).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: No ataxia. 0 (Absent).
• 8. Sensory: Normal sensation. 0 (Normal).
• 9. Best Language: Mild word-finding difficulty. 1 (Mild-to-moderate aphasia).
• 10. Dysarthria: Slurred speech. 1 (Mild-to-moderate dysarthria).
• 11. Extinction/Inattention: Normal. 0 (Normal).
Total Score: 4
Rationale: Mild stroke with right-sided facial, motor, and speech deficits.
Patient 2
, Scenario: A 79-year-old female with complete left-sided paralysis, no speech, and
unresponsive to stimuli.
• 1a. LOC: Unresponsive to stimuli. 3 (Unresponsive).
• 1b. LOC Questions: Unable to answer. 2 (Answers neither correctly).
• 1c. LOC Commands: Does not follow commands. 2 (Performs neither correctly).
• 2. Best Gaze: Forced deviation to the right. 2 (Forced deviation).
• 3. Visual Fields: Unable to assess due to unresponsiveness. 2 (Complete
hemianopia).
• 4. Facial Palsy: Left-sided paralysis. 3 (Complete paralysis).
• 5a. Left Arm Motor: No movement. 4 (No movement).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
• 6a. Left Leg Motor: No movement. 4 (No movement).
• 6b. Right Leg Motor: Normal strength. 0 (No drift).
• 7. Limb Ataxia: Untestable due to paralysis. 0 (Untestable).
• 8. Sensory: No response on left side. 2 (Severe sensory loss).
• 9. Best Language: No speech output. 3 (Mute/global aphasia).
• 10. Dysarthria: Unable to assess due to no speech. 2 (Severe dysarthria).
• 11. Extinction/Inattention: Ignores left side stimuli. 2 (Profound inattention).
Total Score: 29
Rationale: Severe stroke with left-sided paralysis, unresponsiveness, and global
deficits.
Patient 3
Scenario: A 60-year-old male with mild right-sided sensory loss and normal speech.
• 1a. LOC: Alert. 0 (Normal).
• 1b. LOC Questions: Answers both correctly. 0 (Answers both correctly).
• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).
• 2. Best Gaze: Normal. 0 (Normal).
• 3. Visual Fields: Normal. 0 (Normal).
• 4. Facial Palsy: Normal. 0 (Normal).
• 5a. Left Arm Motor: Normal strength. 0 (No drift).
• 5b. Right Arm Motor: Normal strength. 0 (No drift).
