ESTUDYR
NIH STROKE SCALE (NIHSS) – GROUP C CORRECTED
COMPETENCY EXAMINATION
Patient 1 — (Group C answers from your notes)
1. Patient 1 — 1a LOC (alert)
What NIHSS score applies when the patient is alert?
A. 3
B. 2
C. 0
D. 1
Rationale: LOC 1a = 0 indicates the patient is fully alert.
2. Patient 1 — 1b LOC Questions (neither correct)
If the patient answers neither LOC question correctly (e.g., fails both), which score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1b: 0 = both correct; 1 = one correct; 2 = none correct.
3. Patient 1 — 1c LOC Commands (performs one task correctly)
If the patient performs one of two commands correctly, which score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1c: 0 = both commands performed correctly; 1 = one performed; 2 = none
performed.
4. Patient 1 — 2 Best Gaze (normal)
Normal conjugate gaze is present. Score?
A. 2
B. 1
C. 0
,ESTUDYR
D. 3
Rationale: 0 = normal gaze; 1 = partial gaze palsy; 2 = forced deviation.
5. Patient 1 — 3 Visual fields (severe loss)
Severe visual field loss consistent with Group C notes — score?
A. 0
B. 2
C. 1
D. 3
Rationale: Visual fields: 2 = severe partial hemianopia; 3 = complete hemianopia. (Use 2 per
your notes.)
6. Patient 1 — 4 Facial palsy (minor paralysis)
Minor facial weakness (slight paralysis) — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1 = minor palsy.
7. Patient 1 — 5a Motor arm right (no drift)
Right arm shows no drift — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 0 = no drift.
8. Patient 1 — 5b Motor arm left (no movement)
Left arm shows no movement — score?
A. 2
B. 3
C. 1
D. 4
Rationale: 4 = no movement at all.
9. Patient 1 — 6a Motor leg right (no drift)
, ESTUDYR
Right leg shows no drift — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 0 = no drift.
10. Patient 1 — 6b Motor leg left (no movement)
Left leg shows no movement — score?
A. 1
B. 2
C. 3
D. 4
Rationale: 4 = no movement.
11. Patient 1 — 7 Limb ataxia (present in one limb)
Ataxia present in one limb — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1 = present in one limb; 2 = present in two limbs.
12. Patient 1 — 8 Sensory (severe or total sensory loss)
Severe/total sensory loss — score?
A. 0
B. 1
C. 2
D. 3
Rationale: Sensory: 2 = severe or total loss.
13. Patient 1 — 9 Best language (severe aphasia)
Severe aphasia — score?
A. 0
B. 1
C. 2
NIH STROKE SCALE (NIHSS) – GROUP C CORRECTED
COMPETENCY EXAMINATION
Patient 1 — (Group C answers from your notes)
1. Patient 1 — 1a LOC (alert)
What NIHSS score applies when the patient is alert?
A. 3
B. 2
C. 0
D. 1
Rationale: LOC 1a = 0 indicates the patient is fully alert.
2. Patient 1 — 1b LOC Questions (neither correct)
If the patient answers neither LOC question correctly (e.g., fails both), which score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1b: 0 = both correct; 1 = one correct; 2 = none correct.
3. Patient 1 — 1c LOC Commands (performs one task correctly)
If the patient performs one of two commands correctly, which score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1c: 0 = both commands performed correctly; 1 = one performed; 2 = none
performed.
4. Patient 1 — 2 Best Gaze (normal)
Normal conjugate gaze is present. Score?
A. 2
B. 1
C. 0
,ESTUDYR
D. 3
Rationale: 0 = normal gaze; 1 = partial gaze palsy; 2 = forced deviation.
5. Patient 1 — 3 Visual fields (severe loss)
Severe visual field loss consistent with Group C notes — score?
A. 0
B. 2
C. 1
D. 3
Rationale: Visual fields: 2 = severe partial hemianopia; 3 = complete hemianopia. (Use 2 per
your notes.)
6. Patient 1 — 4 Facial palsy (minor paralysis)
Minor facial weakness (slight paralysis) — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1 = minor palsy.
7. Patient 1 — 5a Motor arm right (no drift)
Right arm shows no drift — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 0 = no drift.
8. Patient 1 — 5b Motor arm left (no movement)
Left arm shows no movement — score?
A. 2
B. 3
C. 1
D. 4
Rationale: 4 = no movement at all.
9. Patient 1 — 6a Motor leg right (no drift)
, ESTUDYR
Right leg shows no drift — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 0 = no drift.
10. Patient 1 — 6b Motor leg left (no movement)
Left leg shows no movement — score?
A. 1
B. 2
C. 3
D. 4
Rationale: 4 = no movement.
11. Patient 1 — 7 Limb ataxia (present in one limb)
Ataxia present in one limb — score?
A. 0
B. 1
C. 2
D. 3
Rationale: 1 = present in one limb; 2 = present in two limbs.
12. Patient 1 — 8 Sensory (severe or total sensory loss)
Severe/total sensory loss — score?
A. 0
B. 1
C. 2
D. 3
Rationale: Sensory: 2 = severe or total loss.
13. Patient 1 — 9 Best language (severe aphasia)
Severe aphasia — score?
A. 0
B. 1
C. 2
