NIHSS-English Group G-V3 - 7th.
Certification questions and answers
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 1** (Dr. Lyden-San Diego, California) <br>Purple flowers in background, drip
bag hanging from IV pole, yellow book on table. Male Caucasian patient. | 1a. Level of Consciousness | 0
|
| | 1b. LOC Questions | 0 |
| | 1c. LOC Commands | 0 |
| | 2. Best Gaze | 0 |
| | 3. Visual | 0 |
| | 4. Facial Palsy | 1 = Minor paralysis |
| | 5a. Motor Arm Left | 3 = No effort against gravity, limb falls. |
| | 5b. Motor Arm Right | 0 = No drift |
| | 6a. Left Leg | 1 = Drift, leg falls by the end of the 5 second period, but does not hit bed |
| | 6b. Right Leg | 0 = No drift |
| | 7. Limb Ataxia | 1 = Present in one limb |
| | 8. Sensory | 2 = Severe or total sensory loss |
| | 9. Best Language | 0 = No aphasia, normal |
| | 10. Dysarthria | 0 = Normal |
| | 11. Extinction and Inattention (formerly Neglect) | 0 = No abnormality |
---
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 2** (Karen Rapp, RN Nurse coordinator, San Diego, CA)<br>Karen in red
blazer/pink long sleeve shirt and black trousers, patient laying in bed, appears to have cataract right eye;
purple flowers, card upright on desk. Male Caucasian patient. | 1a. Level of Consciousness | 0 = Alert;
keenly responsive |
, | | 1b. LOC Questions | 2 = Answers neither question correctly |
| | 1c. LOC Commands | 0 = Performs both tasks correctly |
| | 2. Best Gaze | 1 = Partial gaze palsy. (THIS ANSWER IS WRONG) |
| | 3. Visual | 0 = No visual loss |
| | 4. Facial Palsy | 0 = Normal symmetrical movement |
| | 5a. Motor Arm Left | 0 = No drift |
| | 5b. Motor Arm Right | 0 = No drift |
| | 6a. Left Leg | 0 = No drift |
| | 6b. Right Leg | 0 = No drift |
| | 7. Limb Ataxia | 0 = Absent |
| | 8. Sensory | 1 = Mild-to-moderate sensory loss |
| | 9. Best Language | 2 = Severe aphasia |
| | 10. Dysarthria | 2 = Severe dysarthria |
| | 11. Extinction and Inattention (formerly Neglect) | 0 = No abnormality |
---
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 3** (Dr. Lyden-San Diego, California)<br>Whiteboard: Nurses, Ted and Amy,
February 26, Monday-Have a great day, cat pictures on the wall. Patient is 81 year old Caucasian female
on O2 and ID on right hand (your left), has IV in Left AC area. | 1a. Level of Consciousness | 0 = Alert;
keenly responsive |
| | 1b. LOC Questions | 0 = Answers both questions correctly |
| | 1c. LOC Commands | 0 = Performs both tasks correctly |
| | 2. Best Gaze | 0 = Normal |
| | 3. Visual | 0 = No visual loss |
| | 4. Facial Palsy | 1 = Minor paralysis |
| | 5a. Motor Arm Left | 0 = No drift |
| | 5b. Motor Arm Right | 0 = No drift |
Certification questions and answers
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 1** (Dr. Lyden-San Diego, California) <br>Purple flowers in background, drip
bag hanging from IV pole, yellow book on table. Male Caucasian patient. | 1a. Level of Consciousness | 0
|
| | 1b. LOC Questions | 0 |
| | 1c. LOC Commands | 0 |
| | 2. Best Gaze | 0 |
| | 3. Visual | 0 |
| | 4. Facial Palsy | 1 = Minor paralysis |
| | 5a. Motor Arm Left | 3 = No effort against gravity, limb falls. |
| | 5b. Motor Arm Right | 0 = No drift |
| | 6a. Left Leg | 1 = Drift, leg falls by the end of the 5 second period, but does not hit bed |
| | 6b. Right Leg | 0 = No drift |
| | 7. Limb Ataxia | 1 = Present in one limb |
| | 8. Sensory | 2 = Severe or total sensory loss |
| | 9. Best Language | 0 = No aphasia, normal |
| | 10. Dysarthria | 0 = Normal |
| | 11. Extinction and Inattention (formerly Neglect) | 0 = No abnormality |
---
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 2** (Karen Rapp, RN Nurse coordinator, San Diego, CA)<br>Karen in red
blazer/pink long sleeve shirt and black trousers, patient laying in bed, appears to have cataract right eye;
purple flowers, card upright on desk. Male Caucasian patient. | 1a. Level of Consciousness | 0 = Alert;
keenly responsive |
, | | 1b. LOC Questions | 2 = Answers neither question correctly |
| | 1c. LOC Commands | 0 = Performs both tasks correctly |
| | 2. Best Gaze | 1 = Partial gaze palsy. (THIS ANSWER IS WRONG) |
| | 3. Visual | 0 = No visual loss |
| | 4. Facial Palsy | 0 = Normal symmetrical movement |
| | 5a. Motor Arm Left | 0 = No drift |
| | 5b. Motor Arm Right | 0 = No drift |
| | 6a. Left Leg | 0 = No drift |
| | 6b. Right Leg | 0 = No drift |
| | 7. Limb Ataxia | 0 = Absent |
| | 8. Sensory | 1 = Mild-to-moderate sensory loss |
| | 9. Best Language | 2 = Severe aphasia |
| | 10. Dysarthria | 2 = Severe dysarthria |
| | 11. Extinction and Inattention (formerly Neglect) | 0 = No abnormality |
---
| Patient Description | NIHSS Item | Score |
|---------------------|------------|-------|
| **Certification Patient 3** (Dr. Lyden-San Diego, California)<br>Whiteboard: Nurses, Ted and Amy,
February 26, Monday-Have a great day, cat pictures on the wall. Patient is 81 year old Caucasian female
on O2 and ID on right hand (your left), has IV in Left AC area. | 1a. Level of Consciousness | 0 = Alert;
keenly responsive |
| | 1b. LOC Questions | 0 = Answers both questions correctly |
| | 1c. LOC Commands | 0 = Performs both tasks correctly |
| | 2. Best Gaze | 0 = Normal |
| | 3. Visual | 0 = No visual loss |
| | 4. Facial Palsy | 1 = Minor paralysis |
| | 5a. Motor Arm Left | 0 = No drift |
| | 5b. Motor Arm Right | 0 = No drift |
