NIH Stroke Scale Certification Group D Exam (2025/2026) –
Patient 1–6 Complete Questions and 100% Verified Correct
Answers | Updated for Clinical Accuracy
PATIENT 1
Scenario: 68-year-old male, sudden onset right hemiparesis and aphasia 2 hours ago.
Alert, follows some commands.
1a. Level of Consciousness (LOC) 0 – Alert; keenly responsive
1b. LOC Questions (Month + Age) 1 – Answers one question correctly
1c. LOC Commands (Open/close eyes, grip/release) 1 – Performs one task
correctly
2. Best Gaze 1 – Partial gaze palsy (gaze abnormal in one or both eyes, but not
forced deviation)
3. Visual Fields 1 – Partial hemianopia
4. Facial Palsy 2 – Moderate-to-severe (complete paralysis of lower face)
5. Motor Arm – Left / Right Left: 0 Right: 3 – No effort against gravity (arm falls
immediately)
6. Motor Leg – Left / Right Left: 0 Right: 3 – No effort against gravity
7. Limb Ataxia 0 – Absent
8. Sensory 1 – Mild-to-moderate loss (pinprick dull on right)
9. Best Language 2 – Severe aphasia (little communication)
10. Dysarthria 1 – Mild-to-moderate (slurred but intelligible)
11. Extinction/Inattention 1 – Inattention to one modality (visual or sensory)
TOTAL SCORE: 20
PATIENT 2
Scenario: 74-year-old female, found unresponsive, now opens eyes to pain, no verbal
response.
Patient 1–6 Complete Questions and 100% Verified Correct
Answers | Updated for Clinical Accuracy
PATIENT 1
Scenario: 68-year-old male, sudden onset right hemiparesis and aphasia 2 hours ago.
Alert, follows some commands.
1a. Level of Consciousness (LOC) 0 – Alert; keenly responsive
1b. LOC Questions (Month + Age) 1 – Answers one question correctly
1c. LOC Commands (Open/close eyes, grip/release) 1 – Performs one task
correctly
2. Best Gaze 1 – Partial gaze palsy (gaze abnormal in one or both eyes, but not
forced deviation)
3. Visual Fields 1 – Partial hemianopia
4. Facial Palsy 2 – Moderate-to-severe (complete paralysis of lower face)
5. Motor Arm – Left / Right Left: 0 Right: 3 – No effort against gravity (arm falls
immediately)
6. Motor Leg – Left / Right Left: 0 Right: 3 – No effort against gravity
7. Limb Ataxia 0 – Absent
8. Sensory 1 – Mild-to-moderate loss (pinprick dull on right)
9. Best Language 2 – Severe aphasia (little communication)
10. Dysarthria 1 – Mild-to-moderate (slurred but intelligible)
11. Extinction/Inattention 1 – Inattention to one modality (visual or sensory)
TOTAL SCORE: 20
PATIENT 2
Scenario: 74-year-old female, found unresponsive, now opens eyes to pain, no verbal
response.
