NIH Stroke Scale Exam #1 Questions
With Answers
How many items on the NIH stroke scale? - Answer 11
NIH Stroke scale is - Answer 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) - Answer levels of:
consciousness vision
motor function (facial and extremities)
cerebellar function sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome
after - Answer treatment
Should the patient be coached? Should you go back and rethink a particular
assessment? - Answer NO
Having what when using NIH scale is important? - Answer reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do,
RATE ONLY - Answer rate only what they actually do
use patient"s first response? - Answer YES - DO NOT USE SUMMARY OF
RESPONSES
re ataxia score
1-if real weak, assume ataxia score is...
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... - Answer 1) 0 2) ataxia
3) 1 or 2
4) 0
NIH Stroke Scale Exam #1 Questions With Answers
, You should only score loss of sensation if you can really demonstrate... - Answer that
they have loss of sensation
if patient has sensory loss from neuropathy, do you count thatt? - Answer 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? - Answer mild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a
history of... - Answer what happened
dysarthria is interesting because there are many cultural things about slurred
________? - Answer speech.
Score is associated with prognosis? - Answer YES
Is NIH scale a measure of disability? - Answer 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... - Answer deficit, by giving a number that communicates to other professionals
how sick the patient is
how much time to budget to perorm NIH scale - Answer 7-10 mins
What effort should be recorded? Do not do what? - Answer The patient's first effort.
Don't go back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s
______s - Answer -order
-coaching
-first
-does
-Be consistent
-previous strokes
NIH Stroke Scale Exam #1 Questions With Answers
With Answers
How many items on the NIH stroke scale? - Answer 11
NIH Stroke scale is - Answer 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) - Answer levels of:
consciousness vision
motor function (facial and extremities)
cerebellar function sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome
after - Answer treatment
Should the patient be coached? Should you go back and rethink a particular
assessment? - Answer NO
Having what when using NIH scale is important? - Answer reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do,
RATE ONLY - Answer rate only what they actually do
use patient"s first response? - Answer YES - DO NOT USE SUMMARY OF
RESPONSES
re ataxia score
1-if real weak, assume ataxia score is...
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... - Answer 1) 0 2) ataxia
3) 1 or 2
4) 0
NIH Stroke Scale Exam #1 Questions With Answers
, You should only score loss of sensation if you can really demonstrate... - Answer that
they have loss of sensation
if patient has sensory loss from neuropathy, do you count thatt? - Answer 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? - Answer mild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a
history of... - Answer what happened
dysarthria is interesting because there are many cultural things about slurred
________? - Answer speech.
Score is associated with prognosis? - Answer YES
Is NIH scale a measure of disability? - Answer 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... - Answer deficit, by giving a number that communicates to other professionals
how sick the patient is
how much time to budget to perorm NIH scale - Answer 7-10 mins
What effort should be recorded? Do not do what? - Answer The patient's first effort.
Don't go back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s
______s - Answer -order
-coaching
-first
-does
-Be consistent
-previous strokes
NIH Stroke Scale Exam #1 Questions With Answers
