CORRECT WELL DETAILED ANSWERS|LATEST
11 components of NIHSS - ANSWER 1. LOC (Question & Command)
2. Gaze
3. Visual field
4. Facial palsy
5. Upper extremity
6. Lower extremity
7. Limb ataxia
8. Sensory
9. Best language
10. Dysarthria
11. Extinction & inattention
1A - LOC - ANSWER 0 = Alert
1 = Not alert; aroused with minor verbal stimulation
2 = Not alert; requires strong or painful stimulation
3 = Reflex movements only or totally unresponsive (COMA ~ try rub on chest)
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1a. Level of Consciousness: The investigator must choose a response, even if a full evaluation
is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal
trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive
posturing) in response to noxious stimulation.*
1
, 1B - LOC Questions (2) - ANSWER Month of year
Patient age
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0 = Answers both questions correctly
1 = Answers one question correctly
2 = Answers neither question correctly
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1b. LOC Questions: The patient is asked the month and his/her age. The answer must be
correct - there is no partial credit for being close. Aphasic and stuporous patients who do
not comprehend the questions will score 2. Patients unable to speak because of
endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language
barrier or any other problem not secondary to aphasia are given a 1. It is important that only
the initial answer be graded and that the examiner not "help" the patient with verbal or
non-verbal cues.*
1C - LOC Commands - ANSWER Two tasks
- Close your eye for me and now open
- Make a fist with your hand
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LEVEL OF CONSCIOUSNESS: COMMANDS
0 = Performs both tasks correctly
1 = Performs one task correctly
2 = Performs neither task correctly
2
11 components of NIHSS - ANSWER 1. LOC (Question & Command)
2. Gaze
3. Visual field
4. Facial palsy
5. Upper extremity
6. Lower extremity
7. Limb ataxia
8. Sensory
9. Best language
10. Dysarthria
11. Extinction & inattention
1A - LOC - ANSWER 0 = Alert
1 = Not alert; aroused with minor verbal stimulation
2 = Not alert; requires strong or painful stimulation
3 = Reflex movements only or totally unresponsive (COMA ~ try rub on chest)
---
1a. Level of Consciousness: The investigator must choose a response, even if a full evaluation
is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal
trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive
posturing) in response to noxious stimulation.*
1
, 1B - LOC Questions (2) - ANSWER Month of year
Patient age
-----
0 = Answers both questions correctly
1 = Answers one question correctly
2 = Answers neither question correctly
---
1b. LOC Questions: The patient is asked the month and his/her age. The answer must be
correct - there is no partial credit for being close. Aphasic and stuporous patients who do
not comprehend the questions will score 2. Patients unable to speak because of
endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language
barrier or any other problem not secondary to aphasia are given a 1. It is important that only
the initial answer be graded and that the examiner not "help" the patient with verbal or
non-verbal cues.*
1C - LOC Commands - ANSWER Two tasks
- Close your eye for me and now open
- Make a fist with your hand
--------
LEVEL OF CONSCIOUSNESS: COMMANDS
0 = Performs both tasks correctly
1 = Performs one task correctly
2 = Performs neither task correctly
2
