NIH STROKE SCALE PRACTICE ASSESSMENT
2026 CERTIFICATION EVALUATION EXPERT
◉ 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
, ◉ 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
2026 CERTIFICATION EVALUATION EXPERT
◉ 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
, ◉ 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
