NIHSS-ENGLISH GROUP G-V3 - 7TH.
CERTIFICATION 2026/27||
QUESTIONS AND 100% CORRECT
Certification Patient 1 (Dr. Lyden-San Diego, California)
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
Certification Patient 2: (Karen Rapp, RN Nurse coordinator, San Diego, CA)
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: 0
3. Visual: 0 = No visual loss
4.Facial Palsy: 0 = Normal symmetrical movement
5a. Motor Arm Left: 0 = No drift
5b. 1
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
CERTIFICATION 2026/27||
QUESTIONS AND 100% CORRECT
Certification Patient 1 (Dr. Lyden-San Diego, California)
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
Certification Patient 2: (Karen Rapp, RN Nurse coordinator, San Diego, CA)
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: 0
3. Visual: 0 = No visual loss
4.Facial Palsy: 0 = Normal symmetrical movement
5a. Motor Arm Left: 0 = No drift
5b. 1
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
