NIH Stroke Scale Group B Patient 1-6, Exam Questions Wi th Verified Answers

NIH Stroke Scale Group B Patient 1-6, Exam
Questions Wi th Verified Answers


NIH Stroke Scale Group B Patient 1-6, NIH Stroke Scale
10 Test dysarthria (read words: Mama, Tip-top, Fifty-fifty, Thanks, Huckleberry,
Baseball player) - ANSWER-0 - Normal; no dysarthria
1 - Mild-moderate dysarthria: slurring but can be understood
2 - Severe dysarthria: unintelligible slurring or out of proportion to dysphasia
2 - Mute/anarthric
0 - Intubated/unable to test


.11 - Test extinction/inattention - ANSWER-0 - No abnormality
1 - Visual/tactile/auditory/spatial/personal inattention
1 - Extinction to bilateral simultaneous stimulation
2 - Profound hemi-inattention (does not recognize own hand)
2 - Extinction to > 1 modality


.1A - Level of consciousness - ANSWER-0 - Alert; keenly responsive
1 - Arouses to minor stimulation
2 - Requires repeated stimulation to arouse
2 - Movements to pain
3 - Postures or unresponsive

, .1B - Ask month and age - ANSWER-0 - Both questions right
1 - One question right
1 - Dysarthric, intubated, trauma, or language barrier
2 - Aphasic


.1C - "Blink eyes" and "Squeeze hands" - ANSWER-0 - Performs both tasks
1 - Performs one task
2 - Performs neither task


.2 - Test horizontal extraocular muscles - ANSWER-0 - Normal
1 - Partial gaze palsy: can be overcome
1 - Partial gaze palsy: corrects with oculocephalic reflex
2 - Forced gaze palsy: can not be overcome


.3 - Test visual fields - ANSWER-0 - No visual loss
1 - Partial hemianopia
2 - Complete hemianopia
3 - Patient is bilaterally blind
3 - Bilateral hemianopia


.4 - Test facial palsy (use grimace if obtunded) - ANSWER-0 - Normal symmetry
1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)