NIH GROUP C- 3RD CERTIFICATION

ESTUDYR



NIH GROUP C- 3RD CERTIFICATION
Patient 1 (Scores you provided)

1a: 0, 1b: 2, 1c: 1, 2: 0, 3: 2, 4: 1, 5a: 0, 5b: 4, 6a: 0, 6b: 4, 7: 1, 8: 2, 9: 2, 10: 1, 11: 2

1. Item 1a — Level of consciousness (overall alertness). Patient is alert and keenly responsive.

A. 3
B. 2
C. 1
D. 0 — Alert, keenly responsive
Rationale: Normal alertness = NIHSS 0.

2. Item 1b — Orientation (month & age). Patient answers neither correctly.

A. 0
B. 1
C. 2 — Both incorrect
D. 3
Rationale: Two incorrect answers → score 2.

3. Item 1c — Commands (“close eyes”, “open”, “make a fist”). Patient performs one task
correctly.

A. 0
B. 1 — One task correct
C. 2
D. 3
Rationale: One of three commands correctly performed → score 1.

4. Item 2 — Best gaze (horizontal). Normal horizontal eye movements.

A. 0 — Normal
B. 1
C. 2
D. 3
Rationale: No gaze palsy = 0.

5. Item 3 — Visual fields. Complete hemianopia reported.

, ESTUDYR


A. 0
B. 1
C. 2 — Complete hemianopia
D. 3
Rationale: Complete (unilateral) hemianopia = 2.

6. Item 4 — Facial palsy. Minor facial asymmetry.

A. 0
B. 1 — Minor paralysis
C. 2
D. 3
Rationale: Mild asymmetry (flattened nasolabial fold etc.) → 1.

7. Item 5a — Left arm motor. No drift for full 10 sec.

A. 0 — No drift
B. 1
C. 2
D. 3/4
Rationale: Maintains 90°/45° position for 10 s = 0.

8. Item 5b — Right arm motor. No movement.

A. 2
B. 3
C. 1
D. 4 — No movement
Rationale: Complete paralysis of the arm → 4.

9. Item 6a — Left leg motor. No drift for 5 sec.

A. 0 — No drift
B. 1
C. 2
D. 3/4
Rationale: Holds 30° for 5 sec = 0.

10. Item 6b — Right leg motor. No movement.

A. 1
B. 2