1
2025 NIH Stroke Scale Group
D Patient 1-6 100%
CORRECT (Fully solved)
The NIH Stroke Scale (NIHSS) assesses stroke severity across 11 categories, scored based on
patient performance without coaching, per NINDS guidelines. Below are the fully solved scores
for Group D, Patients 1-6, with itemized scoring and rationales based on standardized NIHSS
criteria.
Patient 1
• 1a. Level of Consciousness: 0
Rationale: Alert, responds appropriately to questions and stimuli (score 0 for alert).
• 1b. LOC Questions: 0
Rationale: Correctly answers both questions (month and age) on first attempt (score 0 for
both correct).
• 1c. LOC Commands: 0
Rationale: Performs both tasks (close/open eyes, grip/release hand) correctly (score 0 for
both correct).
• 2. Best Gaze: 0
Rationale: Normal eye movements, follows examiner’s finger without deficit (score 0 for
normal).
• 3. Visual Fields: 0
Rationale: No visual field loss, sees all quadrants (score 0 for no loss).
• 4. Facial Palsy: 1
Rationale: Minor asymmetry on smiling, slight droop on one side (score 1 for minor
paralysis).
• 5a. Motor Arm (Left): 3
Rationale: Left arm drifts and hits bed within 10 seconds (score 3 for drift to bed).
• 5b. Motor Arm (Right): 0
Rationale: Right arm holds position for 10 seconds without drift (score 0 for no drift).
• 6a. Motor Leg (Left): 1
Rationale: Left leg drifts but does not hit bed within 5 seconds (score 1 for drift, no bed
contact).
• 6b. Motor Leg (Right): 0
Rationale: Right leg holds position for 5 seconds without drift (score 0 for no drift).
, 2
• 7. Limb Ataxia: 1
Rationale: Ataxia present in one limb on finger-nose or heel-shin test (score 1 for one
limb).
• 8. Sensory: 2
Rationale: Severe sensory loss, no response to pinprick on one side (score 2 for severe
loss).
• 9. Best Language: 0
Rationale: Normal speech, no aphasia on naming or sentence repetition (score 0 for no
aphasia).
• 10. Dysarthria: 0
Rationale: Clear articulation, no slurring (score 0 for normal).
• 11. Extinction and Inattention: 1
Rationale: Extinction to double simultaneous stimulation in one modality (score 1 for
extinction).
Total Score: 9
Patient 2
• 1a. Level of Consciousness: 0
Rationale: Alert and responsive (score 0 for alert).
• 1b. LOC Questions: 2
Rationale: Answers neither question correctly (score 2 for both incorrect).
• 1c. LOC Commands: 0
Rationale: Performs both tasks correctly (score 0 for both correct).
• 2. Best Gaze: 0
Rationale: Normal eye movements (score 0 for normal).
• 3. Visual Fields: 0
Rationale: No visual field deficits (score 0 for no loss).
• 4. Facial Palsy: 1
Rationale: Minor facial asymmetry (score 1 for minor paralysis).
• 5a. Motor Arm (Left): 0
Rationale: Left arm holds position for 10 seconds (score 0 for no drift).
• 5b. Motor Arm (Right): 0
Rationale: Right arm holds position for 10 seconds (score 0 for no drift).
• 6a. Motor Leg (Left): 0
Rationale: Left leg holds position for 5 seconds (score 0 for no drift).
• 6b. Motor Leg (Right): 0
Rationale: Right leg holds position for 5 seconds (score 0 for no drift).
• 7. Limb Ataxia: 0
Rationale: No ataxia on finger-nose or heel-shin tests (score 0 for no ataxia).
• 8. Sensory: 1
Rationale: Mild sensory loss to pinprick on one side (score 1 for mild loss).
2025 NIH Stroke Scale Group
D Patient 1-6 100%
CORRECT (Fully solved)
The NIH Stroke Scale (NIHSS) assesses stroke severity across 11 categories, scored based on
patient performance without coaching, per NINDS guidelines. Below are the fully solved scores
for Group D, Patients 1-6, with itemized scoring and rationales based on standardized NIHSS
criteria.
Patient 1
• 1a. Level of Consciousness: 0
Rationale: Alert, responds appropriately to questions and stimuli (score 0 for alert).
• 1b. LOC Questions: 0
Rationale: Correctly answers both questions (month and age) on first attempt (score 0 for
both correct).
• 1c. LOC Commands: 0
Rationale: Performs both tasks (close/open eyes, grip/release hand) correctly (score 0 for
both correct).
• 2. Best Gaze: 0
Rationale: Normal eye movements, follows examiner’s finger without deficit (score 0 for
normal).
• 3. Visual Fields: 0
Rationale: No visual field loss, sees all quadrants (score 0 for no loss).
• 4. Facial Palsy: 1
Rationale: Minor asymmetry on smiling, slight droop on one side (score 1 for minor
paralysis).
• 5a. Motor Arm (Left): 3
Rationale: Left arm drifts and hits bed within 10 seconds (score 3 for drift to bed).
• 5b. Motor Arm (Right): 0
Rationale: Right arm holds position for 10 seconds without drift (score 0 for no drift).
• 6a. Motor Leg (Left): 1
Rationale: Left leg drifts but does not hit bed within 5 seconds (score 1 for drift, no bed
contact).
• 6b. Motor Leg (Right): 0
Rationale: Right leg holds position for 5 seconds without drift (score 0 for no drift).
, 2
• 7. Limb Ataxia: 1
Rationale: Ataxia present in one limb on finger-nose or heel-shin test (score 1 for one
limb).
• 8. Sensory: 2
Rationale: Severe sensory loss, no response to pinprick on one side (score 2 for severe
loss).
• 9. Best Language: 0
Rationale: Normal speech, no aphasia on naming or sentence repetition (score 0 for no
aphasia).
• 10. Dysarthria: 0
Rationale: Clear articulation, no slurring (score 0 for normal).
• 11. Extinction and Inattention: 1
Rationale: Extinction to double simultaneous stimulation in one modality (score 1 for
extinction).
Total Score: 9
Patient 2
• 1a. Level of Consciousness: 0
Rationale: Alert and responsive (score 0 for alert).
• 1b. LOC Questions: 2
Rationale: Answers neither question correctly (score 2 for both incorrect).
• 1c. LOC Commands: 0
Rationale: Performs both tasks correctly (score 0 for both correct).
• 2. Best Gaze: 0
Rationale: Normal eye movements (score 0 for normal).
• 3. Visual Fields: 0
Rationale: No visual field deficits (score 0 for no loss).
• 4. Facial Palsy: 1
Rationale: Minor facial asymmetry (score 1 for minor paralysis).
• 5a. Motor Arm (Left): 0
Rationale: Left arm holds position for 10 seconds (score 0 for no drift).
• 5b. Motor Arm (Right): 0
Rationale: Right arm holds position for 10 seconds (score 0 for no drift).
• 6a. Motor Leg (Left): 0
Rationale: Left leg holds position for 5 seconds (score 0 for no drift).
• 6b. Motor Leg (Right): 0
Rationale: Right leg holds position for 5 seconds (score 0 for no drift).
• 7. Limb Ataxia: 0
Rationale: No ataxia on finger-nose or heel-shin tests (score 0 for no ataxia).
• 8. Sensory: 1
Rationale: Mild sensory loss to pinprick on one side (score 1 for mild loss).
