Free NIHSS Group A Patient Questions and Answers

Question 1

Read list of words

Accepted Answer

Speech (Dysarthria)

Answer

extinction/inattention

Answer

wakefulness

Answer

visual Field test

Question 2

Cover your left eye? How many fingers can you see?
Assess accuracy of vision. If they can't perform it, then use visual threat and check if they blink.

Accepted Answer

Visual field test

Answer

motor

Answer

speech (dysarthria)

Answer

motor coordination

Question 3

What is happening in picture with kids and woman in sink (comprehension and expression)

Accepted Answer

Language

Answer

Wakefulness

Answer

Motor

Answer

Sensory

Question 4

Keep your head straight and keep your eyes on my finger.Horizontal eye movement

Accepted Answer

Motor

Answer

motor Coordination

Answer

motor

Answer

sensory

Question 5

Close your. Can you feel this? Does it feel the same or different on each side?"Test sense of pinprick (ability to withdraw from noxious stimuli if pt is obtunded or aphasic).

Accepted Answer

Sensory

Answer

motor

Answer

Extinction/inattention

Answer

motor

Question 6

4-Facial Palsy: "Raise eyebrows and show me your teeth." Look for droopiness in face or mouth5-"Lift your left arm/Lift your right arm/Lift your left or right leg) 10 sec vs 5 sec.

Accepted Answer

Motor

Answer

motor Coordination

Answer

sensory

Answer

motor

Question 7

Visual and sensory integration- Hold fingers in upper and lower quadrants-Ask pt which is wiggling (L,R,&Both)

Accepted Answer

Extinction/Inattention

Answer

sensory

Answer

Wakefulness

Answer

motor Coordination

Question 8

"Touch your nose and touch my finger. Can you slide your heel up and down your opposite leg? Weakness versus ataxia. Heel to shin test.

Accepted Answer

Motor coordination

Answer

motor

Answer

visual field test

Answer

extinction/inattention

Question 9

1a-are they immediately awake or otherwise engage them. (responsiveness)1b-correctly state age and current month (questions)1c-open/close eyes AND squeeze hand (commands)

Accepted Answer

Wakefulness

Answer

motor

Question 10

Wakefulness (Q1ABC)Vision (Q3)Motor (Q2,4567)Sensory (Q8,11)Language and Speech (9,10)

Accepted Answer

Components of NIHSS

Answer

motor

Answer

visual Field Test

Answer

sensory