NIHSS Group A Patient 2

Question 1

In the NIHSS Group A patient scenario, when assessing Item 1b (LOC Questions), the patient correctly answers the month but not their age. What score is recorded?

Accepted Answer

1 — one answer correct

Answer

Item 1b scores 1 when the patient answers exactly one of the two questions (month and age) correctly.

Question 2

The Group A patient is asked to 'grip your hand, now let go' for Item 1c (LOC Commands). The patient grips but does not release. What is the correct score?

Accepted Answer

1 — performs one task correctly

Answer

Item 1c scores 1 when the patient successfully completes only one of the two commanded tasks.

Question 3

During the Group A patient assessment, the examiner observes the patient's eyes deviate to the left and cannot be overcome by oculocephalic maneuver. What is the Item 2 (Best Gaze) score?

Accepted Answer

2 — forced deviation

Answer

A forced deviation that cannot be overcome by oculocephalic maneuver is scored as 2 on Item 2.

Question 4

For Item 4 (Facial Palsy) in the Group A patient scenario, the patient shows minor flattening of the nasolabial fold on the right side with slight asymmetry on smile. What score applies?

Accepted Answer

1 — minor paralysis

Answer

Minor paralysis (1) applies when there is flattening of the nasolabial fold with only slight asymmetry during voluntary movement.

Question 5

The Group A patient's right arm drifts down and hits the bed before 10 seconds but after 5 seconds. No effort against gravity is maintained. What is the Item 5b (Right Motor Arm) score?

Accepted Answer

3 — no effort against gravity, limb falls

Answer

Score 2 is given when the limb drifts down to the bed within 10 seconds but some effort against gravity was present initially.

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS Group A Patient 2