NIHSS Group A Patient 3

Question 1

In a Group A patient scenario, the patient has a right homonymous hemianopia confirmed by finger counting in all quadrants. What is the Item 3 (Visual Fields) score?

Accepted Answer

2 — complete hemianopia

Answer

Complete hemianopia is scored as 2 when an entire half of the visual field is lost in both eyes on the same side.

Question 2

The Group A patient is asked to hold their left arm outstretched at 90 degrees (sitting). The arm drifts to 45 degrees within 10 seconds but does not touch the bed. What is Item 5a (Left Motor Arm) score?

Accepted Answer

1 — drift but does not hit bed

Answer

Score 1 is given when the arm drifts from the 90-degree position but does not fall to the bed within 10 seconds.

Question 3

During Group A patient testing of Item 6 (Motor Leg), the right leg is held at 30 degrees and falls to the bed within 3 seconds. What is the Item 6b score?

Accepted Answer

2 — falls to bed within 5 seconds, some effort against gravity

Answer

A score of 2 is given when the leg falls to the bed within 5 seconds but some initial effort against gravity was observed.

Question 4

In the Group A patient, the examiner tests Item 8 (Sensory) by applying a pin to both arms. The patient reports diminished but not absent sensation on the right side. What is the correct score?

Accepted Answer

1 — mild to moderate sensory loss

Answer

Mild to moderate sensory loss (score 1) is recorded when the patient feels the pin but reports it as less sharp on the affected side.

Question 5

The Group A patient's speech is slurred but intelligible, and they can be understood with difficulty. What is the Item 10 (Dysarthria) score?

Accepted Answer

1 — mild to moderate dysarthria

Answer

Slurred but intelligible speech that can be understood represents mild to moderate dysarthria, scored as 1.

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS Group A Patient 3