NIHSS Neurological 2

Question 1

On the NIHSS, how is Item 1b (Level of Consciousness Questions) scored when the patient answers both questions correctly?

Accepted Answer

0

Answer

A score of 0 is given when the patient correctly answers both the month and age questions.

Question 2

A patient with a right hemisphere stroke cannot move their left arm against gravity but shows some effort. What NIHSS motor arm score applies?

Accepted Answer

3 — No effort against gravity

Answer

Score 3 means the limb falls immediately without resistance and there is no effort against gravity.

Question 3

Which NIHSS item specifically tests for extinction and inattention?

Accepted Answer

Item 11

Answer

Item 11 assesses extinction and inattention (neglect) using simultaneous bilateral stimulation.

Question 4

When scoring NIHSS Item 5 (Motor Arm), the patient's arm drifts to the bed before 10 seconds but does not fall immediately. What is the correct score?

Accepted Answer

1

Answer

Score 1 (drift) is assigned when the arm drifts before 10 seconds but does not fall to the bed immediately.

Question 5

The NIHSS visual fields item (Item 3) is scored as 2 when which finding is present?

Accepted Answer

Complete hemianopia

Answer

A score of 2 on Item 3 corresponds to complete hemianopia in one visual half-field.

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS - National Institutes of Health Stroke Scale Practice Test

NIHSS Neurological 2