NIHSS Group C Patient 1-6 Answer Key
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Patient 1
1a. 0 – alert.
1b. 2 – neither correct.
1c. 1 – preforms one task correctly.
2. 0 – normal.
3. 2 – severe.
4. 1- minor paralysis.
5a. 0 – no drift.
5b. 4 – no movement.
6a. 0 – no drift.
6b. 4 – no movement.
7. 1 – present in one limb.
8. 2 – severe or total sensory loss.
9. 2 – severe aphasia.
10. 1 – mild to moderate dysarthria.
11. 1 – complete neglect.
1b. 2 – neither correct.
1c. 1 – preforms one task correctly.
2. 0 – normal.
3. 2 – severe.
4. 1- minor paralysis.
5a. 0 – no drift.
5b. 4 – no movement.
6a. 0 – no drift.
6b. 4 – no movement.
7. 1 – present in one limb.
8. 2 – severe or total sensory loss.
9. 2 – severe aphasia.
10. 1 – mild to moderate dysarthria.
11. 1 – complete neglect.
Patient 2
1a. 0 – alert.
1b. 0 – answers both correctly.
1c. 0 – preforms both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 0 – normal symmetrical movement.
5a. 0 – no drift.
5b. 0 – no drift.
6a. 1- mild drift.
6b. 2 – some efforts against gravity.
7. 0 – absent.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal.
11. 0 – no abnormality.
1b. 0 – answers both correctly.
1c. 0 – preforms both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 0 – normal symmetrical movement.
5a. 0 – no drift.
5b. 0 – no drift.
6a. 1- mild drift.
6b. 2 – some efforts against gravity.
7. 0 – absent.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal.
11. 0 – no abnormality.
Patient 3
1a. 0 – alert.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 1 – minor paralysis.
5a. 0 – no drift.
5b. 0 – no drift.
6a. 1 – drifts, does not hit bed.
6b. 0 – no drift.
7. 1 – present in one limb.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal
11. 0 – no abnormality.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 1 – minor paralysis.
5a. 0 – no drift.
5b. 0 – no drift.
6a. 1 – drifts, does not hit bed.
6b. 0 – no drift.
7. 1 – present in one limb.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal
11. 0 – no abnormality.
Patient 4
1a. 0 – alert.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 1 – minor paralysis.
5a. 1 – drift, does not hit bed.
5b. 0 – no drift.
6a. 1 – drifts, does not hit bed.
6b. 0 – no drift.
7. 2 – present in two limbs.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal
11. 0 – no abnormality.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 1 – minor paralysis.
5a. 1 – drift, does not hit bed.
5b. 0 – no drift.
6a. 1 – drifts, does not hit bed.
6b. 0 – no drift.
7. 2 – present in two limbs.
8. 1 – mild to moderate sensory loss.
9. 0 – normal, no aphasia.
10. 0 – normal
11. 0 – no abnormality.
Patient 5
1a. 1 – not alert, but arousable.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 1 – partial gaze palsy.
3. 1 – parietal.
4. 0 – normal.
5a. 2 – drifts to hit bed.
5b. 0 – no drift.
6a. 2 – drifts to hit bed.
6b. 1 – drifts, does not hit bed.
7. 2 – present in two limbs.
8. 1 – mild to moderate sensory loss.
9. 1 – mild to moderate aphasia.
10. 1 – mild to moderate dysarthria.
11. 0 – no abnormality.
1b. 0 – answers both correctly.
1c. 0 – performs both tasks correctly.
2. 1 – partial gaze palsy.
3. 1 – parietal.
4. 0 – normal.
5a. 2 – drifts to hit bed.
5b. 0 – no drift.
6a. 2 – drifts to hit bed.
6b. 1 – drifts, does not hit bed.
7. 2 – present in two limbs.
8. 1 – mild to moderate sensory loss.
9. 1 – mild to moderate aphasia.
10. 1 – mild to moderate dysarthria.
11. 0 – no abnormality.
Patient 6
1a. 0 – alert.
1b. 1 – answers one correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 0 – normal.
5a. 0 – no drift.
5b. 1 – drifts, does not hit bed.
6a. 0 – no drift.
6b. 1 – drifts, does not hit bed.
7. 0 – absent.
8. 0 – normal/.
9. 0 – normal, no aphasia.
10. 1 – mild to moderate dysarthria.
11. 0 – no abnormality.
1b. 1 – answers one correctly.
1c. 0 – performs both tasks correctly.
2. 0 – normal.
3. 0 – no visual loss.
4. 0 – normal.
5a. 0 – no drift.
5b. 1 – drifts, does not hit bed.
6a. 0 – no drift.
6b. 1 – drifts, does not hit bed.
7. 0 – absent.
8. 0 – normal/.
9. 0 – normal, no aphasia.
10. 1 – mild to moderate dysarthria.
11. 0 – no abnormality.
Stroke Scale Certification Group C Patient 1
Stroke Scale Certification Group C Patient 2
Stroke Scale Certification Group C Patient 3
Stroke Scale Certification Group C Patient 4
Stroke Scale Certification Group C Patient 5
Stroke Scale Certification Group C Patient 6
Other NIHSS Test Answers
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