NIH STROKE SCALE 2026|CERTIFIED QUESTIONS WITH SOLUTIONS (A+)

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NIH STROKE SCALE 2026|CERTIFIED
QUESTIONS WITH SOLUTIONS (A+)



1A - Level of consciousness - correct-answer -0 - Alert; keenly responsive

1 - Arouses to minor stimulation

2 - Requires repeated stimulation to arouse

2 - Movements to pain

3 - Postures or unresponsive




1B - Ask month and age - correct-answer -0 - Both questions right

1 - One question right

1 - Dysarthric, intubated, trauma, or language barrier

2 - Aphasic




1C - "Blink eyes" and "Squeeze hands" - correct-answer -0 - Performs both tasks

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1 - Performs one task

2 - Performs neither task




2 - Test horizontal extraocular muscles - correct-answer -0 - Normal

1 - Partial gaze palsy: can be overcome

1 - Partial gaze palsy: corrects with oculocephalic reflex

2 - Forced gaze palsy: can not be overcome




3 - Test visual fields - correct-answer -0 - No visual loss

1 - Partial hemianopia

2 - Complete hemianopia

3 - Patient is bilaterally blind

3 - Bilateral hemianopia




4 - Test facial palsy (use grimace if obtunded) - correct-answer -0 - Normal

symmetry