NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
How many items on the NIH stroke scale? - ANSWER-11
NIH Stroke scale is - ANSWER-an 11-item clinical evaluation
instrument widely used in clinical trials and practice to assess
neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral
ischemia on levels of
... (7 items) - ANSWER-
levels of: consciousness
vision
motor function (facial and
extremities) cerebellar
function
sensati
on
langua
ge
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to
assess the outcome after - ANSWER-treatment
Should the patient be coached? Should you go back and rethink a
particular assessment? - ANSWER-NO
Having what when using NIH scale is important? - ANSWER-reference
materials
DO NOT RATE what you think the patient wants to do or what you
think they can do, RATE ONLY - ANSWER-rate only what they actually
do
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
use patient"s first response? - ANSWER-YES - DO NOT USE
SUMMARY OF RESPONSES
re ataxia score
1- if real weak, assume ataxia score is...
2- if they can hold leg or arm up w/ minimal drift but are all over place
when trying finger to nose test, that's probably...
3) Important to know if ataxia is present or not and if present in or limbs
4) if patient very weak or paralyzed, the ataxia score is... - ANSWER-1)
0
2)
ataxia
3) 1 or
2 4) 0
You should only score loss of sensation if you can really
demonstrate... - ANSWER-that they have loss of sensation
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
if patient has sensory loss from neuropathy, do you count thatt? -
ANSWER-no, but you do if there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the
battery and it can be subjective as to whether it is one of which
classification? - ANSWER-mild, mod, severe
start to recognise aphasia when you meet them and start talking and
you don't get a history of... - ANSWER-what happened
dysarthria is interesting because there are many cultural things about
slurred
? - ANSWER-speech.
Score is associated with prognosis? - ANSWER-YES
Is NIH scale a measure of disability? - ANSWER-NO. The NIH scale
is a measure of impairments.
The NIH scale creates a common currency so that everybody
understands the patient's level of... - ANSWER-deficit, by giving a
number that communicates to other professionals how sick the
patient is
how much time to budget to perorm NIH scale - ANSWER-7-10 mins
What effort should be recorded? Do not do what? - ANSWER-The
patient's first effort. Don't go back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact
-Avoid ing patient
-Accept patient's effort
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
-Score only what the patient
-Be consistent
-Include all s into scoring, including those that may be from s
s - ANSWER--order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - ANSWER--examiner's overall
impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient
by patting or tapping, occasionally pinching
NIH Item 1a Scoring:
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
How many items on the NIH stroke scale? - ANSWER-11
NIH Stroke scale is - ANSWER-an 11-item clinical evaluation
instrument widely used in clinical trials and practice to assess
neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral
ischemia on levels of
... (7 items) - ANSWER-
levels of: consciousness
vision
motor function (facial and
extremities) cerebellar
function
sensati
on
langua
ge
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to
assess the outcome after - ANSWER-treatment
Should the patient be coached? Should you go back and rethink a
particular assessment? - ANSWER-NO
Having what when using NIH scale is important? - ANSWER-reference
materials
DO NOT RATE what you think the patient wants to do or what you
think they can do, RATE ONLY - ANSWER-rate only what they actually
do
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
use patient"s first response? - ANSWER-YES - DO NOT USE
SUMMARY OF RESPONSES
re ataxia score
1- if real weak, assume ataxia score is...
2- if they can hold leg or arm up w/ minimal drift but are all over place
when trying finger to nose test, that's probably...
3) Important to know if ataxia is present or not and if present in or limbs
4) if patient very weak or paralyzed, the ataxia score is... - ANSWER-1)
0
2)
ataxia
3) 1 or
2 4) 0
You should only score loss of sensation if you can really
demonstrate... - ANSWER-that they have loss of sensation
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
if patient has sensory loss from neuropathy, do you count thatt? -
ANSWER-no, but you do if there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the
battery and it can be subjective as to whether it is one of which
classification? - ANSWER-mild, mod, severe
start to recognise aphasia when you meet them and start talking and
you don't get a history of... - ANSWER-what happened
dysarthria is interesting because there are many cultural things about
slurred
? - ANSWER-speech.
Score is associated with prognosis? - ANSWER-YES
Is NIH scale a measure of disability? - ANSWER-NO. The NIH scale
is a measure of impairments.
The NIH scale creates a common currency so that everybody
understands the patient's level of... - ANSWER-deficit, by giving a
number that communicates to other professionals how sick the
patient is
how much time to budget to perorm NIH scale - ANSWER-7-10 mins
What effort should be recorded? Do not do what? - ANSWER-The
patient's first effort. Don't go back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact
-Avoid ing patient
-Accept patient's effort
, NIH STROKE Assessment REAL
ACTUAL TEST WITH REAL QUESTION
AND ANSWERS GRADEA 2024/2025
UPDATED
-Score only what the patient
-Be consistent
-Include all s into scoring, including those that may be from s
s - ANSWER--order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - ANSWER--examiner's overall
impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient
by patting or tapping, occasionally pinching
NIH Item 1a Scoring:
