NIH Stroke Scale Group B Patient 1-6 Exam Verified
Questions and Correct Answers 2025
10 Test dysarthria (read words: Mama, Tip-top, Fifty-fifty, Thanks,
Huckleberry, Baseball player) -Correct Answer>>0 - Normal; no dysarthria
1 - Mild-moderate dysarthria: slurring but can be understood
2 - Severe dysarthria: unintelligible slurring or out of proportion to
dysphasia
2 - Mute/anarthric
0 - Intubated/unable to test
11 - Test extinction/inattention -Correct Answer>>0 - No abnormality
1 - Visual/tactile/auditory/spatial/personal inattention
1 - Extinction to bilateral simultaneous stimulation
2 - Profound hemi-inattention (does not recognize own hand)
2 - Extinction to > 1 modality
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
, 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
1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)
3 - Bilateral complete paralysis
5A - Test left arm motor drift -Correct Answer>>0 - No drift for 10 seconds
1 - Drift, but doesn't hit bed
2 - Driift, hits bed
2 - Some effort against gravity
3 - No effort against gravity
4 - No movement
0 - Amputation/joint fusion
5B - Test right arm motor drift -Correct Answer>>0 - No drift for 10 seconds
1 - Drift, but doesn't hit bed
Questions and Correct Answers 2025
10 Test dysarthria (read words: Mama, Tip-top, Fifty-fifty, Thanks,
Huckleberry, Baseball player) -Correct Answer>>0 - Normal; no dysarthria
1 - Mild-moderate dysarthria: slurring but can be understood
2 - Severe dysarthria: unintelligible slurring or out of proportion to
dysphasia
2 - Mute/anarthric
0 - Intubated/unable to test
11 - Test extinction/inattention -Correct Answer>>0 - No abnormality
1 - Visual/tactile/auditory/spatial/personal inattention
1 - Extinction to bilateral simultaneous stimulation
2 - Profound hemi-inattention (does not recognize own hand)
2 - Extinction to > 1 modality
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
, 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
1 - Minor paralysis (flat nasolabial fold, asymmetric smile)
2 - Partial paralysis (lower face)
3 - Unilateral complete paralysis (upper/lower face)
3 - Bilateral complete paralysis
5A - Test left arm motor drift -Correct Answer>>0 - No drift for 10 seconds
1 - Drift, but doesn't hit bed
2 - Driift, hits bed
2 - Some effort against gravity
3 - No effort against gravity
4 - No movement
0 - Amputation/joint fusion
5B - Test right arm motor drift -Correct Answer>>0 - No drift for 10 seconds
1 - Drift, but doesn't hit bed
