APEX NIH STROKE SCALE GROUP B PATIENT
1-6 EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| ALREADY GRADED A+ ||
GUARANTEED PASS || LATEST UPDATE 2025
If there is unilateral blindness or enucleation, what is scored - ANSWER-visual
fields in the remaining eye
Arbitrary rule that if they extinguish even if intact to confrontation, visual field
item is scored as a... - ANSWER-1
NIH item 4 is... - ANSWER-facial palsy
In NIH #4,you ask patient - ANSWER-"show me your teeth," if no teeth in say
"show me your gums"
"open and close your eyes" - can say "squeeze eyes shut as hard as you can"
"raise the eyebrows" or "lift up your eyebrows as much as you can"
For NIH 4, where MUST patient look? - ANSWER-directly at examiner
NIH 4: for aphasic, poorly responsive or noncomprehending patient, use what
kind of stimulus?
If using this stimulus, what is the basis for the scoring? - ANSWER-noxious
-the symmetry of the grimace
,NIH Item #4 Scoring
0
1
2
3 - ANSWER-0 - normal symmetrical movement
1 - minor paralysis such as a flattened nasolabial fold or mild asymmetry while
smiling - proper score if function is less than clearly normal
2-paralysis of the lower face - appropriate for clear cut upper motor neuron
facial palsy
3- complete paralysis of the upper and lower face - appropriate score for
obtunded or comatose patient or one with unilateral-lower motor neuron facial
weakness
Decreased spontaneous and forced facial movements are most prominent at
what location? - ANSWER-the mouth
If there is a clear cut asymmetry of the smile, the score is... - ANSWER-two, all
other subtle asymmetries are scored as a one
Score of 3 re: face is reserved for unusual complete paralysis seen with some
strokes of what kind? - ANSWER-some brain stem strokes
NIH scale item 5 is... - ANSWER-Item 5 - Motor Arm
What is proper positioning for item 5 motor arm movement? - ANSWER-
extend arms 90 deg if sitting OR 45 deg if supine
NIH scale 1C
-for patient who gives a real attempt but not completed due to weakness, is
credit given? - ANSWER-yes, give credit but ONLY score the first attempt
, NIH scale Number 2 item is... - ANSWER-Best Gaze
What does the best gaze item test? - ANSWER-voluntary horizontal eye
movements
Does NIH scale #2 measure distortions in vertical gaze, nystagmus or schew
deviation - ANSWER-NO, NIH scale #2 does not measure these visual issues
NIH scale #2
-first test, noting what?
-second test - ANSWER--look at position of eyes at rest, noting spontaneous
eye movements to left or right
-then move finger or other target from side to side and ask patient to track
MOVING EYES ONLY, being sure to keep asking patient to follow the target
When providing the card for item 9, the patient needs to be given adequate what
to identify the objects? - ANSWER-adequate time
ask patient to do what for each item on the card?
ask the patient to describe the meaning and _________depicted on the cookie
jar picture - ANSWER-name
action
ask the patient to read all the phrases on the ________ card - ANSWER-
sentence
item 9 assessment is based on examiners overall sense of patient's language as
well as on their responses to these tests - ANSWER-true
1-6 EXAM WITH VERIFIED QUESTIONS AND
ANSWERS|| ALREADY GRADED A+ ||
GUARANTEED PASS || LATEST UPDATE 2025
If there is unilateral blindness or enucleation, what is scored - ANSWER-visual
fields in the remaining eye
Arbitrary rule that if they extinguish even if intact to confrontation, visual field
item is scored as a... - ANSWER-1
NIH item 4 is... - ANSWER-facial palsy
In NIH #4,you ask patient - ANSWER-"show me your teeth," if no teeth in say
"show me your gums"
"open and close your eyes" - can say "squeeze eyes shut as hard as you can"
"raise the eyebrows" or "lift up your eyebrows as much as you can"
For NIH 4, where MUST patient look? - ANSWER-directly at examiner
NIH 4: for aphasic, poorly responsive or noncomprehending patient, use what
kind of stimulus?
If using this stimulus, what is the basis for the scoring? - ANSWER-noxious
-the symmetry of the grimace
,NIH Item #4 Scoring
0
1
2
3 - ANSWER-0 - normal symmetrical movement
1 - minor paralysis such as a flattened nasolabial fold or mild asymmetry while
smiling - proper score if function is less than clearly normal
2-paralysis of the lower face - appropriate for clear cut upper motor neuron
facial palsy
3- complete paralysis of the upper and lower face - appropriate score for
obtunded or comatose patient or one with unilateral-lower motor neuron facial
weakness
Decreased spontaneous and forced facial movements are most prominent at
what location? - ANSWER-the mouth
If there is a clear cut asymmetry of the smile, the score is... - ANSWER-two, all
other subtle asymmetries are scored as a one
Score of 3 re: face is reserved for unusual complete paralysis seen with some
strokes of what kind? - ANSWER-some brain stem strokes
NIH scale item 5 is... - ANSWER-Item 5 - Motor Arm
What is proper positioning for item 5 motor arm movement? - ANSWER-
extend arms 90 deg if sitting OR 45 deg if supine
NIH scale 1C
-for patient who gives a real attempt but not completed due to weakness, is
credit given? - ANSWER-yes, give credit but ONLY score the first attempt
, NIH scale Number 2 item is... - ANSWER-Best Gaze
What does the best gaze item test? - ANSWER-voluntary horizontal eye
movements
Does NIH scale #2 measure distortions in vertical gaze, nystagmus or schew
deviation - ANSWER-NO, NIH scale #2 does not measure these visual issues
NIH scale #2
-first test, noting what?
-second test - ANSWER--look at position of eyes at rest, noting spontaneous
eye movements to left or right
-then move finger or other target from side to side and ask patient to track
MOVING EYES ONLY, being sure to keep asking patient to follow the target
When providing the card for item 9, the patient needs to be given adequate what
to identify the objects? - ANSWER-adequate time
ask patient to do what for each item on the card?
ask the patient to describe the meaning and _________depicted on the cookie
jar picture - ANSWER-name
action
ask the patient to read all the phrases on the ________ card - ANSWER-
sentence
item 9 assessment is based on examiners overall sense of patient's language as
well as on their responses to these tests - ANSWER-true
