NIHSS-English Group E-V3 - 5th Certification Solved
100% Correct 2023 WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2025/2026)
Patient 1 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 0
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:0
6b. Right Leg: 1
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 0
Patient 2 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1
5a. Motor Arm Left:0
5b. Motor Arm Right:4
6a. Left Leg:0
6b. Right Leg: 3
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 1
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 1
Patient 3 - ✔✔ANSW✔✔..1a. Level of Consciousness: 3
,1b. LOC Questions: 2
1c. LOC Commands: 2
2. Best Gaze: 2
3. Visual: 2
4. Facial Palsy: 2
5a. Motor Arm Left:0
5b. Motor Arm Right:4
6a. Left Leg:2
6b. Right Leg: 4
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 3
10. Dysarthria: 2
11. Extinction and Inattention (formerly Neglect): 2
Patient 4 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 3 incorrect
5a. Motor Arm Left:0
5b. Motor Arm Right: 0
6a. Left Leg:0
6b. Right Leg: 0
7. Limb Ataxia: 0
8. Sensory: 0
9. Best Language: 0
10. Dysarthria: 1
11. Extinction and Inattention (formerly Neglect): 0
Patient 5 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:0
6b. Right Leg: 2
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 1
11. Extinction and Inattention (formerly Neglect): 0
, Patient 6 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 0
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:1
6b. Right Leg: 0
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 1
Q1. Level of Consciousness (LOC)
A patient is drowsy but can be aroused by minor stimulation (like repeated verbal cues). How do
you score this domain?
• A. 0 – Alert
• B. 1 – Not alert, but arousable by minor stimulation
• C. 2 – Not alert, requires repeated or strong stimulation
• D. 3 – Responds only with reflexes or unresponsive
Answer: B
Rationale: LOC scoring is based on arousability. Since the patient awakens to minor stimulation,
that fits 1 point.
Q2. Best Gaze
A patient’s eyes deviate to the left and cannot cross midline. How do you score gaze?
• A. 0 – Normal
• B. 1 – Partial gaze palsy
• C. 2 – Forced gaze deviation or total gaze palsy
Answer: C
Rationale: A fixed gaze preference that cannot be overcome = 2 points.
100% Correct 2023 WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL DEFINED
ANSWERS LATEST ALREADY GRADED A+
(2025/2026)
Patient 1 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 0
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:0
6b. Right Leg: 1
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 0
Patient 2 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1
5a. Motor Arm Left:0
5b. Motor Arm Right:4
6a. Left Leg:0
6b. Right Leg: 3
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 1
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 1
Patient 3 - ✔✔ANSW✔✔..1a. Level of Consciousness: 3
,1b. LOC Questions: 2
1c. LOC Commands: 2
2. Best Gaze: 2
3. Visual: 2
4. Facial Palsy: 2
5a. Motor Arm Left:0
5b. Motor Arm Right:4
6a. Left Leg:2
6b. Right Leg: 4
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 3
10. Dysarthria: 2
11. Extinction and Inattention (formerly Neglect): 2
Patient 4 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 3 incorrect
5a. Motor Arm Left:0
5b. Motor Arm Right: 0
6a. Left Leg:0
6b. Right Leg: 0
7. Limb Ataxia: 0
8. Sensory: 0
9. Best Language: 0
10. Dysarthria: 1
11. Extinction and Inattention (formerly Neglect): 0
Patient 5 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 1
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:0
6b. Right Leg: 2
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 1
11. Extinction and Inattention (formerly Neglect): 0
, Patient 6 - ✔✔ANSW✔✔..1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 0
5a. Motor Arm Left:0
5b. Motor Arm Right:0
6a. Left Leg:1
6b. Right Leg: 0
7. Limb Ataxia: 0
8. Sensory: 1
9. Best Language: 0
10. Dysarthria: 0
11. Extinction and Inattention (formerly Neglect): 1
Q1. Level of Consciousness (LOC)
A patient is drowsy but can be aroused by minor stimulation (like repeated verbal cues). How do
you score this domain?
• A. 0 – Alert
• B. 1 – Not alert, but arousable by minor stimulation
• C. 2 – Not alert, requires repeated or strong stimulation
• D. 3 – Responds only with reflexes or unresponsive
Answer: B
Rationale: LOC scoring is based on arousability. Since the patient awakens to minor stimulation,
that fits 1 point.
Q2. Best Gaze
A patient’s eyes deviate to the left and cannot cross midline. How do you score gaze?
• A. 0 – Normal
• B. 1 – Partial gaze palsy
• C. 2 – Forced gaze deviation or total gaze palsy
Answer: C
Rationale: A fixed gaze preference that cannot be overcome = 2 points.
