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IH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Updated, Exams of Nursing
IH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Updated
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IH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key
5a- 0 5b- 0 6a- 0 6b- 1 7- 0 8- 1 9- 0 10- 0
11- 0
NIHSS Group C - Patients 1 - 6
Patient 1 - 1a. 0 - alert.
1b. 2 - neither correct.
1c. 1 - preforms one task correctly.
- 0 - normal.
- 2 - severe.
- 1- minor paralysis.
5a. 0 - no drift.
5b. 4 - no movement.
6a. 0 - no drift.
6b. 4 - no movement.
- 1 - present in one limb.
- 2 - severe or total sensory loss.
- 2 - severe aphasia.
- 1 - mild to moderate dysarthria.
- 1 - complete neglect.
Patient 2 - 1a. 0 - alert.
1b. 0 - answers both correctly.
1c. 0 - preforms both tasks correctly.
- 0 - normal.
- 0 - no visual loss.
- 0 - normal symmetrical
movement. 5a. 0 - no drift.
5b. 0 - no drift.
6a. 1- mild drift.
6b. 2 - some efforts against gravity.
- 0 - absent.
- 1 - mild to moderate sensory loss.
- 0 - normal, no aphasia.
- 0 - normal.
- 0 - no abnormality.
Patient 3 - 1a. 0 - alert.
1b. 0 - answers both correctly.
1c. 0 - performs both tasks correctly.
- 0 - normal.
- 0 - no visual loss.
- 1 - minor paralysis.
5a. 0 - no drift.
5b. 0 - no drift.
6a. 1 - drifts, does not
hit bed. 6b. 0 - no drift.
- 1 - present in one limb.
- 1 - mild to moderate sensory loss.
- 0 - normal, no aphasia.
- 0 - normal
- 0 - no abnormality.
Patient 4 - 1a. 0 - alert.
1b. 0 - answers both correctly.
1c. 0 - performs both tasks correctly.
- 0 - normal.
- 0 - no visual loss.
- 1 - minor paralysis.
5a. 1 - drift, does not
hit bed. 5b. 0 - no drift.
6a. 1 - drifts, does not
hit bed. 6b. 0 - no drift.
- 2 - present in two limbs.
- 1 - mild to moderate sensory loss.
- 0 - normal, no aphasia.
- 0 - normal
- 0 - no abnormality.
Patient 5 - 1a. 1 - not alert, but
arousable. 1b. 0 - answers both
correctly.
1c. 0 - performs both tasks correctly.
- 1 - partial gaze palsy.
- 1 - parietal.
- 0 - normal.
5a. 2 - drifts to hit
bed. 5b. 0 - no
drift.
6a. 2 - drifts to hit bed.
6b. 1 - drifts, does not hit bed.
- 2 - present in two limbs.
- 1 - mild to moderate sensory loss.
- 1 - mild to moderate aphasia.
- 1 - mild to moderate dysarthria.
- 0 - no abnormality.
Patient 6 - 1a. 0 - alert.
1b. 1 - answers one correctly.
1c. 0 - performs both tasks correctly.
- 0 - normal.
- 0 - no visual loss.
- 0 - normal.
5a. 0 - no drift.
5b. 1 - drifts, does not
hit bed. 6a. 0 - no drift.
6b. 1 - drifts, does not hit bed.
- 0 - absent.
- 0 - normal/.
- 0 - normal, no aphasia.
- 1 - mild to moderate dysarthria.
- 0 - no abnormality.
NIH Group D
1 - 1a- 1b- 1c- 2- 3- 4- 5a- 5b- 6a- 6b-
3 i'm doing fine -
NIHSS Group E
- Patient 1 - 1a- Updated
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 2 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 3 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 4 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 5 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 6 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- NIH Stroke Scale Group B Patient 1 -
- Patient 1 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 2 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- patient 3 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 4 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 5 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- Patient 6 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 7-
- 8-
- 9-
- 10-
- 11-
- 2 - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- 1a-0 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- 1a-0 1b- 4--alright, no, 81yo -
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- 5--good morning, yes - 1a-
- 1b-
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- 1a-1 1b- 6--er bed; -
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
- 6a-
- 6b-
- 7-
- 8-
- 9-
- 10-
- 11-
- blue eyes - 1a-0 1b- 1--pretty ok, older white man with mustache and
- 1c-
- 2-
- 3-
- 4-
- 5a-
- 5b-
6a-0
6b-0
7-0
8-0
9-0
10-0
11-0
2-- 1,2,3,4,5 and a 1/2 - 1a-0
1b-1
1c-0
2-0
3-0
4-1
5a-0
5b-4
6a-0
6b-3
7-0
8-1
9-1
10-0
11-0
3--comatose black
woman - 1a-2 1b-3
1c-2
2-1
3-2
4-2
5a-0
5b-4
6a-3
6b-4
7-0
8-1
9-3
10-2
11-2
4--white man, silly looking circle head; 67 yo
says 58 - 1a-0 1b-1
1c-0
2-0
3-0
4-2
5a-0
5b-0
6a-0
6b-0
7-0
8-0
9-0
10-1
11-0
4--Lyden, woman, feeling ok, no pain, 2227
woman - 1a-0 1b-1
1c-0
2-0
3-0
4-1
5a-0
5b-0
6a-0
6b-2
7-0
8-1
9-0
10-0
11-0
5--Shaw, white man black female
doctor, - 1a-0 1b-0
1c-0
2-0
3-0
4-0
5a-0
5b-0
6a-0
6b-0
7-0