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NIHSS Group A Version 5
Patient 1 Score Rationales 1a. Level of Consciousness: 0 The patient is alert and keenly responsive, requiring no stimulation to interact with the examiner. 1b. LOC Questions: 0 Answers both the month and the patient's age correctly. 1c. LOC Commands: 0 Performs both tasks (open/close eyes, grip/release hand) correctly.
2. Best Gaze: 0 Normal horizontal eye movements with no conjugate deviation. 3. Visual: 0 No visual loss detected on confrontation testing. 4. Facial Palsy: 1 Minor paralysis, evidenced by a flattened nasolabial fold and asymmetry when smiling. 5a. Motor Arm Left: 3 No effort against gravity; the limb falls with no movement. 5b. Motor Arm Right: 0 No drift; the limb holds at 90 degrees for the full 10 seconds.
6a. Motor Leg Left: 1 Drift; the leg falls by the end of the 5-second period but does not hit the bed. 6b. Motor Leg Right: 0 No drift; the leg holds at 30 degrees for the full 5 seconds.
7. Limb Ataxia: 0 No ataxia present, or the deficit is fully explained by weakness. 8. Sensory: 0 (or 2 depending on source) Most verified sources score this as 0 (normal sensation). Some sources indicate a score of 2, which would imply severe sensory loss. 9. Best Language: 0 Normal language function; no aphasia. 10. Dysarthria: 0 Normal articulation; no slurred speech. 11. Extinction/Inattention: 1 Shows extinction or inattention to one sensory modality in one hemispace (e.g., left-sided neglect on double simultaneous stimulation). Patient 2 Score Rationales 1a. Level of Consciousness: 0 Alert and fully responsive. 1b. LOC Questions: 2 Answers neither question correctly. Some sources state a score of 1, indicating one correct answer. The 2025/2026 BlueCloud answer key consistently shows a score of 2.
10. Dysarthria: 1 Mild-to-moderate dysarthria; speech is slurred but intelligible. 11. Extinction/Inattention: 0 No neglect or inattention. Patient 3 Score Rationales 1a. Level of Consciousness: 0 Alert. 1b. LOC Questions: 0 Answers both questions correctly. 1c. LOC Commands: 0 Performs both commands correctly. 2. Best Gaze: 1 Partial gaze palsy. 3. Visual: 1 Partial hemianopia. 4. Facial Palsy: 1 Minor paralysis (asymmetric smile). 5a. Motor Arm Left: 1 Drift; arm falls before 10 seconds but does not hit the bed. 5b. Motor Arm Right: 0 No drift.
6a. Motor Leg Left: 0 (or 3 depending on source) Most sources score this as 0 (no drift). Some sources report a score of 3, indicating no effort against gravity. 6b. Motor Leg Right: 0 (or 2 depending on source) Most sources score this as 0 (no drift). Some sources report a score of 2, indicating the leg drifts and hits the bed.
7. Limb Ataxia: 0 No ataxia. 8. Sensory: 0 Normal sensation. 9. Best Language: 0 Normal language. 10. Dysarthria: 1 Mild-to-moderate dysarthria. 11. Extinction/Inattention: 0 No neglect. Patient 4 Score Rationales 1a. Level of Consciousness: 0 Alert. 1b. LOC Questions: 0 Answers both questions correctly. 1c. LOC Commands: 0 Performs both commands correctly.
11. Extinction/Inattention: 0 No neglect. Patient 5 Score Rationales 1a. Level of Consciousness: 0 Alert. 1b. LOC Questions: 1 Answers one question correctly (month correct, age incorrect). 1c. LOC Commands: 0 Performs both commands correctly. 2. Best Gaze: 0 Normal. 3. Visual: 0 (or 2 depending on source) Most sources score this as 0 (no visual loss). Some sources indicate a score of 2, which would be a profound visual loss. 4. Facial Palsy: 1 Minor paralysis. 5a. Motor Arm Left: 0 No drift. 5b. Motor Arm Right: 3 No effort against gravity; the limb falls with no movement. 6a. Motor Leg Left: 0 No drift.
6b. Motor Leg Right: 3 No effort against gravity; the limb falls with no movement.
7. Limb Ataxia: 0 No ataxia. 8. Sensory: 0 Normal sensation. 9. Best Language: 0 Normal language. 10. Dysarthria: 1 Mild-to-moderate dysarthria. 11. Extinction/Inattention: 0 No neglect. Patient 6 Score Rationales 1a. Level of Consciousness: 0 Alert. 1b. LOC Questions: 0 Answers both questions correctly. 1c. LOC Commands: 0 Performs both commands correctly. 2. Best Gaze: 0 Normal. 3. Visual: 0 Normal.
