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NIH Stroke Scale 2024-2025 Questions And Answers Graded A+
Typology: Exams
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NIH Stroke Scale 2024 - 2025 Questions And Answers Graded A+ What NIHSS measures - ANS-measures severity of symptoms of stroke NIHSS areas of assessment - ANS-Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language Grading scale of NIHSS - ANS-3 or 4 point scale Scores range from 0- 42 Score of >25 - ANS-Very severe stroke on NIHSS scale Score of 15- 24 - ANS-Severe stroke on NIHSS scale
Score of 5- 14 - ANS-Mild to Moderately Severe stroke on NIHSS scale Score of 1- 5 - ANS-Mild stroke on NIHSS scale 1A - Level of consciousness (stimulate, rub, pinch) - ANS- 0
(show me your teeth/gum, lift eyebrows, close eyes as hard as you can)(symmetry of grimace is basis of scoring)
2 - Some effort against gravity 3 - No effort against gravity 4 - No movement 0 - Amputation/joint fusion 6A - Test left leg motor drift (suspend leg at 30 degrees) - ANS- 0 - No drift for 5 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 6B - Test right leg motor drift - ANS- 0 - No drift for 5 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
1 - Mild-moderate aphasia: some obvious changes without significant limitation 2 - Severe aphasia: fragmentary expression, interference needed, cannot identify materials 3 - Mute/global aphasia: no usable speech/auditory comprehension 3 - Coma, unresponsive 10 Test dysarthria (read words: Mama, Tip-top, Fifty-fifty, Thanks, Huckleberry, Baseball player) - ANS- 0 - Normal; no dysarthria 1 - Mild-moderate dysarthria: slurring but can be understood 2 - Severe dysarthria: unintelligible slurring or out of proportion to dysphasia 3 - Mute/anarthric 0 - Intubated/unable to test 11 - Test extinction/inattention (presence of neglect of sensation on L or R or both, ask pt to close eye, ask pt which side is being touch. Wiggle finger on either side of patient R or L or both) - ANS- 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
