NIHSS Certification Test Answers and Patient Assessments

GROUP A I. Patient 1 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 1 5a- 3 5b- 0 6a- 1 6b- 0 7- 1 8- 2 9- 0 10- 0 11- 1 II. IV. Patient 3 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 1 Patient 4 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 1 5a- 0 5b- 0 6a- 0 6b- 0 7- 0 8- 1 9- 0 10- 0 11- 0 Patient 2 1a- 0 1b- 2 1c- 0 2- 0 3- 0 4- 1 5a- 0 5b- 0 6a- 0 6b- 0 7- 0 8- 1 9- 2 10- 1 11- 0 III. 5a- 0 5b- 0 6a- 2 6b- 2 7- 0 8- 1 9- 0 10- 1 11- 0 V. Patient 5 1a- 0 1b- 1 1c- 0 2- 0 3- 2 4- 2 5a- 4 5b- 0 6a- 1 6b- 0 7- 1 8- 1 9- 1 10- 0 11- 1 VI. Patient 6 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 0 5a- 0 5b- 0 6a- 0 6b- 1 7- 0 8- 1 9- 0 10- 0 11- 0 3- 0 4- 1 5a- 0 5b- 0 6a- 0 6b- 2 7- 0 8- 1 9- 0 10- 1 11- 0 III. 1a- 0 1b- 1 1c- 0 2- 0 3- 0 4- 3 5a- 0 5b- 0 6a- 0 6b- 0 7- 0 8- 0 9- 0 10- 1 11- 0 GROUP B I. Patient 1 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- 1 II. Patient 2 1a- 0 1b- 1 1c- 0 2- 0 Patient 3 IV. Patient 4 1a- 3 1b- 2 1c- 2 2- 2 3- 2 4- 2 5a- 0 5b- 4 6a- 2 6b- 4 7- 0 8- 1 9- 3 10- 2 11- 2 V. Patient 5 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 0 5a- 0 5b- 0 6a- 1 6b- 0 7- 1 8- 1 9- 0 10- 0 11- 1 VI. II. GROUP C Patient 1 1a. 0 - alert. 1b. 2 - neither correct. 1c. 1 - preforms one task Patient 2 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - preforms both tasks correctly. 2. 0 - normal. 3. 0 - no visual loss. 4. 0 - normal symmetrical movement. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1- mild drift. 6b. 2 - some efforts against gravity. 7. 0 - absent. 8. 1 - mild to moderate sensory loss. 9. 0 - normal, no aphasia. 10. 0 - normal. 11. 0 - no abnormality Patient 6 1a- 0 1b- 0 1c- 0 2- 0 3- 0 4- 0 5a- 0 5b- 0 6a- 0 6b- 1 7- 0 8- 1 9- 0 10- 0 11- 0 I. correctly. 2. 0 - normal. 3. 2 - severe. 4. 1- minor paralysis. 5a. 0 - no drift. 5b. 4 - no movement. 6a. 0 - no drift. 6b. 4 - no movement. 7. 1 - present in one limb. 8. 2 - severe or total sensory loss. 9. 2 - severe aphasia. 10. 1 - mild to moderate dysarthria. 11. 1 - complete neglect. III. Patient 3 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly. 2. 0 - normal. 3. 0 - no visual loss. 4. 1 - minor paralysis. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1 - drifts, does not hit bed. 6b. 0 - no drift. 7. 1 - present in one limb. 8. 1 - mild to moderate sensory loss. 9. 0 - normal, no aphasia. 10. 0 - normal 11. 0 - no abnormality IV. Patient 4 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly. 2. 0 - normal. 3. 0 - no visual loss. 4. 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. 7. 2 - present in two limbs. 8. 1 - mild to moderate sensory loss. 9. 0 - normal, no aphasia. 10. 0 - normal 11. 0 - no abnormality V. Patient 5 1a. 1 - not alert, but arousable. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly. 2. 1 - partial gaze palsy. 3. 1 - parietal. 4. 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. 7. 2 - present in two limbs. 8. 1 - mild to moderate sensory loss. 9. 1 - mild to moderate aphasia. 10. 1 - mild to moderate dysarthria. 11. 0 - no abnormality VI. Patient 6 1a. 0 - alert. 1b. 1 - answers one correctly. 1c. 0 - performs both tasks correctly. 2. 0 - normal. 3. 0 - no visual loss. 4. 0 - normal. 5a. 0 - no drift. 5b. 1 - drifts, does not hit bed. 6a. 0 - no drift. 6b. 1 - drifts, does not hit bed. 7. 0 - absent. 8. 0 - normal/. 9. 0 - normal, no aphasia. 10. 1 - mild to moderate dysarthria. 11. 0 - no abnormality.