Nih Stroke Scale All Test Groups A-F (Patients 1-6) Answer Key Updated Spring 2023 By Dr.a

How to assess facial palsy? {Ans: Ask - or use pantomime to encourage - the patient to show teeth or raise eyebrows and close eyes. Score symmetry of grimace in response to noxious stimuli in the poorly responsive or non-comprehending patient.}How to assess motor arm and leg? {Ans: The limb is placed in the appropriate position: extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds. The aphasic patient is encouraged using urgency in the voice and pantomime, but not noxious stimulation. Each limb is tested in turn, beginning with the non-paretic arm.}How to assess limb ataxia? {Ans: This item is aimed at finding evidence of a unilateral cerebellar lesion. Test with eyes open. In case of visual defect, ensure testing is done in intact visual field. The finger-nose-finger and heel-shin tests are performed on both sides, and ataxia is scored only if present out of proportion to weakness. Ataxia is absent in the patient who cannot understand or is paralyzed.}How to assess best gaze? {Ans: Only horizontal eye movements will be tested. Voluntary or reflexive (oculocephalic) eye movements will be scored,