Neuro

Question 1

NIHSS Level of Consciousness scoring

Answer 1

0 - alert
1 - drowsy
2 - stupor
3 - coma

Question 2

NIHSS LOC Questions Scoring

Answer 2

Ask Month and Age
0 - Both right
1 - One right
2 - None right

Question 3

NIHSS LOC Commands and Scoring

Answer 3

Open/close eyes, make a fist, let go
0 - Obeys both
1 - One correct
2 - None correct

Question 4

NIHSS Best Gaze

Answer 4

Eyes open - pt follows examiner’s fingers or face
0 - normal
1 - partial gaze palsy
2 - forced deviation

Question 5

NIHSS Visual Scoring

Answer 5

Introduce visual stimulus to pt’s visual field quadrants. Cover 1 eye and hold up fingers in all 4 quadrants.
0 - no visual loss
1 - partial hemianopsia
2 - complete hemianopsia
3 - bilateral hemianopsia

Question 6

NIHSS Facial Palsy and Scoring

Answer 6

Show teeth, raise eyebrows and squeeze eyes tightly shut.
0 - normal
1 - minor
2 - partial
3 - completely

Question 7

NIHSS motor arm left and right and scoring (score for each arm)

Answer 7

Elevate extremity to 90 degrees and score drift. Count to 10.
0 - no drift
1 - drift
2- can’t resist gravity
3 - no effort against gravity
4 - no movement at all

Question 8

NIHSS Motor Leg and Scoring (score for each leg)

Answer 8

Leg to 30 degrees. Count to 5.
0 - normal
1 - drift
2 - can’t resist gravity
3 - no effort against gravity
4 - no movement

Question 9

NIHSS Limb Ataxia and Scoring

Answer 9

Finger to nose, heal down shin
0 - absent
1 - one limb
2 - two limbs

Question 10

NIHSS Sensory and Scoring

Answer 10

Pin prick to face, arms, trunk and legs. Compare sharpness side to side
0 - normal
1 - pain loss
2 - severe loss/numb