OLOL NIHSS stroke

Question 1

this is the first card I made with brainscape

Answer 1

and this is the first answer, hooray

Question 2

it is important to not do this, as it could confound the result of the score of the stroke scale

Answer 2

coach the patient

Question 3

what is the definition of ataxia?

Answer 3

the loss of full control of bodily movements

Question 4

what is the definition of dysarthria?

Answer 4

difficult or unclear articulation of speech that is otherwise linguistically normal

Question 5

what is the definition of aphasia?

Answer 5

loss of ability to understand or express speech, caused by brain damage.

Question 6

when scoring a patient, it is important that you score them by what they do, and not this

Answer 6

what you think they can do

Question 7

the first thing that is determined by the stroke scale is what?

Answer 7

level of consciousness

Question 8

a fully alert patient will have a score of what for LOC?

Answer 8

0

zero

Question 9

a patient who is not alert but is able to be aroused with verbal stimulation will have a score of what for LOC?

Answer 9

1

Question 10

a patient who is basically in a coma, unresponsive, or only makes reflex movements will have a score of what for LOC?

Answer 10

3

Question 11

the second item for the stroke scale is what

Answer 11

ability to correctly state their age and current month

Question 12

if a patient is able to state both their age and the month, they receive a score of what

Answer 12

0

Question 13

for the second item of the stroke scale LOC, if they are aphasic, have an ET tube, or are otherwise unable to communicate, what would their score be?

Answer 13

1

Question 14

for the second 1B item of the stroke scale LOC, if the patient is not able to state their name or their age, they receive a score of

Answer 14

2

Question 15

of a patient states their date of birth instead of their age, is that considered a wrong answer?

Answer 15

yes, it is wrong

Question 16

if a person answers a question wrong and then changes their answer, is it still considered wrong?

Answer 16

yes

Question 17

if a person cannot speak, is it acceptable to let them write answers down?

Answer 17

yes

Question 18

item 1C of the stoke scale consists of two commands, what are they?
How are they scored?

Answer 18

1. open and close your eyes
2. make a fist and then open it
   both correct = a score of zero
   one correct = one
   both incorrect = 2
   you may use demonstration along with your verbal commands

Question 19

For item 1C, if a patient makes an effort to follow the command but is unable, what is the score and why

Answer 19

it is scored as a correct answer. The main idea is to determine if the patient is able to comprehend the command

Question 20

the second item on the stroke scale is what

Answer 20

the best gaze

Question 21

When scoring the Best Gave, a patient that is able to track your finger with their eyes will score what?
partial gaze palsy?
forced deviation?

Answer 21

0
1
2

Question 22

the third item tests what?

Answer 22

both visual field individually

Question 23

how is the third item performed?

Answer 23

cover one eye and have them count fingers in all four quadrants of peripheral vision.
“look at my nose and tell me how many fingers am I holding up?”

Question 24

how is the third item scored?

Answer 24

0 = no visual loss
1 = partial hemiopia
2 = complete hemiopia
3 = bilateral hemiopia (blind including cortical blindness)

Question 25

the fourth item of the stroke scale measures what and what are the questions?

Answer 25

facial palsy
show me your teeth/gums
close your eyes as tight as you can
raise your eyebrows

Question 26

how is the fourth item, facial palsy, scored?

Answer 26

0= normal
1 = minor paralysis
2 = partial paralysis
3= complete paralysis

Question 27

what is the 5th item in the stroke scale?

how is it performed?

Answer 27

Motor arm

position the patients arm and count to 10 and see if the patient can hold it there for the entire count.

Question 28

how is the 5th item, motor drift, scored?

Answer 28

0 = no drift
1 = drift
2 = some effort against gravity 
3 = no effort against gravity 
4 = no movement

Question 29

the 6th item in the stroke scale is what?

how is it performed?

Answer 29

motor leg

Have the patient hold up one leg and then the other, for a total of 5 seconds

Question 30

when doing the 5th and 6th item, what should you do while you count?

Answer 30

count with your fingers in full view of the patient so they get both visual and verbal input

Question 31

what is the definition of ataxia?

Answer 31

the loss of full control of all body movements

Question 32

the 7th item, Limb Ataxia, is performed how, and how is it scored

Answer 32

ask the patient to touch your finger, then their nose, then your finger, then ask the patient to run one heel up and down the opposite leg from knee to foot
0 = ataxia absent
1 = present in one limb
2 = present in two limbs

Question 33

what is the 8th item of the stroke scale and how is it performed

Answer 33

sensory perception
using only a pin, touch the face, hands, legs, and have the patient tell you if one side is sharper or duller.

If the patient is not arousable, use nail bed pressure

Question 34

how is the 8th item, sensory perception, scored?

Answer 34

0 = normal
1 = mild to moderate sensory loss
2 = severe or total sensory loss

Question 35

what is the 9th item of the stroke scale and how is it performed

Answer 35

Best Language
ask the patient to name the items on the provided card.
Have the patient read the phrases on the card, and say what is going on in the scene.

Question 36

how is the 9th item, Best Language, scored?

Answer 36

0 = no aphasia
1 = mild to moderate aphasia
2 = severe aphasia

Question 37

what is the 10th item of the stroke scale and how is it performed?

Answer 37

ask the patient to pronounce the words on the card.
This part of the scale is untestable if the patient has an ET tube or is unable to speak. If the patient cannot read you may ask them to repeat the words after you.

Question 38

how is the 10th item scored?

Answer 38

0 = Normal 
1 = mild to moderate slurring 
2 = Severe slurring

Question 39

what is the 11th and last item in the stroke scale and how it performed?

Answer 39

Extinction and Inattention
Patient closes eyes, touch one side of the face and then the other and have them say what side you touched. Right left or both.
Hold up both of your hands and move one of them or both. Have the patient tell you which one or both was moved.

Question 40

How is the 11th item, Extinction and Inattention, scored?

Answer 40

0 = no abnormality
1 = Visual, tactile, auditory, spatial, or personal attention. 
2 = Profound hemi-inattention or extinction to more than one modality