NIH Stroke Scale 2023 Exam Questions with Complete Solutions

NIH Stroke Scale 2023 Exam Questions with Complete Solutions How many items on the NIH stroke scale? - ANSWER 11 NIH Stroke scale is - ANSWER an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) - ANSWER levels of: consciousness vision motor function (facial and extremities) cerebellar function sensation language extinction or inattention NIH SS is used to measure patient's status after a stroke and to assess the outcome after - ANSWER treatment Should the patient be coached? Should you go back and rethink a particular assessment? - ANSWER NO Having what when using NIH scale is important? - ANSWER reference materials DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY - ANSWER rate only what they actually do use patient"s first response? - ANSWER YES - DO NOT USE SUMMARY OF RESPONSES re ataxia score 1-if real weak, assume ataxia score is... 2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test, that's probably... 3) Important to know if ataxia is present or not and if present in _____ or _______ limbs 4) if patient very weak or paralyzed, the ataxia score is... - ANSWER 1) 0 2) ataxia 3) 1 or 2 4) 0 You should only score loss of sensation if you can really demonstrate... - ANSWER that they have loss of sensation if patient has sensory loss from neuropathy, do you count thatt? - ANSWER no, but you do if there's loss on top of the neuropathy aphasia is difficult because it can take a while to go through the battery and it can be subjective as to whether it is one of which classification? - ANSWER mild, mod, severe start to recognise aphasia when you meet them and start talking and you don't get a history of... - ANSWER what happened dysarthria is interesting because there are many cultural things about slurred ________? - ANSWER speech. Score is associated with prognosis? - ANSWER YES Is NIH scale a measure of disability? - ANSWER NO. The NIH scale is a measure of impairments. The NIH scale creates a common currency so that everybody understands the patient's level of... - ANSWER deficit, by giving a number that communicates to other professionals how sick the patient is how much time to budget to perorm NIH scale - ANSWER 7-10 mins What effort should be recorded? Do not do what? - ANSWER The patient's first effort. Don't go back and change scores. IMPORTANT CONVENTIONS IN ADMINISTRATION: Administer scale items in their exact ______ -Avoid ______ing patient -Accept patient's _______ effort -Score only what the patient _______ -Be consistent -Include all _________s into scoring, including those that may be from _________s ______s - ANSWER -order -coaching -first -does -Be consistent -previous strokes ITEM 1a and how to get it - ANSWER -examiner's overall impression of patient alertness -ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping, occasionally pinching