NIH quiz Complete Guide With Complete Accurate Answers.

It is important to administer the stroke scale items in the order they are listed on the exam. True False - correct answer True If the patient does not understand the stroke scale item, the examiner may repeat requests to patient to make a special effort. True False - correct answer False For the LOC item of the scale: The investigator must choose a response if a full evaluation is prevented by which of the following? use of hearing aids endotracheal tube/language barrier laryngospasm or cough trauma to the chest - correct answer endotracheal tube/language barrier Under the LOC section, questions include asking the patient the month and his/her age. Which of the following is TRUE? Patients, those with aphasia or are stuporous, who do not comprehend the questions are not testable. Partial credit is given for being close with answers. It is important that only the initial answer be graded. Most stroke patients score a 2. - correct answer It is important that only the initial answer be graded. The investigator gives a verbal command to assess the patient's motor response. Which of the following is TRUE? The verbal command response is also an assessment in the Glasgow Coma Scale. If the patient does not respond to the command, you can give the command until they do. If unable to assess with the standard hand grip command, we can not asses the verbal command item. If the patient does not respond to the command, you can draw them a picture and grade this response. - correct answer The verbal command response is also an assessment in the Glasgow Coma Scale. Which of the following is TRUE when performing the best gaze item? Establishing eye contact and then moving about the patient from side to side is testing CN III, IV, and VI. Patients with a visual fields disorder are tested with voluntary movements. Best gaze is not testable in aphasic patients. Vertical and horizontal eye movements are tested. - correct answer Establishing eye contact and then moving about the patient from side to side is testing CN III, IV, and VI. Visual fields are testing CN II. The investigator tests by confrontation for all upper and lower fields. Which of the following is TRUE? Patients are not to be encouraged during this test. If the patient has unilateral blindness or has an enucleation, it is not necessary to test the other eye. The investigator will use finger counting or visual threat to test. Superior and inferior fields are the only fields tested. - correct answer The investigator will use finger counting or visual threat to test. Which of the following is TRUE regarding the facial palsy testing? We test CN VII and XII when assessing facial palsy. CN V is tested by palpating the masseter muscle. CN VII is tested by pantomiming the facial expressions We are not able to test a patient that does not comprehend commands. - correct answer CN VII is tested by pantomiming the facial expressions The motor arm item is tested by assessing the drift of one arm at a time after proper arm positioning. Which of the following is TRUE? The aphasic patient is encouraged using urgency in the voice and pantomime, but not noxious stimulation. Arms are positioned at 45 degrees if sitting and 90 degrees if supine. There is a separate scale for those with an amputated arm. Drift is scored if the arm falls between 5-10 seconds. - correct answer The aphasic patient is encouraged using urgency in the voice and pantomime, but not noxious stimulation. Testing of the lower limbs for motor strength is similar to the motor arm test. Which of the following is TRUE? The leg is positioned at 45 degrees while prone. The motor leg test is always done while sitting. If necessary, the examiner may use noxious stimuli to test this item. Drift is scored if the limb falls before 5 seconds. - correct answer Drift is scored if the limb falls before 5 seconds. Heel to shin tests what - correct answer limb ataxia