NIH Stroke Scale Test 2 Questions with Answers

NIH Stroke Scale Test 2 Questions with Answers Part 4 - Answer-*FACE* - Ask patient to smile and raise eyebrows. If obtunded, use grimace to pain. 1 = mild asymmetry (nasolabial field flattened) 2 = lower facial droop 3 = complete paralysis of 1 or both sides of face including upper face Part 5-6 - Answer-*MOTOR STRENGTH* *5a and b* = *Arm strength* via raise each arm to 45 degrees if supine, 90 degrees if sitting. 0 = no drift 1 = mild drift w/o hitting bed 2 = limb drifts down to bed before 10 secs (arm) or 5 seconds (leg) 3 = no effort against gravity 4 = no movement at all *UN - amputation or joint fusion, document why *6a and 6b = Leg strength* via raise each leg to 30 degrees (supine). 0 = no drift 1 = mild w/o hitting bed 2 = limb drifts down to bed before 10 sec (arm) or 5 sec (leg) 3 = no effort against gravity 4 = no movement at all *UN - amputation or joint fusion, document why Most strokes are _____. Weakness is greater _____ than ______. - Answer-*Cortical*, weaker proximally than distally Part 7 - Answer-*LIMB ATAXIA* Test finger to nose and heel to shin. Only scored if positive. 0 = absent or patient is comatose or paralyzed 1 = ataxia in one limb 2 = present in both limbs *UN if amputation or joint effusion, explain Part 8 - Answer-*SENSORY* Test pinprick w safety pin in all four limbs 0 = normal, no sensory loss 1 = mild-mod sensory loss. Patient usually aware of being touched on hemisensory loss side. 2 = severe or total sensory loss; not aware