NIH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Recently Updated 2023

NIH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Recently Updated 2023




NIHSS Group A - Patients 1-6
Patient 1 - 1a. 0 - alert.
1b. 2 - neither correct.
1c. 1 - preforms one task correctly.
2. 0 - normal.
3. 2 - severe.
4. 1- minor paralysis.
5a. 0 - no drift.
5b. 4 - no movement.
6a. 0 - no drift.
6b. 4 - no movement.
7. 1 - present in one limb.
8. 2 - severe or total sensory loss.
9. 2 - severe aphasia.
10. 1 - mild to moderate dysarthria.
11. 1 - complete neglect.


Patient 2 - 1a. 0 - alert.
1b. 0 - answers both correctly.
1c. 0 - preforms both tasks correctly.
2. 0 - normal.
3. 0 - no visual loss.

4. 0 - normal symmetrical movement. 5a. 0 - no drift.
5b. 0 - no drift.
6a. 1- mild drift.
6b. 2 - some efforts against gravity.
7. 0 - absent.
8. 1 - mild to moderate sensory loss.
9. 0 - normal, no aphasia.
10. 0 - normal.
11. 0 - no abnormality.


Patient 3 - 1a. 0 - alert.
1b. 0 - answers both correctly.
1c. 0 - performs both tasks correctly.
2. 0 - normal.
3. 0 - no visual loss.
4. 1 - minor paralysis.
5a. 0 - no drift.
5b. 0 - no drift.
6a. 1 - drifts, does not hit bed. 6b. 0 - no drift.
7. 1 - present in one limb.
8. 1 - mild to moderate sensory loss.
9. 0 - normal, no aphasia.
10. 0 - normal
11. 0 - no abnormality.


Patient 4 - 1a. 0 - alert.
1b. 0 - answers both correctly.

1c. 0 - performs both tasks correctly.
2. 0 - normal.
3. 0 - no visual loss.
4. 1 - minor paralysis.
5a. 1 - drift, does not hit bed. 5b. 0 - no drift.
6a. 1 - drifts, does not hit bed. 6b. 0 - no drift.
7. 2 - present in two limbs.
8. 1 - mild to moderate sensory loss.
9. 0 - normal, no aphasia.
10. 0 - normal
11. 0 - no abnormality.


Patient 5 - 1a. 1 - not alert, but arousable. 1b. 0 - answers both correctly.
1c. 0 - performs both tasks correctly.
2. 1 - partial gaze palsy.
3. 1 - parietal.
4. 0 - normal.
5a. 2 - drifts to hit bed. 5b. 0 - no drift.
6a. 2 - drifts to hit bed.
6b. 1 - drifts, does not hit bed.
7. 2 - present in two limbs.
8. 1 - mild to moderate sensory loss.
9. 1 - mild to moderate aphasia.
10. 1 - mild to moderate dysarthria.
11. 0 - no abnormality.

Patient 6 - 1a. 0 - alert.
1b. 1 - answers one correctly.
1c. 0 - performs both tasks correctly.
2. 0 - normal.
3. 0 - no visual loss.
4. 0 - normal.
5a. 0 - no drift.
5b. 1 - drifts, does not hit bed. 6a. 0 - no drift.
6b. 1 - drifts, does not hit bed.
7. 0 - absent.
8. 0 - normal/.
9. 0 - normal, no aphasia.
10. 1 - mild to moderate dysarthria.
11. 0 - no abnormality.

NIH Group B
1 - 1a-0
1b-0
1c-0
2-0
3-0
4-0
5a-0
5b-0
6a-0
6b-1
7-0
8-1
9-0
10-1
11-0

2 - 1a-0
1b-0

1c-0
2-0
3-0
4-1
5a-3
5b-0
6a-1
6b-0
7-0
8-2
9-0
10-0
11-2

3 i'm doing fine - 1a-0 1b-0
1c-0
2-0
3-0
4-1
5a-0
5b-0
6a-0
6b-0
7-0
8-1
9-0
10-0
11-0

4--alright, no, 81yo - 1a-0 1b-0
1c-0
2-0
3-0
4-0
5a-0
5b-0
6a-3
6b-2
7-0
8-1
9-0
10-1
11-0

5--good morning, yes - 1a-0

1b-2
1c-0
2-0
3-0
4-0
5a-0
5b-0
6a-0
6b-0
7-0
8-1
9-2
10-1
11-0

6--er bed; - 1a-1 1b-1
1c-0
2-0
3-2
4-1
5a-4
5b-0
6a-1
6b-0
7-0
8-2
9-1
10-0
11-2