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5 Cards in this Set
- Front
- Back
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Which is incorrect regarding the National Institute of Health Stroke Scale (NIHSS)?
A. It is composed of 12 items B. It's maximum score is 42 C. It is a reliable predictor of stroke lesion volume. D. A score > 16 = strong probability of death. |
A. 11
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Which is incorrect regarding the NIHSS ?
A. It has a high inter-examiner reliability B. A baseline score < 8 = strong probability of recovery C. A score > 16 = moderate -severe stroke D. Level of consciousness has 3 components : Responsiveness, Questions and Commands. |
B. < 6
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Which is not a category of the NIHSS?
A. Horizontal eye movements for gaze palsy B. Sensory assessment C. Language D. Visual acuity |
D. Visual fields
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List 5 of the 11 components of the NIHSS.
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1. Responsiveness
a. alertness b. questions (month/age) c. commands 2. Horizontal eye movements-gaze palsy 3. Visual field testing 4. Facial palsy 5. Motor: arms 6. Motor: legs 7. Limb ataxia -finger-nose 8. Sensory -pinprick 9. Language -aphasia testing 10. Dysarthria - slurred speech testing 11. Inattention unilaterally - visual / tactile |
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What are the important scores to know in the NIHSS?
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Score < 6 = strong likelihood of recovery
Score > 16 = moderate-severe ( strong probability of death) Score > 22 = severe stroke ( caution with thrombolysis) Score > 25 = severe stroke ( exclusion for thrombolysis between 3.0 -4.5 hours post stroke onset) |
