Case Steven Q6: For the patient’s symptoms of acute onset right-sided weakness (severe for the hand and mild for the leg) and slurred speech, what is the NIHSS score?

Case Steven Q6: For the patient’s symptoms of acute onset right-sided weakness (severe for the hand and mild for the leg) and slurred speech, what is the NIHSS score?

Case Steven Q6: For the patient's symptoms of acute onset right-sided weakness (severe for the hand and mild for the leg) and slurred speech, what is the NIHSS score?

Correct answer is B: 8 The NIH Stroke Scale (NIHSS) is a tool used to quantify the impairment caused by a stroke. Based on the patient's symptoms: Level of Consciousness: Assuming the patient is alert and responsive, this would score 0. Best Gaze: If there is no gaze deviation, this would score 0. Visual Fields: If there are no visual field deficits, this would score 0. Facial Palsy: Assuming no facial droop, this would score 0. Motor Arm (Right): Severe weakness in the right hand could score 3 (no effort against gravity). Motor Leg (Right): Mild weakness in the right leg could score 1 (drifts but does not hit the bed). Limb Ataxia: Assuming no ataxia, this would score 0. Sensory: Assuming no sensory loss, this would score 0. Best Language: Slurred speech indicates moderate aphasia, which could score 2. Dysarthria: Slurred speech also scores here, likely a 1 (mild to moderate dysarthria). Extinction and Inattention: Assuming no neglect, this would score 0.

Verified by Dr. Petya Stefanova