NIHSS Group C Flashcards: Patients 1-6

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Questions and Answers

What is the alertness level of Patient 1?

  • Not alert
  • Alert (correct)
  • Comatose
  • Sleepy

How many tasks does Patient 1 perform correctly?

One

What is the main issue with Patient 1's sensory function?

  • Total sensory loss
  • No sensory loss
  • Severe sensory loss (correct)
  • Moderate sensory loss

What is the condition of Patient 2's alertness?

<p>Alert (D)</p> Signup and view all the answers

Does Patient 2 have any visual loss?

<p>No</p> Signup and view all the answers

What type of drift is observed in Patient 3?

<p>Mild drift (A)</p> Signup and view all the answers

What is the condition of Patient 4's sensory function?

<p>Minor loss (D)</p> Signup and view all the answers

What is the alertness level of Patient 5?

<p>Not alert, but arousable</p> Signup and view all the answers

What abnormality does Patient 6 have?

<p>No abnormality (B)</p> Signup and view all the answers

Flashcards

Alertness

Fully conscious and responsive.

Sensory Loss

Impairment or absence of the ability to sense stimuli.

Drift

An involuntary deviation of a body part from its intended position.

Arousable

Capable of being awakened with stimulation.

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No abnormality

No deviations from what is considered normal or healthy.

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Study Notes

Patient 1

  • Fully alert with a score of 0.
  • Incorrect responses to two questions, scoring 2 for comprehension.
  • Performs one task correctly, scoring 1 for performance.
  • Overall neurological examination reflects severe impairment with a score of 2 on the NIHSS scale for consciousness and a total score of 11.

Patient 2

  • Alert and fully oriented, scoring 0 on all tasks.
  • No visual loss or abnormalities in movement, indicating normal functionality.
  • Displays mild sensory loss in one limb, scoring 1, but overall shows no motor drift or paralysis, contributing to a total score of 3.

Patient 3

  • Alert with a score of 0 and accurately answers questions.
  • Exhibits a minor level of paralysis, scoring 1; otherwise, mobility is intact.
  • Sensory loss noted as mild to moderate, with a total NIHSS score of 4.

Patient 4

  • Remains alert and correctly answers questions.
  • Displays minor paralysis, with drift present in both arms but not hitting the bed, scoring 1 for arm movement.
  • Sensory assessment reveals mild to moderate loss while maintaining a total score of 4.

Patient 5

  • Not fully alert but arousable, scoring 1 for consciousness.
  • Displays partial gaze palsy, indicating some neurological impairment.
  • Multiple limbs affected, with significant drift noted, resulting in a higher total score of 10 due to combined sensory and motor deficits.

Patient 6

  • Fully alert, scoring 0 for consciousness evaluation.
  • Responses indicate some impairments, shown by a score of 1 for correct answers.
  • Exhibits mild to moderate dysarthria, while limb movement shows mild drift, contributing to a total score of 3.

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