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It outlines step-by-step instructions for each item, including level of consciousness procedures, gaze and visual field testing, facial weakness evaluation, motor function for arms and legs, limb ataxia maneuvers, sensory symmetry checks, language and reading tasks, dysarthria word repetition, and extinction/inattention testing on face, forearms, and lower legs. Suitable for fast, consistent bedside administration.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/nihss-cheat-sheet/572222/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/nihss-cheat-sheet/572222.png","ImageObject",442,249,{"name":88,"@type":89},"Stanford","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-17","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How do you assess level of consciousness (NIHSS 1a-1c)?","Question",{"text":108,"@type":109},"Introduce yourself and ask how patient is (1a). For 1b, ask month and age and require exact correctness. For 1c, request eye opening/closing and ask for grip/release of the non-paretic hand.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What does NIHSS visual testing include (items 2 and 3)?",{"text":113,"@type":109},"Best gaze (2) is tested by moving a finger horizontally in front of the patient’s line of vision. Visual field testing (3) uses peripheral finger wiggles in four quadrants; if tracking is impossible, use a visual threat test, and test each eye individually if abnormal.",{"name":115,"@type":106,"acceptedAnswer":116},"How is sensory and neglect/extinction tested (items 8 and 11)?",{"text":117,"@type":109},"Sensory (8) uses gentle pricks with eyes open, comparing face, then inner forearms, then inner lower leg for symmetry. Extinction/inattention (11) has the patient’s eyes closed, touch one side of the face first to localize, test each side, then touch both at the same time; repeat on inner forearms and lower legs.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},572222,1792091459,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":4},2336477552062,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","# NIHSS“Cheat Sheet”\n\n\n| Scale   | Category and Description   |\n| --- | --- |\n| 1a   | Level of Consciousness  \u003Cbr>Introduce yourself and ask how patient is?   |\n| 1b   | Level of Consciousness Questions  \u003Cbr>Ask patient what month it is and their age.  \u003Cbr>Patient must be exactly right.   |\n| 1c   | Level of Consciousness Commands  \u003Cbr>Ask patient to open/close eyes and then grip/release non-paretic hand.   |\n| 2   | Best Gaze  \u003Cbr>Test visual gaze by moving finger horizontally in front of patient's line of vision.   |\n| 3   | Visual Field Testing  \u003Cbr>Have patient look at your nose,and wiggle fingers in 4 quadrants of peripheral vision (2  \u003Cbr>upper and 2 lower).If abnormal,perform with on each eye individually.  \u003Cbr>If unable to track finger,use visual threat to test.   |\n| 4   | Facial Paresis  \u003Cbr>Ask patient to show teeth/smile,squeeze eyes shut,and raise eyebrows.   |\n| 5a   | Motor Function-Left Arm  \u003Cbr>Hold your left arm up(at 90 degree angle)for 10 seconds-eyes open.  \u003Cbr>Count using verbal and visual cues.  \u003Cbr>(If unable to hold arm up,can they move at the shoulder?)   |\n| 5b   | Motor Function-Right Arm  \u003Cbr>Hold your right arm up(at 90 degree angle)for 10 seconds-eyes open.  \u003Cbr>Count using verbal and visual cues.  \u003Cbr>(If unable to hold arm up,can the move at the shoulder?)   |\n| 6a   | Motor Function-Left Leg  \u003Cbr>Hold your left leg up(at 30 degree angle)for 5 seconds-eyes open.  \u003Cbr>Count using verbal and visual cues.  \u003Cbr>(If unable to hold leg up,can the move at the hip?)   |\n| 6b   | Motor Function-Right Leg  \u003Cbr>Hold your right leg up(at 30 degree angle)for 5 seconds-eyes open.  \u003Cbr>Count using verbal and visual cues.  \u003Cbr>(If unable to hold leg up,can the move at the hip?)   |\n| 7   | Limb Ataxia  \u003Cbr>*Holding your fingertip about arms length from patient,have pt touch his nose,then your  \u003Cbr>finger 3 times on each arm.  \u003Cbr>*Have patient put their heel on their shin and slide it straight down to the ankle level,then  \u003Cbr>back to the knee.   |\n| 8   | Sensory  \u003Cbr>Using a safety pin,gently prick patient on face with eyes open-does it feel the same.  \u003Cbr>Repeat on inner forearms,then inner lower leg.   |\n| 9   | Best Language  \u003Cbr>*Show patient dishwashing scene and ask them to tell you what is going on in the picture.  \u003Cbr>*Show patient card with pictures and ask them to identify the objects.(If unable to list,ask  \u003Cbr>them to point to each object)  \u003Cbr>*Ask patient to read sentences on card.   |\n| 10   | Dysarthria  \u003Cbr>Ask patient to repeat listed words on final cue cards(Ma-Ma,…).   |\n| 11   | Extinction and Inattention(Neglect)  \u003Cbr>With eyes closed,touch patient on one side of face and have them tell you where they are  \u003Cbr>being touched.Test each side then both at the same time.  \u003Cbr>Repeat on inner forearms and lower legs.   |","cbCaindPfKSCSTbe","https://ap.wps.com/l/cbCaindPfKSCSTbe","pdf",644546,"English","# NIHSS Assessment Steps\n## Level of Consciousness\n## Best Gaze\n## Visual Field Testing\n## Facial Paresis\n## Motor Function\n## Limb Ataxia\n## Sensory\n## Best Language\n## Dysarthria\n## Extinction and Inattention (Neglect)","[{\"question\":\"How do you assess level of consciousness (NIHSS 1a-1c)?\",\"answer\":\"Introduce yourself and ask how patient is (1a). For 1b, ask month and age and require exact correctness. For 1c, request eye opening/closing and ask for grip/release of the non-paretic hand.\"},{\"question\":\"What does NIHSS visual testing include (items 2 and 3)?\",\"answer\":\"Best gaze (2) is tested by moving a finger horizontally in front of the patient’s line of vision. Visual field testing (3) uses peripheral finger wiggles in four quadrants; if tracking is impossible, use a visual threat test, and test each eye individually if abnormal.\"},{\"question\":\"How is sensory and neglect/extinction tested (items 8 and 11)?\",\"answer\":\"Sensory (8) uses gentle pricks with eyes open, comparing face, then inner forearms, then inner lower leg for symmetry. Extinction/inattention (11) has the patient’s eyes closed, touch one side of the face first to localize, test each side, then touch both at the same time; repeat on inner forearms and lower legs.\"}]","NIHSS - Cheat Sheet | PDF",1791926233]