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Normal symmetry 0. Minor paralysis (flat nasolabial fold, smile asymmetry) +1. Partial paralysis (lower face) +2. Unilateral complete paralysis (upper/lower face) +3. Bilateral complete paralysis (upper/lower face) +3. 5A: Left arm motor drift. Count out loud and use your fingers to show the patient your count.

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1 NIHSS Patient 1-6 Answer Key. 2 Stroke Scale Certification – Group A – Patient 1. 3 Stroke Scale Certification – Group A – Patient 2. 4 Stroke Scale Certification – Group A – Patient 3. 5 Stroke Scale Certification – Group A – Patient 4. 6 Stroke Scale Certification – Group A – Patient 5.

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