NEUROSAE 2018 ANNUAL MEETING EDITION (VOLUME 10, ISSUE 3)
QUESTION 7 OF 100
A 68-year-old woman experienced a lacunar stroke in the left internal capsule 3 months ago for which she has had extensive rehabilitation. Before the stroke, she was fully independent and worked as an attorney. She currently can attend to all her daily needs without assistance, walks without a walker, passed a driving test, reports no episodes of falling, and has gone back to work. Examination reveals mild spasticity of the right upper extremity but no significant weakness. Based on her recovery, what is her modified Rankin score?
B. 1 **
** = Your answer
The modified Rankin score is the most common means for assessing disability following a stroke. The scores are as follows: 0 = no deficits; 1 = minor deficits that do not interfere with any aspect of life, including daily and usual activities; 2 = inability to perform an activity as before the stroke; 3 = some assistance needed with activities of daily living; 4 = assistance required with walking; 5 = bedbound; and 6 = death.
* Sulter G, Steen C, De Keyser J. Use of the Barthel index and modified Rankin scale in acute stroke trials. Stroke 1999 Aug;30(8):1538-1541.