Mon22November0200PM 6

Are the following Glasgow coma scale (GCS) scores appropriately matched to the patient description?

True / False

GCS of 14 in a patient, who opens eyes spontaneously, is orientated and localises to pain Correct

GCS of 10 in a patient, who opens eyes to voice, localises to pain and gives a confused conversation Correct

GCS of 9 in a patient who demonstrates a decorticate posture, make incomprehensible sounds and opens eyes to a painful stimulus Correct

GCS of 8 in a patient, who opens eyes to pain, makes incomprehensible sounds and demonstrates normal flexion (withdrawal) Correct

GCS of 4 in a decerebrate patient who makes no eye opening and no verbal response Correct

Explanation

The Glasgow coma score is marked out of 15 as a high score and 3 as a lowest score.

It comprises motor, verbal and eye components:

Score Eye Opening Verbal Response Motor Response

6 - - Obeys verbal response

5 - Orientated and converses Localises to pain

4 Spontaneously Disorientated and converses Withdraws from pain

3 To verbal stimuli Inappropriate words Abnormal flexion (decorticate)

2 To pain Incomprehensible sounds Abnormal extension (decerebrate)

1 No response No response No response

Eye score is out of 4, verbal out of 5 and motor score is out of 6.

Reference:

Headway. Glasgow Coma Scale.

Answer Statistics

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Average score: 83.78%

Times answered: 275