Neuro - Glasgow Coma Scale

T/F Coma is uncommon in patients who score 3-8 on the Glasgow Coma Scale.

False, 90% of patients

What percent of patient's on the Glasgow Coma Scale who score 3-8 are diagnosed with a coma?

90%

GCS Score for Best Motor Response: Nil

1

GCS Score for Eye Opening: Nil

1

GCS Score for Verbal Response: Nil

1

GCS Score for Best Motor Response: Extensor Response

2

GCS Score for Eye Opening: To pain

2

GCS Score for Verbal Response: Incomprehensible Sounds

2

GCS Score for Best Motor Response: Abnormal Flexion

3

GCS Score for Eye Opening: To speech

3

GCS Score for Verbal Response: Inappropriate Words

3

GCS Score for Best Motor Response: Withdraws

4

GCS Score for Eye Opening: Spontaneous

4

GCS Score for Verbal Response: Confused Conversation

4

GCS Score for Best Motor Response: Localized Pain

5

GCS Score for Verbal Response: Oriented

5

GCS Score for Best Motor Response: Obey's Command

6

Which of the following scores on a Glasgow Coma Scale is indicative of a moderate brain injury? 6 8 10 13

Correct Answer: 10 The Glasgow Coma scale is utilized to measure brain injury severity. According to the scale, a moderate brain injury is associated with a score between 9-12. The minimum score on the scale is 3 and the maximum score is 15.

What is the Glasgow Coma Scale score of a patient who withdraws from pain, converses but is confused, and opens his eyes spontaneously? 6 9 12 15

Correct Answer: 12 A patient who withdraws from pain scores 4 out of 6 points on the motor response scale. A patient who is able to carry on a conversation but is confused scores 4 out of 5 on the verbal response scale. Spontaneous eye-opening earns 4 out of 4 points on the eye-opening scale. Added together, this patient scores 12 out of 15. The patient is probably not in acute danger, but should be monitored.

What is the highest attainable score on the Glasgow Coma Scale? 6 12 15 18

Correct Answer: 15 The Glasgow Coma Scale is a neurological assessment tool used initially after injury to determine arousal and cerebral cortex function. The assessment tool utilizes an ordinal scale ranging from 3-15 with a higher score representing a greater level of consciousness.

What is the minimum score obtainable on the Glasgow Coma Scale? 0 1 2 3

Correct Answer: 3 The Glasgow Coma Scale is a neurological assessment tool used initially after injury to determine arousal and cerebral cortex function. The minimum score on the Glasgow Coma Scale is 3 and the maximum score is 15.

Spontaneous eye opening on the Glasgow Coma Scale would receive a score of: 1 2 3 4

Correct Answer: 4 Scoring in the eye opening component of the Glasgow Coma Scale: spontaneous = 4, to speech = 3, to pain = 2, no response = 1.

Which of the following Glasgow Coma Scale scores indicates severe brain injury? 7 9 11 14

Correct Answer: 7 Scores less than or equal to 8 on the Glasgow Coma Scale indicate severe brain injury. Options 2 and 3 represent moderate injury and Option 4 represents mild injury.

What three categories does the Glasgow Coma Scale evaluate? tone, breathing, reflexes motor response, verbal response, respiratory function eye opening, motor response, verbal response eye opening, verbal response, tone

Correct Answer: eye opening, motor response, verbal response The Glasgow Coma Scale is a neurological assessment tool used initially after injury to determine arousal and cerebral cortex function. A total score of eight or less correlates to severe brain injury and coma in 90% of patients.

Which patient response in the motor component of the Glasgow Coma Scale would receive the largest score? extensor response follows motor commands localizes withdraws

Correct Answer: follows motor commands Scoring in the motor component of the Glasgow Coma Scale: follows motor commands = 6, localizes = 5, withdraws = 4, abnormal flexion = 3, extensor response = 2, no response = 1.

Which parameter is not assessed as part of the Glasgow Coma Scale? eye opening motor response reflex response verbal response

Correct Answer: reflex response The Glasgow Coma Scale is a neurological assessment tool used initially after injury to determine arousal and cerebral cortex function. The assessment tool examines eye opening, motor response, and verbal response.

A score of 5 on the Glasgow Coma Scale indicates: severe head injury severe spasticity moderate head injury moderate spasticity

Correct Answer: severe head injury The Glasgow Coma Scale is a reliable, objective assessment of the conscious state of a person. The scale is graded from 3-15 with 3 being the lowest possible score and 15 being the highest possible score. A score of 8 or less is indicative of a severe head injury.

What are the 3 categories within the GCS?

Eye Opening Best Motor Response Verbal Response

Match the Glasgow coma scale to its score range. Eye Opening Best Motor Response Verbal Response --- 1-5 1-4 1-6

Eye Opening - 1-4 Best Motor Response - 1-6 Verbal Response - 1-5

The lowest score on the Glasgow coma scale is 0/15.

False, 3/15

Match the Glasgow coma scale score to the severity of brain damage. Severe Moderate Mild --- 3-8 9-12 13-15

Severe - 3-8 Moderate - 9-12 Mild - 13-15

The Glasgow coma scale is often used during an initial assessment following a TBI.

True

The first step in administering the GCS is to observe the patient.

True

Sequence the following verbal responses from lowest to highest score: incomprehensible sounds inappropriate words oriented confused conversation nil

nil incomprehensible sounds inappropriate words confused conversation oriented