Altered Mental Status

Question 1

If a patient is experiencing visual hallucinations, are they likely delirious or psychotic?

Answer 1

Delirious

Question 2

If a patient is experiencing auditory hallucinations, are they likely delirious or psychotic?

Answer 2

Psychotic

Question 3

What is the mnemonic for AMS?

Answer 3

A - alcohol
E - epilepsy, electrolytes, encephalopathy
I - insulin
O - opiates and oxygen
U - uremia

T - trauma and temperature
I - infection
P - poisons and psychogenic
S - strokes/seizures

Question 4

What is the scoring for the Eyes portion of the GCS?

Answer 4

4 - spontaneous opening
3 - opens to loud noises
2 - opens to pain
1 - none

Question 5

What is the scoring for the verbal portion of the GCS?

Answer 5

5 - oriented
4 - confused
3 - inappropriate words
2 - incomprehensible
1 - no sounds

Question 6

What is the scoring for the motor portion of the GCS?

Answer 6

6 - follows commands
5 - localizes to pain
4 - withdraws to pain
3 - abnormal flexion
2 - abnormal extension
1 - none