CLC Documentation

Question 1

What is the purpose of conscious level chart?

Answer 1

To perform neurological assessment and asses for changes in neurological status in patient.

Question 2

What are the three components of glascow coma scale (GCS)?

Answer 2

best eye opening response, best verbal response and best motor response

Question 3

What does the GCS scores mean?

Answer 3

Highest - 15 (Fully alert, well orientated)
Lowest - 3 (Deep coma)

13 -15: Mild head injury
9 to 12: Moderate head injury
8 or less: Severe head injury

Question 4

What are the 4 responses to eye opening?

Answer 4

Spontaneous (4), to speech (3), to pain (2) and none (1)

Question 5

What does it mean if the patient open his eye spontaneously?

Answer 5

Patient open his eye without external stimulus, arousal mechanisms in the brainstem are active but does not imply awareness.

Question 6

What does it mean if the patient open his eye to speech?

Answer 6

Patient open eyes to sound of voice either spoken or shouting.

Question 7

What does it mean if the patient open his eye to pain?

Answer 7

Patient open his eye to pain stimulus such as pain on fingertip

Question 8

What does it mean to have no response?

Answer 8

Patient dont open eyes to any stimulus

Question 9

What are the 5 responses to verbal response?

Answer 9

Orientated (5), confused (4), Inappropriate words (3), incomprehensible sound (2), none (1).

Question 10

What does it mean for patient to be orientated?

Answer 10

The patient is orientated to time place and person i.e, awareness of environment and self

Question 11

What does it mean for patient to be confused?

Answer 11

Patient is able to converse but give irrational replies

Question 12

What does it mean for patient to response with inappropriate words?

Answer 12

Patient speak in random words and phrases that make little or no sense, i.e, articulation but no conversational exchange

Question 13

What does it mean for patient to response with incomprehensible sound?

Answer 13

Patient responds with groans and moans without any recognisable words

Question 14

What does it mean for patient to have no response?

Answer 14

Patient dont respond verbally

Question 15

What are the 6 components of motor response?

Answer 15

Obey command (6), localised pain (5), flexion to pain (4), abnormal flexion (3), extension to pain (2) & none (1).

Question 16

What does it mean for patient to obey command?

Answer 16

Patient is able to follow simple command eg grip and release hand; lift up limbs

Question 17

What does it mean for patient to localise pain

Answer 17

Patient is able to locate the painful stimulus and attempt to remove the source (move arm across midline of body or to clavicle)

Question 18

What does it mean when patient have flexion to pain

Answer 18

Patient is able to flex limb to pain (flex arm but cannot remove the pain source)

Question 19

What does it mean when patient have abnormal flexion

Answer 19

Patient arm are adducted and flexed, and the fingers and wrist are flexed on chest

Question 20

What does it mean when patient have extension to pain

Answer 20

Patient’s arms are adducted and extended with the wrists pronated and the fingers flexed.

Question 21

What does it mean when patient have no response

Answer 21

Patient has no motor response to pain on any limb

Question 22

Where to apply pain stimulus to test for motor response?

Answer 22

Squeeze patient trapeziu muscle to test for cranial nerve XI

Question 23

How to apply pain stimulus?

Answer 23

It should be given with gradual intensitive to elicit response but no more than 10 seconds

Question 24

Another word for abnormal flexion

Answer 24

Decorticate (leison of the frontal lobe, internal capsule and cerebral peduncles)

Question 25

Another word for extension to pain

Answer 25

Decerebrate (leison of the upper brain stem)

Question 26

Vital signs that indicate increased intracranial pressure

Answer 26

BP increase, rr and pulse rate decrease, widen pulse pressure

Question 27

How to shine light source to check for pupil response?

Answer 27

From outer canthus to inner canthus into each pupil and note the response

Question 28

What is the normal findings?

Answer 28

Both pupils should constrict briskly and equal in size

Question 29

What does it mean to have normal limb strength?

Answer 29

Extremities can overcome gravity and maximum resistance

Question 30

What does it mean to have mild weakness limb strength?

Answer 30

Extremities are weak but pt can overcome gravity and overcome mild to moderate resistance

Question 31

What does it mean to have >anti-gravity strength?

Answer 31

Extremitites can be lifted off bed but cannot overcome resistance when applied

Question 32

What does it mean to have

Answer 32

Extremities can move along a non-gravity plane only (not able to lift off the bed).

Question 33

What does it mean to have minimal strength/ severe weakness?

Answer 33

There is minimal movement on bed

Question 34

What does it mean to have no movement/ response

Answer 34

Absent movement

Question 35

What is the correct sequence for CLC

Answer 35

Eye opening, verbal response, motor response, pupil size & reaction, limb movement and motor strength, vital signs