DOC - Assessments

Question 1

GCS

Answer 1

Glasgow Coma Scale.
Objectively describes extend of impaired consciousness.
Eye-opening, motor and verbal responses.
Not as complete as Four but more practical.

Question 2

FOUR

Answer 2

Full outline of unresponsiveness rating scale.
Developed because verbal response cannot be assessed in intubated patients. Makes a difference between UCS and MCS, through visual pursuit.
Eye response, motor response, brainstem reflexes, respiration.

Question 3

CRS-R

Answer 3

Coma Recovery scale.
Assesses auditory, visual, verbal and motor responses, brainstem reflexes, arousal and communication.

Question 4

CN1 test (olfactory)

Answer 4

Inoversity of pennsylvania smell identification test (or observation)

Question 5

CN2

Answer 5

Pupil size, shape and symmetry.
Swinging light test.

Question 6

CN3,4,6

Answer 6

Swinging light test.
Accommodation reflex.
Ptosis.
Eye pursuit.
Cover test.

Question 7

CN5

Answer 7

LTT and PPT on forehead (ophthalmic branch), cheek (maxillary branch) and jaw (mandibular branch).
Jaw jerk refelx.
Corneal reflex.

Question 8

CN7

Answer 8

• Observation of forehead wrinkles, nasolabial folds and mouth symmetry. Movements: raised CN7 eyebrows, closed eyes, blown out cheeks, smiling, pursed lips, closed lips, angry face.

Question 9

CN8

Answer 9

Gross hearing test

Question 10

CN9,10

Answer 10

Gag reflex. observe uvula symmetry (deviation to one side, deficit of opposite cranial nerve), cough and swallow.

Question 11

CN11

Answer 11

Resisted shoulder elevation.

Question 12

CN12

Answer 12

Observation protrude tongue (symmetry)

Question 13

Visual Field Tests

Answer 13

CN2,3,4,6.
Confrontational visual test: assesses differences in visual field (sensory and/or perceptive) on the right and left side.
Automated perimetry test.