GCS

Question 1

How is a patients GCS scored?

Answer 1

Eye opening response (out of 4)
Verbal response (out of 5)
Motor response (out of 6)

Question 2

How is a patients verbal response scored in GCS?

Answer 2

Oriented to time, person and place 
Confused 
Inappropriate words
Incomprehensible words
No response

Question 3

How is a patients eye opening response scored in GCS?

Answer 3

Spontaneously
To speech
To pain
No response

Question 4

How is someone’s motor response scored in GCS?

Answer 4

Obeys command 
Localised to pain
Flex withdrawal from pain
Abnormal flexion 
Abnormal extension 
No response

Question 5

A patient presents to A and E. His eyes open when you speak to him, he localised to pain and is confused.
What is his GCS?

Answer 5

12

Question 6

A patient presents to A and E.

He is unconscious and has abnormal flexion to pain. What is his GCS?

Answer 6

5

Question 7

A patient presents to A and E.
His eyes open in response to your voice. He mumbles and groans. He flexes in response to pain (but doesnt localise the pain).
What is his GCS?

Answer 7

9

Question 8

at what GCS would you be worried about the patient protecting their airway?

Answer 8

GCS 9

Question 9

what 2 things would you be worried about in a patient regarding their ventilation, if their GCS was less than 9?

Answer 9

be worried that they weren’t protecting their airway = aspiration
be worried they aren’t ventilating efficiently resulting in decreased Pa02 or increased PaC02