GCS & CURB-65

Question 1

What are the 3 components of the GCS and what are the max points for each section?

Answer 1

• Motor (best motor response) = 6
• Verbal (best verbal response) = 5
• Eyes (eye opening) = 4

Question 2

What are the 6 points of the motor section of GCS?

Answer 2

6 - obeying commands 
5 - localising to pain 
4 - withdrawing to pain 
3 - flexor response to pain 
2 - extensor response to pain 
1 - no response to pain

Question 3

What are the 5 points of the verbal section of GCS?

Answer 3

5 - orientated (time, place, person)
4 - confused conversation 
3 - inappropriate speech 
2 - incomprehensible sounds 
1 - none

Question 4

What are the 4 points of the eye section of GCS?

Answer 4

4 - spontaneous
3 - in response to speech
2 - in response to pain
1 - none

Question 5

What is the minimum GCS score?

Answer 5

3

Question 6

What GCS score indicates severe injury?

Answer 6

GCS ≤ 8

Question 7

What should you do at GCS ≤ 8?

Answer 7

Consider airway protection

Question 8

What GCS score indicates moderate injury?

Answer 8

GCS 9-12

Question 9

What GCS score indicates mild injury?

Answer 9

GCS 13-15

Question 10

What is CURB-65 used for?

Answer 10

Community acquired pneumonia (1 point for each section)

Question 11

What are the 5 sections of CURB-65?

Answer 11

1) Confusion
2) Urea > 7 mmol/l
3) RR ≥ 30
4) BP - SBP ≤ 90 or DBP ≤ 60
5) Age > 65

Question 12

What is the management for CURB-65 score of 0-1?

Answer 12

Home - Consider home treatment

Question 13

What is the management for CURB-65 score of 2?

Answer 13

Admission - probably admission (or close outpatient management)

Question 14

What is the management for CURB-65 score of 3-5?

Answer 14

ITU - admission, manage as severe (ITU)