Glasgow Coma Scale (GCS)

Question 1

The GCS is an accurate and reliable quantitative tool.

True or false?

Answer 1

True

Question 2

3 areas of GCS:

Answer 2

Eye opening response
Motor response
Verbal response

Question 3

Highest score possible on eye opening response:

Answer 3

4

Question 4

What is the score for spontaneous eye opening?

Answer 4

4

Question 5

What is the score for opening the eyes to speech only?

Answer 5

3

Question 6

What is the score for opening the eyes to pain only?

Answer 6

2

Question 7

What is the score for no response in all 3 categories?

Answer 7

1

Question 8

Highest score possible for motor response:

Answer 8

6

Question 9

What is the score for obeying verbal commands?

Answer 9

6

Question 10

What is the score for localizes pain (pointing out the pain)?

Answer 10

5

Question 11

What is the score for flexion - withdrawal?

Answer 11

4

Question 12

What is the score for abnormal flexion?

Answer 12

3

Question 13

What is the score for abnormal extension?

Answer 13

2

Question 14

Highest score possible on verbal response:

Answer 14

5

Question 15

What is the score for oriented x3 (appropriate)?

Ex - RN asks what year it is - Pt gives correct answer

Answer 15

5

Question 16

What is the score for confused conversation?

Ex - RN asks what year it is - Pt says it’s 1962

Answer 16

4

Question 17

What is the score for inappropriate speech?

Ex - RN asks what year it is - Pt says “after lunch”

Answer 17

3

Question 18

What is the score for incomprehensible speech?

Ex - RN asks what year it is - Pt mumbles “aawagga”

Answer 18

2

Question 19

What does the total GCS score reflect?

Answer 19

The functional level of the brain

Question 20

A fully alert, healthy person has a GCS of:

Answer 20

15

Question 21

A score of 7 or less reflects:

Answer 21

Coma