Notable Scales

Question 1

Describe and list out the levels of Ranchos Los Amigos Scale?

Answer 1

-Lists the level of cognitive function

I: No response: (does not respond to any stimuli)
II:Generalized response:(inconsistent response)
III:Localized Response:(consistent and inconsistent responses)
IV: Confused, Agitated- (bizarre behavior)
V:Confused Inappropriate(simple commands; issues with complex commands)
VI:Confused Appropriate(appropriate, goal oriented responses, carry over for relearned, but not new tasks)
VII:Automatic appropriate: social interactions, but judgement is still impaired
VIII:Purposeful appropriate: Oriented and responds to the environment

Question 2

Describe the Glasgow scale?

Answer 2

-Tool used to measure level of consciousness

Question 3

List out the grades for Eye Response?

Answer 3

-4 Spontaneous(eye opening)
-3 To sound
-2 To pressure
-1 None

Question 4

List out the grades for Verbal Responses?

Answer 4

-5 Oriented
-4 Confused
-3 With Words
-2 incomprehensible. Sounds
-1 None

Question 5

List out the grades for Motor Responses?

Answer 5

6 Obey Commands
5 Localized response
4 Withdrawal Response
3 Flexion(decorticate)
2 Abnormal extension(decerebate)
1 No response

Question 6

What score classifies Mild injury on GCS

Answer 6

13-15

Question 7

What score indicates moderate injury

Answer 7

9-12

Question 8

What score indicates Severe injury?

Answer 8

3-8

Question 9

What does APGAR stand for?

Answer 9

-Appearance
-Pulse
-Grimace
-Activity
-Respiration

Question 10

What scored is considered good

Answer 10

7-10

Question 11

What is the Appearance grades?

Answer 11

0- Blue or pale all over
1-Extremities are blue
2-Pink

Question 12

What is the Pulse grades?

Answer 12

0- Absent
1-Less than 100
2-greater than 100

Question 13

Scores for Grimace

Answer 13

0- No response
1-Grimaces
2-Vigorous cry, sneeze

Question 14

Activity(Muscle tone) score?

Answer 14

0-Absent
1-Arms and legs flexed
2- Active

Question 15

Respiration scores

Answer 15

0-Absent
1- Slow and irregular
2: Vigorous Cry

Question 16

What scale is used for Cerebral Palsy?

Answer 16

Gross Motor Function Classifcation(GMFCS)

Question 17

List off the levels of GMFCS?

Answer 17

Level 1: Speed, balance and coordination is limited but everything else is normal
Level 2: Need use of handrails(crowded areas need to use handheld device)
Level 3: Handheld devices or wheelchair
Level 4:Need some assistance with handheld devices or powered mobility
Level 5: Patient is transported in manual wheelchair in all settings(inability to maintain trunk postures

Question 18

What scale is used for Parkinson’s Disease?

Answer 18

The Hoehn and Yahr Scale

Question 19

List off the stages of Hoehn and Yahr?

Answer 19

I: Unilateral involvement only
II: Bilateral involvement without impairment of balance
III: Mild to moderate bilateral disease; physically independent
IV: Severe disability, still able to walk or stand unassisted
V: Wheelchair bound or bedridden