MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A nurse assesses the patient’s LOC using the Glasgow Coma Scale. Which score indicates severe impairment of neurologic function?
A
3
B
6
C
9
D
12
Explanation: 

Detailed explanation-1: -Severe, GCS 3 to 8. Moderate, GCS 9 to 12. Mild, GCS 13 to 15.

Detailed explanation-2: -Patients with head injury with low Glasgow Coma Scale (GCS) scores on hospital admission have a poor prognosis. A GCS score of 3 is the lowest possible score and is associated with an extremely high mortality rate, with some researchers suggesting that there is no chance of survival.

Detailed explanation-3: -Severe: GCS 8 or less. Moderate: GCS 9-12. Mild: GCS 13-15.

Detailed explanation-4: -The lowest score for each category is 1, therefore the lowest score is 3 (no response to pain + no verbalisation + no eye opening). A GCS of 8 or less indicates severe injury, one of 9-12 moderate injury, and a GCS score of 13-15 is obtained when the injury is minor.

There is 1 question to complete.