MRCP UK EXAMINATIONS

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NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
An altered LOC is present when the patient is not oriented, does not follow commands, or needs persistent stimuli to achieve a state of alertness. LOC is gauged on a continuum, with a normal state of alertness and full cognition on one end and coma on the other end
A
True
B
False
C
Either A or B
D
None of the above
Explanation: 

Detailed explanation-1: -Level of consciousness (LOC) is a measure of a person’s ability to interact with other people and to react to what is around them. A person with an altered level of consciousness may not respond to touch or voices. They may look vacant or blank. They may not make eye contact with others.

Detailed explanation-2: -What is altered level of consciousness? Altered level of consciousness (ALOC) means that you are not as awake, alert, or able to understand or react as you are normally. ALOC can be caused by a head injury, medicines, alcohol or drugs, dehydration, or some diseases, such as diabetes.

Detailed explanation-3: -Altered LOC (Hinkle, 2021) Early signs of an altered LOC include behavioral changes such as restlessness or anxiety. As the patient’s LOC declines, changes will occur in the pupils, eye opening, verbal responses, and motor responses. Specifically, the pupillary light reflexes become sluggish.

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