Topic: Glasgow Coma Scale Subject: Medicine A 27 year old man is brought into the ER after a bicycling accident. A car door suddenly opened in front of him, of which he smashed into and was thrown 15 feet. On examination, he is drowsy and confused. He opens his eyes when his name is called. When he speaks, you understand his words but the sentences do not make sense. He moves all four limbs but does not respond to any commands. He is able to pull both hands away when pinched and squirms when his sternum is rubbed, making no effort to stop you. What is his Glasgow Coma Scale score?
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Correct Answer : B.
The Glascow coma scale (GCS) is determined by assigning points to the following three questions: Eyes open: Spontaneously (4 points), to speech (3), to pain (2), none (1). Best verbal response: Orientated (5 points), confused (4), Inappropriate words and jumbled phrases consisting of words (3), incomprehensible sounds (2), none (1). Best motor response: Obeys commands (6 points), localizes pain (5), withdraws to pain (4), flexion (abnormal) to pain (3), extension to pain (2), none (1). This patient has scores of 3, 3 and 4 to the three questions respectively, making his GCS score 10.