Question

Calculate GCS of 25 year old head injury patient with following parameters confused, opening eyes in response to pain, localizing pain will be

• A. 6
• B. 11
• C. 12
• D. 17

Answer 1

The Correct Option is B

The Glasgow Coma Scale (GCS) is used to assess the consciousness level of patients, particularly after a head injury. It evaluates three categories: Eye Opening, Verbal Response, and Motor Response. Each category has a set of scores, and the sum of these scores gives the GCS score.

Let's calculate the GCS for the patient:

• Eye Opening Response: Eye opening in response to pain scores 2 points.

  Response	Score
  Spontaneous	4
  To verbal command	3
  To pain	2
  No response	1

• Verbal Response: The patient is confused, which scores 4 points.

  Response	Score
  Oriented	5
  Confused	4
  Inappropriate words	3
  Incomprehensible sounds	2
  No response	1

• Motor Response: Localizing pain scores 5 points.

  Response	Score
  Obeys commands	6
  Localizes pain	5
  Withdraws to pain	4
  Flexion to pain (decorticate)	3
  Extension to pain (decerebrate)	2
  No response	1

Calculating GCS: Eye Opening (2) + Verbal Response (4) + Motor Response (5) = 11

Thus, the GCS score for the patient is 11.