Self Test

Now that you’ve seen how to perform the new structured approach to assessment of the Glasgow Coma Scale, test your learning by answering these questions (Disclaimer). When you have completed the questions you will receive a score with feedback on your answers. Your goal is to become proficient at using the Coma Scale and you can take this test as many times as you wish (Disclaimer). When you are finished, why not share your score with others using our social media buttons… Good luck!

Q1. What are the three components of the Glasgow Coma Scale?

Q2. Each of the three components of the Glasgow Coma Scale have a number of steps. Which of these are the correct combinations?

Q3. What possible sequence of responses is assessed in the eye component?

Q4. In each component of the Glasgow Coma Scale the ‘Best Response’ is,

Q5. When assessing a patient, you should:

Q6. When assessing a patient, what is the reason for the CHECK step in the assessment?

Q7. If when you approach the patient they are awake and looking at you, how would you record this on the Glasgow Coma Scale?

Q8. You are called to see a patient who has fallen through a plate glass door. As you approach the patient you observe that their eyes are extremely swollen and they are unable to open them. How would you record the eye component of the scale?

Q9. A 45 year old man called Hamish is admitted to the Emergency Department on Sunday 1 January 2014 after being assaulted. When you ask the patient to tell you his name, where he is and what the date is, he answers, Hamish, Hospital, December. How would you record this finding?

Q10. You are assessing the motor component of a patient’s Glasgow Coma Scale. They are unable to obey commands but bend their elbow when their finger nail bed is stimulated. What do you do next?

Q11. A patient reacts to supraorbital pressure by moving their hand up to his face. How would you record this response?

Q12. Normal flexion, where a patients elbow bends and their arm moves rapidly away from their body and from a stimulus, is given what number in the Glasgow Coma Scale?

Q13. If you were told by a colleague that their assessment of a patient’s Glasgow Coma Scale was E2, V3, M5, how would you interpret this?

Q14. In which of these scenarios of assessment of the motor component of the Glasgow Coma Scale is the best response on the patient’s right-hand side?