Decreased Conscious level in a child – Post Test
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Question 1 of 10
1. Question
Which of the following 2-year-old children has a Glasgow Coma Score (GCS) of 10?
You may use the following table to help you:
Score > 5 years of age < 5 years of age Eye opening 4 Spontaneous Spontaneous 3 To voice To voice 2 To pain To pain 1 None None Verbal 5 Orientated Alert, babbles, coos, words or sentences for normal age 4 Confused Less than usual ability, irritable cry 3 Inappropriate words Cries to pain 2 Incomprehensive sounds Moans to pain 1 No response to pain No response to pain Motor 6 Obeys commands Normal spontaneous movements 5 Localises to supraorbital pain Withdraws to touch 4 Withdraws from nailbed pain Withdraws from nailbed pain 3 Flexion to supraorbital pain Flexion to supraorbital pain 2 Extension to supraorbital pain Extension to supraorbital pain 1 No response to supraorbital pain No response to supraorbital pain -
Question 2 of 10
2. Question
A 12-month-old child presents with a reduced level of consciousness. The child’s coma score is 4/15 and BM is 18.0 mmol/L. There is no history of trauma or significant past medical history. The following is also seen:
HR: 70
CR: 3 sec
RR: 7
Sats 84% (10 L/min of O2)
Temp 36.6oCRegarding the management of this patient, which of the following statements is correct?
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Question 3 of 10
3. Question
On investigating a 3-year-old child who presents with a GCS of 11/15. Which statement is correct regarding core investigations?
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Question 4 of 10
4. Question
Of the following scenarios, which is most likely a cause of a GCS <8/15 level in a child?
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Question 5 of 10
5. Question
A child presents with a decreased conscious level. Which statement is correct?
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Question 6 of 10
6. Question
With regard to investigations for reduced conscious levels which statement is correct?
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Question 7 of 10
7. Question
A 3-week-old Asian baby presents with increasing lethargy, poor feeding, failure to thrive and vomiting. Examination reveals the following:
Temp 36.0oC
RR 44
Sats 94%
CR 3 seconds
HR 140 moderate volumeWhich of the following statements is correct?
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Question 8 of 10
8. Question
A 5-year-old usually well, has had 36 hours of vomiting. The child presents with a GCS 10/15: E=2 M=5 V=3. He has no significant past medical history and no medications have been given. Which of the following statements is correct?
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Question 9 of 10
9. Question
A 4-year-old boy of African descent has recently arrived in the UK. He presents with a cough, poor appetite, fevers, headaches, no rash, no neck stiffness, and no photophobia. He is refusing to answer questions and keeps his eyes closed unless stimulated and appears scared. His GCS is estimated at 8/15: E=2, V=2, M=4. BM 2.6, HR 140, Temp 38.6oC, sats 90%. His hands are cold and he is sleepy, he has not eaten for 24 hours.
Which of the following statements are correct?
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Question 10 of 10
10. Question
With regards to non-accidental injury (NAI) as a cause of a decreased consciousness, which of the following statements is correct?