Q. Best predictor in the GCS

A. Eye opening
B. Motor response
C. Verbal response
D. All

23) B, Motor response

Motor score is the best predictor of neurological outcome.

The m component of the GCS,  is not only linearly related to survival, but preserves almost all the predictive power of the GCS 


MRCS Neurosurgery

Q)  A 35 year old lady has severe vomiting accompanied with headache and becomes unconscious. She has no similar history in the past and is not on any medicines.

She has a GCS of 11/15, BP 140/90, Pulse of 86/min. No cardiac or respiratory cause is noted for the symptoms.She has mild nuchal rigidity and b/l extensor plantar response. 

CT scan of the brain is equivocal .Lumbar puncture studies show high RBcs in the aspirate? What is the next step in management?

a) MRI brain

b) Cerebral Angiogram

c) MR angiogram

d) IV broad spectrum antibiotic and anti virals