American Board of Surgery Qualifying Exam (ABS QE) Practice Test

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In the Eye GCS score, what does a score of 2 represent?

Spontaneous opening
Responses to commands
Opening in response to pain
No response

The correct answer is: Opening in response to pain

In the context of the Eye Glasgow Coma Scale (GCS), a score of 2 is indicative of a response to pain. This means that the patient opens their eyes only when a painful stimulus is applied. This level of responsiveness demonstrates a decreased level of consciousness compared to spontaneous eye-opening or opening in response to verbal commands, which are scored higher on the GCS. The GCS is widely used to assess a patient's level of responsiveness, particularly after a head injury or in critical care settings. Scoring begins at 1 for no eye opening at all, while a score of 2 reflects a minimal and reflexive reaction to painful stimuli, suggesting that the patient is somewhat aware of their environment, albeit at a very rudimentary level. Understanding these scores is crucial for medical professionals in evaluating neurological function and determining the severity of a patient's condition.