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

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The very first score in the Verbal GCS indicates what level of response?

Sounds
Oriented
Confused
No response

The correct answer is: Oriented

The first score in the Verbal Glasgow Coma Scale (GCS) reflects the patient's ability to respond appropriately to questions and demonstrate awareness of their environment. The highest level of response is indicated by being "Oriented," which suggests that the individual is aware of their surroundings, knows who they are, where they are, and the time. This level of response indicates an intact cognitive function and the ability to engage in coherent conversation. Other response levels, such as being "Confused" or having "No response," represent decreased levels of awareness and cognitive function. "Confused" indicates that the patient can communicate but is disoriented or nonsensical in their responses, while "No response" indicates total lack of verbal communication, showing a severe impairment of neurofunction. Thus, identifying "Oriented" as the first score reflects the optimal level of verbal response.