Classification systems

Question 1

What is used to assess heart attack risk?

Answer 1

QRISK2

Question 2

What is used to assess prostate cancer??

Answer 2

Gleason grading

1. small, well differentiated
2. more space between glands
3. infiltration from cells
4. irregular masses with neopastic cells
5. lack of glands

TMN

1. no palpable tumour
2. only prostate
3. out of prostate

Question 3

What is used to classify pneumonia?

Answer 3

CURB65 
C - Confusion
U - Urea >7mmol/L
R - resp. rate >30/min
B - BP<90/60
Age >65

Question 4

What is used to classify lung cancer?

Answer 4

TNM

T1 <3cm
T2 >3cm
T3 chest wall/diaphragm
T4 – Heart and vessels
N1 – ipsilateral peribronchial and/or hilar nodes & intrapulmonary nodes
N2 – ipsilateral mediastinal and/or subcarinal nodes
N3 – contralateral mediastinal or hilar, ipsilateral/contralateral scalene/supraclavicular

Question 5

What is used to classify AF?

Answer 5

CHA2DS2-VASc

1 pt for congestive HF, HTN, Age >75, DM, Stroke/TIA/thromboembolism, vascular disease, age 65-74, female

0 - no therapy
1 - aspirin/oral anticoagulation
2< oral anticoagulation

Question 6

What is used to classify TIA?

Answer 6

ABCD^2

Age>60
BP >140/90
Speak disturbance without weakness
2pt unilateral weakness
Duration 1pt 10-59 min, 2pt >60
Diabetes 

4pts = >1 TIA a week

Question 7

What is used to classify infective endocarditis?

Answer 7

Modified dukes IE criteria

Major: 3 separate blood cultures over 24hrs before antibiotics taken showing microbacteria typical for IE
Minor: predisposition, temp, vascular phenomena, immunologic phenomena (including RF), microbiologic evidence/serological evidence of active inflammation

Question 8

What is used to classify IBS?

Answer 8

Rome III criteria

1. Episodes of intense, acute periumbilical pain that lasts 1h or more
2. Intervening periods of useal heathweeks-months
3. Interfering pain
4. Pain associated with anorexia, nausea, vomiting, headache, photophobia, pallor etc.
5. No differential

Question 9

What is the classification of DVT?

Answer 9

Wells

1. Malignancy
2. Paralysis, paresis lower limb
3. Bedridden >3days, past 12w surgery under anaesthesia
4. Localised tenderness
5. Entire leg swollen
6. calf swelling 3cm larger than symptomatic side
7. Pitting unilateral oedema
8. Collateral superficial veins
9. Previous DVT
   Alternative -2
   2+ = DVT likely
   0-1 = unlikely

Question 10

What is used to classify cirrhosis?

Answer 10

Child-pugh classification

Encephalopathy, ascites, bilirubin, albumin, prothrombin time rated out of three

Question 11

What is used to classify anxiety?

Answer 11

GAD-7

Used to track symptoms

Question 12

What is used to classify depression?

Answer 12

PHQ-9

Used to track symptoms

Question 13

What is used to classify heart attack risk?

Answer 13

QRISK2
Algorithm
20% risk or more = high risk