Clinical Scores

Question 1

qSOFA criteria

Answer 1

qSOFA = Quick sequential organ failure assessment

Two or more of the following:

• RR > 22
• SBP < 100 mm Hg
• Altered mental status

A score of 2 or greater suggests sepsis. If this is the case, a full SOFA score should be performed, and the patient will likely need acute care and ICU admission.

Question 2

SIRS criteria

Answer 2

Systemic inflammatory response system

Two or more of the following:

• Temp > 38 ^oC OR < 36 ^oC
• Heart rate > 90 bpm
• RR > 20 breaths/min OR pCO2 < 32 mmHg
• WBC > 12,000 OR < 4,000 OR >10% bands

Question 3

SIRS vs qSOFA score

Answer 3

SIRS is too sensitive and not specific enough

qSOFA is still quite sensitive, but is more specific for sepsis.

Question 4

Elevation of the RR above __ carries a poor prognosis in multiple clinical contexts (pneumonia, CHF, etc)

Answer 4

Elevation of the RR above 22 carries a poor prognosis in multiple clinical contexts (pneumonia, CHF, etc)

Question 5

When pulse pressure is suggestive of poor stroke volume

Answer 5

A pulse pressure below 25 mmHg suggests poor stroke volume, which may indicate CHF or shock.

Question 6

1 poor prognostic for all-comer hospital mortality

Answer 6

RR > 22

Question 7

2 poor prognostic for all-comer hospital mortality

Answer 7

Altered level of consciousness

Question 8

Mortality risk of a qSOFA score >=2

Answer 8

10%

Question 9

Glasgow coma score

Answer 9

Question 10

Wells’ Criteria

Answer 10

Question 11

CHADS-VASC

Answer 11

Question 12

Dialysis AEIOU

Answer 12