Clinical scoring systems

Question 1

How do you calculate a CHA₂DS₂VASC score?

What is it used for?

Answer 1

Evaluates ischemic stroke risk in patients with atrial fibrillation

Congestive Heart Failure : +1

Hypertension: +1

Age 75+: +2

Diabetes: +1

Stroke, TIA or TE: +2

Vascular disease: (prior MI, peripheral arterial disease, aortic plaque) +1

_₂A_ge: 65-74 +1

Sex Classification: Female +1

Score of >2 = oral anticoagulation

Question 2

How do you calculate a CURB65 score?

What is it used for?

Answer 2

Used to assess the severity of CURB 65

Confusion (yes/no)

Urea: >7mmol/L

Resp rate: >30

BP: <90 mmHg systolic or <60 mmHg diastolic

Age _>_65: (yes/no)

Score 0-1 outpatient, Score 2 admit as inpatient, Score 3 admit to ICU

Question 3

How do you calculate GCS?

Answer 3

Question 4

How do you calculate a FEVERPAIN score?

When is it used?

Answer 4

Used to assess need for giving abx for steptococcus tonsilitis (Penicillin V QDS for 5 days)

Fever in past 24hrs? Yes/No

Absence of cough/ coryza symtpoms: Yes/No

Symptoms onset _<_3 days: Yes/No

Purulent tonsils: Yes/No

Severe tonsil inflammation: Yes/No

Score 1= unlikely to need abx
Score 2-3= consider delayed abx
Score 4+= consider abx

Question 5

What are the stages of the MRC dyspnoea score?

Answer 5

Question 6

What is the MRC muscle grading of power?

Answer 6

Question 7

What is ASA grade used for?

Answer 7

Anaesthetic scoring risk

Question 8

What is HAS-BLED used to assess?

Answer 8

Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial fibrillation care.

Question 9

What is the ROCKALL score used to assess?

Answer 9

Predictor or mortality in patints with acute upper GI bleed

Question 10

What is the POSSUM score used to assess?

Answer 10

The risk of morbidity and mortality in general surgical patients

Question 11

What is the NELA score used to assess?

Answer 11

Risk of death within 30 days of emergency abdominal surgery

(National Emergency Laparotomy Audit)

Question 12

What is the Ranson score used to assess?

Answer 12

Prognosis and mortality risk in patients with acute pancreatitis

Question 13

What is ROME criteria used for?

Answer 13

Used for the diagnosis of irritable bowel syndrome

Question 14

What is PHQ-9 used to assess?

Answer 14

Patient Health Questionairre - used to help diagnose major depressive disorder

Question 15

What is GAD-7 score used for?

Answer 15

Generalised anxiety disorder

Question 16

What is the FAST scoring used for?

Answer 16

Alcohol screening test - developed for used in emergency departments but can be used in a variety of settings

Question 17

What is GPCOG ussed to assess?

Answer 17

GP screening tool for cognitive impairment

Question 18

What is the STaRTback screening tool used for?

Answer 18

Simple questionaire to identify modifiable factors to help improve back pain