Communication Skills

Question 1

what is Q-risk used for?

Answer 1

CVD risk in the next 10 years

Question 2

factors included in q-risk

Answer 2

age (25-84), sex, ethnicity, postcode, smoking, diabetes, MI in relative <60, CKD, AF, HTN, RA, hypercholesterolaemia, BMI

Question 3

what does q-risk of 10-20% and >20% suggest

Answer 3

10-20% lifestyle
>20% medications - statins ezetimibe

Question 4

what is CHADs2Vasc used ofr

Answer 4

stroke risk in AF patients

Question 5

factors included in CHADS2VASC

Answer 5

age, sex, CHF, HTN, stroke/TIA/thromboembolism history, vascular disease, diabetes

Question 6

CHADs2Vasc - what score indicates what treatment

Answer 6

> 2 = doac (apixaban)

Question 7

what is FRAX score for?

Answer 7

10y probability of fracture

Question 8

what is in the FRAX score

Answer 8

age, weight, sex, height, previous fracture, parent fractured hip, smoking, glucocorticoids, RA, osteoporosis, alcohol >3 units/day, femoral neck BMD

Question 9

when to act on FRAX score

Answer 9

> 10% = DEXA scan

Question 10

what is the ABCD2 score for

Answer 10

stroke risk after TIA

Question 11

what is in the ABCD2 score

Answer 11

age>60
BP >140/90
clinical features (unilateral weakness (2), speech disturbance (only 1 mark alone))
duration - >60min (2), 10-59 min (only 1)
diabetes

Question 12

how to manage different ABCD2 score

Answer 12

immediate referal if score 4+, if in AF or 2 TIAs in 1 week (assessed within 24h)
urgent referral if score 1-3 (seen within 7 days)

Question 13

what is Wells score for

Answer 13

DVT or PE

Question 14

how to act on Wells score for DVT

Answer 14

0 - d-dimer
1-2 - d-dimer +US?
>3 - d-dimer +US