Criteria

Question 1

Q Sofa

Answer 1

2/3:

• GCS < 15
• Systolic BP < 100
• RR > or =22

Question 2

King’s College Criteria

Answer 2

liver transplant in acetaminophen toxicity

pH < 7.35 s/p fluids for 12 hrs

OR

• INR > 6.5 PT > 100
• encephalopathy grade III or IV
• Cr > 3.4

Question 3

Centor

Answer 3

1 - no cough
2 - fever
3 - pharyngeal exudate
4 - tender LNs

2 - rapid strep and cx
3 + - empiric tx

Question 4

CHADS2

Answer 4

C - CHF
H - HTN 
A - age > 75 
D - DM 
S - stroke / TIA 

2 + - A/C for a fib

Question 5

HAS -BLED

Answer 5

H - HTN
A - abnormal liver or renal function
S - stroke

B - bleeding hx or predisposition
L - labile INR
E - elderly (> 65)
D - drugs / alcohol use

If score > CHADS 2 then no A/C for a fib

Question 6

PERC

Answer 6

• age > 50
• HR > 100
• SaO2 < 95%
• Unilat leg swelling
• Hemoptysis
• Recent surgery or trauma in last 4 wks
• Prior DVT or PE
• Hormone use - OCPs, estrogen

Question 7

Well’s Criteria

Answer 7

• Sign/ sx DVT (3 pts)
• PE is #1 diagnosis (3 pts)
• HR > 100 (1.5 pts)
• 3 days immobilization or surgery in last 4 wks (1.5 pts)
• Prior DVT or PE (1.5 pts)
• Hemoptysis (1 pt)
• Cx treated within 6 mo or palliative (1 pt)

< 2 D-dimer or PERC
> 2 CT -angio

Question 8

HEART Score

Answer 8

• Hx - suspicious?
• EKG - normal / non-specific / ST elevations
• Age < 45 / 45-64 / > 65
• RF (DM, tobacco use, HTN, HLD, family hx)
• Initial troponin

If 3 or less … d/c
If 4-6 admit
If > 6 intervene

Question 9

NIH Stroke Scale Components

Answer 9

• level of consciousness
• orientation to mo and year
• blink eyes and squeeze hands
• horizontal gaze (EOM)
• visual fields
• facial palsy
• drift in ea limb (scored sep)
• limb ataxia
• sensation
• aphasia
• dysarthria
• inattention

Question 10

Ottowa Knee Rules

Answer 10

age > 55

isolated patellar tenderness

tenderness at head of fibula

cannot flex knee 90 degrees

cannot bear wt

Question 11

Ottowa Ankle Rules

Answer 11

Tenderness at base of 5th metatarsal

Tenderness at posterior medial or lateral malleoli

unable to bear weight

Question 12

Canadian Head CT Rules

Answer 12

GCS < 15 2 hrs after injury

Signs skull fracture (raccoon eyes, csf leak)

2+ episodes vomiting

age > 65

Head lac / skull hematoma

30+ min amnesia

on A/C

Dangerous mechanism

Neuro deficits or seizure

Question 13

Parkland Formula

Answer 13

For fluid resuscitation after burns …

4mL x kg x %TBSA

Give 1/2 in first 8 hrs since injury (NOT presentation)

Give 1/2 in next 16 hrs

Question 14

ABCD2

Answer 14

Predicts stroke risk in 2 days after TIA

A - age > 60 ... 1 pt
B - BP (systolic> 140 or diastolic > 90)... 1 pt
C - clinical features 
- unilateral weakness ... 2 pt
- speech impairment without weakness ... 1 pt 
- other ... 0 pt 
D - duration 
- > 60 min ... 2 pt 
-10 - 59 min ... 1 pt
- < 10 min ... 0 pt 
D - DM ... 1 pt 

6-7 pts = high risk
4-5 pts = moderate risk
0-3 pts = low risk

Question 15

US Findings in Cholecystitis

Answer 15

GB wall > 3 mm

CBD > 6 mm

Pericholecystic fluid

Gallstones visualized

Question 16

Kawasaki

Answer 16

CRASH + burn

4/5
C - conjunctivitis
R - rash 
A - adenopathy (cervical) 
S - strawberry tongue
H - hand/foot edema 

+ burn - fever x 5+ days