criteria to mmt

Question 1

Amsel’s Criteria

Answer 1

Microscopic examination of vaginal d/c. Demonstration of 3 out of 4 criteria is considered necessary to dx BV.

1. Clue cells on saline smear (most specific)
2. pH > 4.5
3. Characteristic thin, grey, and homogenous vaginal d/c
4. • “whiff” test – fishy odor after KOH is added to secretions

Question 2

Centor Criteria

Answer 2

Evaluation for Group A Streptococcal Pharyngitis
1. Tonsillar exudate or erythema 
2. Anterior cervical adenopathy
3. Cough absent
4. Fever present (> 38C/100.4O F)
5. Age
Age 3 to 14 years: +1 point
Age 15 to 45 years: 0 points
Age over 45 years: -1 points

Question 3

Clinical Suspicion based on Centor Criteria scoring

Answer 3

Strep Score 4 to 5 (or Strep Score 2 if patient unreliable) Treat with antibiotics
Strep Score 2 to 3: Perform rapid antigen test
Antigen test positive: Treat with antibiotics
Antigen test negative: Throat Culture
Strep Score 0 to 1
Provide Pharyngitis Symptomatic Treatment

Question 4

CHADS score

Answer 4

Assess Risk of stroke with Atrial Fibrillation
Congestive Heart Failure (1 point)
Hypertension (1 point)
Age > 75 years (1 point)
Diabetes Mellitus (1 point)
Stroke or TIA history (2 points)

Question 5

CHADS interpretation

Answer 5

CHADS Score >2 (CVA risk >5% per year): Warfarin with goal INR 2.0 to 3.0
CHADS Score 1 (CVA risk >4% per year): Warfarin or Aspirin
CHADS Score 0: Aspirin 81 to 325 mg daily

Question 6

CRB/CURB/CURB 65

Answer 6

Evaluation of pneumonia severity 
Confusion 
BUN > 19 mg/dL (> 7 mmol/L)
Respiratory Rate ≥ 30
Systolic BP < 90 mmHg or Diastolic BP ≤ 60 mmHg
Age ≥ 65

Question 7

CURB65 interpretation

Answer 7

Used as a means of deciding the action that is needed to be taken:
0-1: Treat as an outpatient
2: Consider a short stay in hospital or watch very closely as an outpatient
3-5: Requires hospitalization with consideration as to whether they need to be in the intensive care unit

Question 8

Metabolic Syndrome Criteria (WHO criteria)

Answer 8

Each get 1 point:
• Elevated blood pressure (≥ 140/90 mm Hg) or BP Rx
• Elevated plasma triglycerides (≥150 mg/dl) and/or depressed HDL-C (<39mg/dl for women, <35 mg/dl for men) or cholesterol RX
• Central obesity – BMI > 30 and/or waist hip ratio (WHR) >0.85 for women or >0.9 for men
• Microalbuminuria – urinary albumin excretion ≥ 20 µg/min or albumin/creatinine ratio ≥30 µg/mg

Question 9

Metabolic Syndrome Criteria interpretation

Answer 9

0-2: Absent

3-5: Present

Question 10

PHQ 2 questions

Answer 10

Screening for depression
1. Little interest or pleasure in doing things
2. Feeling down, depressed, or hopeless

Question 11

PHQ2 cut off for referral to PHQ9 is score of…

Answer 11

3

Question 12

Rotterdam Criteria

Answer 12

To be diagnosed with PCOS by the Rotterdam criteria, a woman must have 2 of 3 manifestations:

1. Irregular or absent ovulation
2. Elevated levels of androgenic hormones
3. Enlarged ovaries containing at least 12 follicles each.

Question 13

Rotterdam Criteria is used to diagnose…

Answer 13

PCOS

Question 14

What is Wells Score used for?

Answer 14

Assess PE and DVT Probability

Question 15

Wells score criteria

Answer 15

1. PE more likely than alternatives: 3.0 points
2. DVT suspected: 3.0 points
3. Tachycardia (pulse >100 beats per minute): 1.5 points
4. Surgery or immobilization in last 4 weeks: 1.5 points
5. Prior DVT or Pulmonary Embolism: 1.5 points
6. Hemoptysis: 1.0 points
7. Active malignancy: 1.0 points

Question 16

Wells score interpretations

Answer 16

Score 4 or less: Unlikely
Score >4: Likely
D-Dimer negative with “unlikely” score safely excludes Pulmonary Embolism