Indexes

Question 1

Modified Rankin Score.

Answer 1

The scale runs from 0-6, running from perfect health without symptoms to death.

0 - No symptoms.
1 - No significant disability. Able to carry out all usual activities, despite some symptoms.
2 - Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities.
3 - Moderate disability. Requires some help, but able to walk unassisted.
4 - Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted.
5 - Severe disability. Requires constant nursing care and attention, bedridden, incontinent.
6 - Dead.

Question 2

Barthel index

Measures independence in ADL.

Answer 2

The ten variables addressed in the Barthel scale are:[3]

Presence or absence of fecal incontinence
Presence or absence of urinary incontinence
Help needed with grooming
Help needed with toilet use
Help needed with feeding
Help needed with transfers (e.g. from chair to bed)
Help needed with walking
Help needed with dressing
Help needed with climbing stairs
Help needed with bathing

Question 3

Hunt & Hess

For non-traumatic sub-arachnoid hemorrhage patients. (Choose single most appropriate grade.)

Answer 3

Description
Grade

1. Asymptomatic, mild headache, slight nuchal rigidity
2. Moderate to severe headache, nuchal rigidity , no neurologic deficit other than cranial nerve palsy
3. Drowsiness / confusion, mild focal neurologic deficit
4. Stupor, moderate-severe hemiparesis
5. Coma, decerebrate posturing

Question 4

ABCD2 Score.
Used to predict the risk of stroke during the first seven days after a TIA. Researchers found there to be over 30% risk of stroke in TIA patients with an ‘ABCD score’ of six, as compared to no strokes in those with a low ABCD score. Can be used in routine clinical practice to identify high-risk individuals who require emergency investigation and treatment.

Answer 4

Risk. factor
A Age of patient
B Blood pressure at Assessment
C Clinical Features presented with
D Duration of TIA symptoms
Category

ABCD Score
 Age >/= 60: 1 
Age < 60: 0

SBP > 140 or DBP >/= 90: 1
Other:  0

Unilateral weakness: 2 
Speech disturbance (no weakness): 1 
Other: 0

>/= 60 minutes: 2 
10-59 minutes: 1 
<10 minutes: 0

\_\_\_\_\_\_\_\_
TOTAL 6

Question 5

RoPE Score.

https://www.mdcalc.com/risk-paradoxical-embolism-rope-score

Use in Patients with cryptogenic embolic ischemic strokes found to have PFO.

History of HTN: Yes: 0. No: 1

History of diabetes: Yes: 0. No: 1

History of stroke/TIA: Yes: 0. No: 1

History of smoking: Yes: 0. No: 1

Cortical infarct on image: Yes: 1. No: 0

Age:    
18-29:     5  my
30-39:    4
40-49:    3
50-59:    2
60-69:    1
= 70:    0

Answer 5

RoPE score	PFO-attributable fraction (95% CI)	Estimated stroke/TIA recurrence at 2 years
0 - 3	0% (0–4)	20% (12–28)
4	38% (25–48)	12% (6–18)
5	34% (21–45)	7% (3–11)
6	62% (54–68)	8% (4–12)
7	72% (66–76)	6% (2–10)
8	84% (79–87)	6% (2–10)
9 - 10	88% (83–91)	2% (0–4)

Question 6

CHA2DS2-VASc

Answer 6

Risk CVA with Afib.