Miscellaneous (e.g. screening)

Question 1

What yearly screening is offered to people with diabetes aged 12 and over ?

Answer 1

Eye screening for diabetic retinopathy

Question 2

Who are screened for AAA in scotland ?

Answer 2

All men 65 and over

Question 3

If an AAA is detected on screening what is done ?

Answer 3

It depends on the size of the AAA:

• Small AAA: 3 to 4.4cm (1%) –Repeat scan yearly
• Medium AAA: 4.5 to 5.4cm (0.5%) –Repeat scan every 3 months
• Large AAA: 5.5cm or greater (0.1%) –Referral to vascular surgery to discuss options

Question 4

In Scotland what is used to assess someones CVD risk?

Answer 4

The ASSIGN algorithm

Question 5

List the people who are at high risk of CVD

Answer 5

• Established CVD
• Stage 3 or greater CKD/micro/macroalbuminuria
• Familial hypercholesterolaemia
• > 40 years old + DM
• <40 + DM and 20 years of disease duration/ target organ damage / elevated CVD RFs
• Asymptomatic individuals should be considered at high risk if they are assessed as having ≥ 20% risk of a first cardiovascular event within ten years (using ASSIGN)

Question 6

What treatment should be given to people with high risk of CVD ?

Answer 6

• Diet and lifestyle advice
• Aspirin and a statin

Question 7

What is the recommended alcohol intake for men and women ?

Answer 7

Question 8

What is the FAST screening tool used for and state the 4 things asked

Answer 8

Used to screen people on their alcohol intake

• How often do you have 6 or more units on one occasion?
• How often during the last year have you been unable to remember what happened the night before because you have been drinking?
• How often in the last year have you failed to do what was normally expected of you because you had been drinking?
• In the last year, has a relative, friend, doctor or health worker been concerned about your drinking or suggested you cut down?