Risk Assessment Scores

Question 1

What would you do if a patient had a low or intermediate diabetes risk score?

Answer 1

Offer brief advice of the risk of developing diabetes, benefits of a healthy lifestyle and modifying risk factors. Reassess every five years

Question 2

What do you do if a patient has a high diabetes risk score?

Answer 2

Offer a blood test (either fasting glucose of HbA1c)

Question 3

What are the risk factors in the diabetes risk score?

Answer 3

Age, gender, waist circumference, BMI, ethnic background, blood pressure and family history

Question 4

What are the risk factors for diabetes?

Answer 4

High BMI, large waist (W>80cm, M>94cm), afro-Caribbean, black African, Chinese or south Asian over 25, over 40, family history, high BP, MI, stroke, had a big baby, taking anti-depressants

Question 5

What risk factors does QRISK use?

Answer 5

Age, systolic BP, smoking, total cholesterol/HDL cholesterol, BMI, ethnicity, measures of deprivation, family history, chronic kidney disease, RA, AF, diabetes, anti-HTN treatment

Question 6

Is the QRISK score is over 10 what should you do?

Answer 6

Statins should be considered

Question 7

What does the FRAX score take into consideration?

Answer 7

Country, Age, sex, weight, height, previous fracture, parent fractured hip, current smoking, glucocorticoids, RA, secondary osteoporosis, 3 or more units of alcohol per day, femoral neck BMD

Question 8

What does FRAX measure?

Answer 8

10 year probability of bone fracture risk

Question 9

What does the diabetes risk score tool predict?

Answer 9

An individuals risk of developing type 2 diabetes within the next ten years

Question 10

What does the QRISK measure?

Answer 10

It is the % risk of CVD event over the next ten years

Question 11

What are the results of the diabetes risk score?

Answer 11

Either low, moderate or high risk

Question 12

What are the results of the QRISK score?

Answer 12

A percentage chance

Question 13

What does the CHA2DS2 VAS score measure?

Answer 13

The risk of stroke in patients with AF

Question 14

What do you do if the patient has a CHA2DS2 VAS score of 2 and above?

Answer 14

Oral anticoagulant, with well controlled vitamin K antagonist, or a NOAC (apixaban)

Question 15

What are the results of the FRAX score?

Answer 15

A percentage of your 10 year probably of any major osteoporotic fracture and of a hip fracture

Question 16

What is the abcd2 score?

Answer 16

It determines the risk of a stroke following a TIA

Question 17

What are the five parameters of the abcd2 score?

Answer 17

Age, blood pressure, clinical features (speech disturbance and unilateral weakness), duration of TIA and diabetes

Question 18

What is a low abcd2 score?

Answer 18

1-3

Question 19

What is a moderate abcd2 score?

Answer 19

4-5

Question 20

What is a high abcd2 score?

Answer 20

6-7

Question 21

What is the 2 day and 7 day risk with a low abcd2 score?

Answer 21

2 day = 1%

7 day = 1.2%

Question 22

What is the 2 day and 7 day risk of a moderate abcd2 score?

Answer 22

2 day risk = 4.1%

7 day risk = 5.9%

Question 23

What is the 2 day and 7 day risk with a high abcd2 score?

Answer 23

2 day risk = 8.1%

7 day risk = 11.7%