Risk Scores (2b)

Question 1

ABCD2

Answer 1

Risk of stroke after TIA
1. Age>60
2. BP>140/90
3. Clinical features (weakness=2, speech disturbance =1)
4. Duration (>60min=2, 10-59=1)
5. Diabetes

Question 2

Wells Score

Answer 2

For DVT
1. Active Cancer
2. Bedridden/surgery/recent immobility
3. Calf swelling >3cm
4. Collateral superficial veins
5. Entire leg swollen
6. Tenderness along deep vein system
7. Pitting Oedema
8. Previous DVT

Question 3

FRAX

Answer 3

10 year risk of fracture
1. 40-90
2. Sex (female)
3. Weight/height/BMI
4. Previous fracture
5. Parent hip fracture
6. Current smoker
7. Alcohol
8. Glucocorticoids
9. Rheumatoid arthritis
10. Secondary osteoporosis (Cushing’s, CKD, MS, Hyperthyroidism)

Question 4

CHA2DS2VASc

Answer 4

Stroke Risk in AF cases
1. Congestive heart failure
2. Hypertension
3. Age>75 (2)
4. Diabetes
5. Stroke/Tia/Thromboembolism(2)
6. Vascular disease (PAD, MI, Aortic Plaque)
7. Age 65-74
8. Sex category (female)

Question 5

QRISK Risk factors

Answer 5

CVD Disease
Non mod. - Age, male, FHx, background
Mod. - Smoking, LDL, Sedentary lifestyle, obesity, poor diet, alcohol
Comorbiditis - DM, HTN, CKD, Rheumatoid Arthritis

Question 6

HAS-BLED

Answer 6

HAS-BLED SCORE
Risk of major bleeding for bleeding for patient on anticoagulation to asses risk in af care.

1. Hypertension – uncontrolled >160
2. Renal disease – dialysis, creatinine >2.26 or >200 umol/L
3. Liver disease – cirrhosis? - bilirubin over 2* normal – ast/alt/ap >3* normal
4. Stroke history
5. Prior major bleeding or predisposition to bleeding
6. Labile inr – unstable/high inr - <60%
7. Age >65
8. Medication predisposing to bleeding – aspirin, clopidogrel, nsaids
9. Alcohol - >8 drinks/week