Risk Scores

Question 1

FRAX

Answer 1

• age
• sex
• weight
• height
• previous fracture
• parent fractured hip
• current smoking
• glucocorticoids - current, or 3/12 at high dose
• RA
• alcohol 3+ units a day
• secondary osteoporosis

Question 2

Q risk

Answer 2

• age
• sex
• ethnicity
• UK postcode
• smoking status
• diabetes status
• angina/MI in 1st degree relative <60
• CKD stage 4/5
• RA
• AF
• on antihypertensives
• BP
• BMI
• cholesterol/HDL ratio

Question 3

Diabetes Risk Score

Answer 3

• age
• gender
• ethnicity
• BMI
• waist circumference
• hypertension
• relative with diabetes

Question 4

Wells Score

Answer 4

• active cancer
• immobilization of leg
• recently bedridden or major surgery
• local tenderness
• entire leg swollen
• calf swelling >3cm compared with asymptomatic leg
• pitting oedema
• collateral superficial veins
• previous DVT
• alternative at least as likely as DVT

Question 5

ABCD2

Answer 5

• Age >60
• BP > 140/90
• Clinical features
  - unilateral weakness
  - speech disturbance (without weakness)
• Duration of symptoms
  - >1h
  - 10-59 min
• Diabetes

Question 6

CHADS2 VASc

Answer 6

• CCF
• Hypertension (>140/90)
• Age >75
• Diabetes Mellitus
• S2 - prior TIA or Stroke
• Vascular disease (e.g. MI or intermittent claudication
• Age 65-74
• Sex category female

If score 1+ (2+ if female) consider anticoagulation