Risk Scores for OSCE's

Question 1

What is in the Frax risk score

Answer 1

age (+40)
gender (female)
rheumatoid arthritis
secondary osteoporosis
previous fracture
previous parental hip fracture
steroid use +/- 3mnth/year
BMI
smoking
alcohol (more than 3 units/days)
BMD

Question 2

QRISK2

Answer 2

age
gender
FHx of CVD
BMI
diabetes
hypertension
AF
smoking
cholesterol
systolic BP
rheumatoid
renal disease (CKD)
ethnicity
social deprivation
atypical antipsychotics (one, zole, ine)
severe mental illness
migraines
corticosteroids
SLE
erectile dysfunction
variability in BP

Question 3

CHA2DS2-VASc

Answer 3

congestive heart failure
hypertension (140/90 >)
age (75 years +)
diabetes
stroke/cerebral ischaemia
vascular disease
age 65-74
sex (female)

Question 4

diabetes risk assessment

Answer 4

age (70+ =13 points)
gender (male)
ethnicity
FHx of diabetes
waist (110cm/43” +”)
BMI
hypertension

Question 5

Wells DVT

Answer 5

active cancer within 6 months
bedridden/major surgery >3 days
calf swelling > 3cm
superficial veins
entire swollen legs
localised tenderness
pitting oedema
recent immobilisation of leg
previous DVT
alternative diagnosis likely

Question 6

ABCD2

Answer 6

age (+60 years)
blood pressure (>140/80)
clinical features (unilateral weakness)
duration of Sx > 60mins or 10-59mins
diabetes

Question 7

HASBLED

Answer 7

Hypertension (uncontrolled) >160mmHg
renal disease
liver disease
stroke history
predisposition to bleeding
unstable INR
age >65 yrs
medications - clopidogrel, NSAIDs, aspirin
alcohol (8 drinks + week)