Risk Stations

Question 1

What are the risk score criteria for diabetes?

Answer 1

Age, Gender, ethnicity, waist measurement, BMI(weight, height) High blood pressure, Family history of diabetes

Question 2

What is the score range for diabetes risk?

Answer 2

0 to 47

Question 3

What are categories of diabetes risk?

Answer 3

Low 0-6
Increased 7-15
Moderate 16-24
High 25-47

Question 4

What advice can you give to lower diabetes risk?

Answer 4

Regular meals, reduce portion size, wholegrain and slow release carbs, decrease fat. Decreased salt.l, reduce alcohol, exercise 150 mins per week.

Question 5

What kind of safety net can you give for diabetes?

Answer 5

5 Ts

Toilet thirsty tired thinner thrush slow wound healing

Question 6

What is involved in Q risk score?

Answer 6

Age Sex Ethnicity, BMI, postcode, CKD 4 or 5, AF, RA Diabetes, HTN, angina or MI in relative under 60 smoking cholesterol systolic BP

Question 7

What is Q risk score?

Answer 7

Percentage chance of heart attack or stroke in next 10 years

Question 8

What is low risk Q risk?

Answer 8

<10%

Question 9

What is moderate Q risk?

Answer 9

10-20%

Question 10

What is high Q risk?

Answer 10

> 20%

Question 11

What is management for low Qrisk?

Answer 11

Advise risk is low but can stop smoking exercise more change diet lose weight control BP or HDL with meds

Question 12

What is management cut off for Q risk? When do you intervene?

Answer 12

> 10% consider Offer advice diet exercise smoking diabetes management
Discus cholesterol management and BP management initiate if not already done

Question 13

What is CHA2DS2VAS score?

Answer 13

Risk of stroke in AF patients

Question 14

What is the max CHA2DS2VaS score?

Answer 14

9

Question 15

What does CHA2DS2VaS include?

Answer 15

Congestive heart failure +1
Hypertension +1
Age over 75 +2
Diabetes +1
Stroke or TIA history +2
Vascular disease +1
Age 65-75+1
Sex female +1

Question 16

What are categories for risk in CHA2DS2VaS?

Answer 16

Low 0 or 1 for female
Medium 1 for males
High 2 or more

Question 17

What is suggested management of low risk CHA2DS2VaS?

Answer 17

0 or 1 for females no oral anticoagulants

Question 18

What is suggested management for moderate risk CHA2DS2VaS?

Answer 18

1 for males consider anticoagulant or 2 women

Question 19

What is recommended management for high risk CHA2DS2VaS?

Answer 19

2 or more anticoagulant is recommended warfarin or NOAC/DOAC

Question 20

What is in the HASBLED score?

Answer 20

hypertension +1
Renal disease +1
Liver disease +1
Stroke history +1
Prior bleeding or predisposition +1
Labile INR +1
Over 65 +1
Medications NSAIDs +1
Alcohol use >8 drinks/week +1

Question 21

What is high HASBLed?

Answer 21

Compare to CHA2DS2VAS score risks

Question 22

What is lifestyle advice for Warfarin?

Answer 22

INR, teratogenic, can I interfere with other meds, increase bleeding risk reversible vit K keep leefy veg same

Question 23

What is involved in FRAX score?

Answer 23

Age
Sex
Weight
Height BMD femoral neck, RA
secondary osteoporosis ( CKD Cushing's, MS diabetes hyper parathyroid hypothyroid, coeliac)
Previous fracture
Glucocorticoid
Lithium
Barbiturates
Parental hip fracture
Smoker
Alcohol 3 units a day

Question 24

What is T score?

Answer 24

How much bone density is higher or lower than normal.

Question 25

What is the interpretation of T score?

Answer 25

- 1 and above is normal - 1- -2.5 is osteopenia consider treatment - 2.5 and below should treat

Question 26

What is ABCD2 score?

Answer 26

Risk of stroke after TIA

Question 27

What is in ABCD2?

Answer 27

``` Age over 60+1 BP >140/90 Clinical features unilateral weakness+2 only speech +1 Duration <10 +0 10-59 +1 >60 min +2 Diabetes +1 ```

Question 28

What is Max ABCD2 score?

Answer 28

7

Question 29

What to do with ABCD2 score?

Answer 29

If have AF immediately anticoagulant Urgent 0-3 see in TIA clinic next 7 days Immediate 4-7 2 TIA within the 24 hours 2 TIAs in a week or on antiolatelet

Question 30

How does ABCD2 link to stroke risk?

Answer 30

Low risk 0-3 1% risk at 2 days Medium 4-5 4% High 6-7 8%

Question 31

What are the Well's DVT criteria?

Answer 31

Active cancer, bedridden. 3 days prior or major surgery 12 weeks, calf swelling greater than 3cm, collateral superficial veins, entire leg swollen, localised tenderness on the deep venous system, pitting oedema paralysis paresis or plaster to limb, previous DVT HRT or pill Smoking long haul fkight is not actually part of it

Question 32

What to do with Well's DVT?

Answer 32

0 do d dimer | If 3 more do ultrasound

Question 33

What are wells PE criteria?

Answer 33

``` Clinical signs and symptoms of DVT PE is most likely diagnosis Heart rate over 100 Immobilisation 3 days or surgery in 4 weeks Previous DVT or PE haemoptysis malignancy or treatment within 6 months ```

Question 34

What to do with Well's PE score?

Answer 34

Greater than 4 CTPA | Lower do D dimer

Question 35

What is acronym to remember DVT?

Answer 35

``` CUTEBAPS Calf swelling Unilateral pitting oedema Tenderness Entire leg swollen Bedridden/surgeries Active cancer Previous DVT Superficial veins ```