scores and classifications/criteria to memorise

Question 1

classification of AKI intervals

Answer 1

G1 = 90+
G2 = 60 - 89
G3a = 45 - 59
G3b = 30 - 44
G4 = 15 - 29
G5 = < 15

Question 2

prostate cancer score

Answer 2

Gleason score
< 6 = low
7 = medium
8,9,10 = high

Question 3

NICE criteria for AKI diag

Answer 3

1 of:

creatinine increase >26umol/l in 48hrs
creatinine increase >50% over 7 days
urine output <0.5ml/kg > 6hrs

Question 4

ABCDE assess

Answer 4

airways (secure)
breathing (o2, salbutamol)
circulation (IV fluid bolus)
disability (lie flat?)
exposure (look at skin)

Question 5

score for risk of stroke/MI in next 10 years

Answer 5

QRISK 3

Question 6

glasgow coma scale

Answer 6

assessment of impairment of conscious level in response to defined stimuli eg. brain bleed, stroke, confusion

Question 7

assess stroke risk when patient has atrial fib

Answer 7

CHA2DS2VASc

Question 8

assess bleeding risk when patient has atrial fib

Answer 8

HASBLED

Question 9

assess risk of stroke after TIA

Answer 9

ABCD2:
age >60yrs = 1
BP >140/90 = 1
clinical pres - unilat weakness = 2, speech disturb = 1
duration >1hr = 2, 10-59 mins = 1
diabetes = 1

Question 10

score for pneumonia mortality

Answer 10

Confusion
Urea >7
Resp rate >30
BP < 90/60
>65

Question 11

classified as hospital acquired when

Answer 11

> 48hrs after hosp admission

Question 12

MRC dyspnoea scale

Answer 12

1 = strenuous
2 = walking uphill
3 = walking flat
4 = stop to catch breath
5 = cannot leave house

Question 13

FEV1 severity classification

Answer 13

>80% = 1
50-79% = 2
30-49% = 3
<30% = 4

Question 14

obstruction level in spirometry

Answer 14

fev1/fvc = <0.7

Question 15

pleural effusion exudative vs transudative protein levels

Answer 15

exud = >3g
trans = <3g

Question 16

scan and score for osteoporosis

Answer 16

DEXA scan - measures bone mineral density (BMD), generates T score to compare against healthy 30 year old

FRAX score - predicts risk of fracture over next 10 years

Question 17

score tool for psoriatic arthritis

Answer 17

psoriasis epidemiology screening test (PEST)

Question 18

screening tools for alcoholics

Answer 18

Cut down?
Annoyed?
Guilty?
Eye opener

Alcohol Use Disorders Identification Test (8+ = harm)

Question 19

end stage liver cirrhosis every 6 months

Answer 19

model for end-stage liver disease (MELD score)

Question 20

at home test for bowel cancer

Answer 20

faecal immunochemical test (FIT)

Question 21

criteria for lynch syndrome

Answer 21

amsterdam criteria

Question 22

index for UC severity

Answer 22

truelove and witts
severe if:
- over 6 poos
- visible blood
- pyrexia
- anaemia
- 30+ erythrocyte sedimentation rate

Question 23

staging system for AKI

Answer 23

KDIGO
1. creat rise >26
<0.5ml/kg/hr >6hrs
2. creat 2-3x baseline
<0.5ml >12
3. creat risk >354
<0.3ml >24/anuria in 12hrs

Question 24

risk score for severity of NSTEMI

Answer 24

Global Registry of Acute Coronary Events (GRACE) risk score

Question 25

classify heart failure

Answer 25

New York Classification of HF
1- heart disease pre but not dyspnoea
2- comfy at rest but dyspnoea during normal activities
3- limiting dyspnoea
4- dyspnoea at rest