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Phase 2a > Scores/Classifications > Flashcards

Scores/Classifications Flashcards

1
Q

What does FRAX estimate?

A

10 yr probability of major osteoporotic fracture

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2
Q

What factors does FRAX take into account?

A

-Age
-Sex
-BMI
-Previous fractures
-Parental Hx of hip fracture
-Smoker
-Glucocorticoid use
-Rh arthritis

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3
Q

Name a screening tool for eating disorders

A

SCOFF

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4
Q

What does SCOFF stand for?

A
  • Sick
    • Do you make yourself sick because you feel uncomfortably full
  • Control
    • Do you worry you have lost control over how much you eat
  • One
    • Have you recently lost one stone in a 3 month period
  • Fat
    • Do you believe yourself to be fat when others say you are too thin
  • Food
    • Would you say food dominates your life?
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5
Q

What is a positive SCOFF score?

A

Positive response to 2+ questions

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6
Q

Name two screening question sets for alcohol abuse

A

-CAGE
-AUDIT

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7
Q

What does CAGE stand for?

A
  • Cut down
    • Have you ever felt the need to cut down on drinking
  • Annoyed
    • Have you ever felt annoyed by criticism of drinking
  • Guilty
    • Have you ever felt guilty about your drinking
  • Eye opener
    • Have you ever had a drink first thing in the morning to steady your nerves or to get rid of hang over
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8
Q

What is CHA2DS2-VAsc used for?

A

Score for A fib stroke risk

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9
Q

What does CHADSVASC stand for?

A

-Congestive heart failure
-Hypertension
-Age >75 (2)
-DM
-Stroke/TIA/thrombo-embolism (2)
-Vascular disease
-Age 65-74
-Sex (female)

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10
Q

What actions would you take with a CHADSVASC score of 0?

A

No action

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11
Q

What actions would you take with a CHADSVASC score of 1-2?

A

Consider anticoag

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12
Q

When would you recommend an anticoagulant with a CHADSVASC score?

A

Score 2+

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13
Q

Name the score that assesses bleeding risk for a fib?

A

ORBIT

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14
Q

What factors does orbit consider?

A

74+, GFR<60, antiplatelet Tx, bleeding Hx

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15
Q

What score would you use to identify sepsis?

A

NEWS2

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16
Q

Name 3 factors in NEWS2

A

-Resp rate
-Temperature
-Consciousness/new confusion

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17
Q

What does the Well’s score assess?

A

Probability of DVT/PE

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18
Q

What Well’s score indicates a DVT; a PE?

A

DVT=1+
PE=4+

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19
Q

Name 4 parameters for the Well’s score

A

-Active cancer
-Previous VTE
-65+
-Recently bedridden

20
Q

What does QRISK assess and what is it used for?

A

Probability of cardiac event in next 10yrs-used for advice on prophylaxis + primary prevention

21
Q

Name the classification system for heart failure + its stages

A

NYHA-New York heart association
1-4, dependent on limitation on activity

22
Q

What is the staging system for lymphoma + how many stages?

A

Ann Arbour, 4 stages

23
Q

What are the Ann Arbour stages?

A
  • Stage I
    • Limited to single lymph node region
  • Stage II
    • Two or more lymph node regions on the same side of the diagram
  • Stage III
    • Lymph Nodes on both sides of the diaphragm
  • Stage IV
    • Multiple organs or tissues beyond lymphatic system
24
Q

What does the Gleason score assess?

A

Prostate cancer stages

25
Q

Name 2 scores for UC

A

-Truelove
-Witts

26
Q

What is the Glasgow Blatchford score used for?

A

Stratifies upper GI bleeds for risk + management

27
Q

What GB score would suggest intervention?

A

Over 1

28
Q

What does TNM stand for?

A

Tumour-size + extent
Node-any nodal involvement?
Metastasis-Y/N

29
Q

Name 3 scoring factors for the Glasgow Blatchford score

A

-Malaena
-BP
-Hb

30
Q

What is the criteria for hepatic encephalopathy?

A

West Haven

31
Q

What score is used to assess breathlessness?

A

MRC dyspnoea score

32
Q

Describe the stages of the MRC dyspnoea score

A

Breathless on:
- 1-Only strenuous activity
- 2-Walking up slight hill/walking faster than usual on level ground
- 3-Walking on the flat
- 4-Stops for breath after 100m flat for few mins
- 5- Too breathless to do normal activities

33
Q

What score assesses severity of AKI’s?

A

RIFLE

34
Q

Explain RIFLE

A
  • R: risk
    • Increase in serum creatinine by 1,5x baseline/increase 26 mg
    • Or more less than 0.5 mL/kg/hr for 6hr urine
  • I: Injury
    • Increase in serum creatinine by 2x baseline
    • Or more less than 0.5 mL/kg/hr for 12hr urine
  • F: Failure
    • Increase in serum creatinine 4x
    • Or more less than 0.3 mL/kg/hr for 6hr urine
  • Urine output criteria
    • L: Loss
      • Complete loss of kidney funciton over four weeks
    • E: End stage
      • Persistent AKI, complete loss of kidney function over 3 months
35
Q

What is the pneumonia severity assessment?

A

CURB-65

36
Q

What does CURB-65 stand for?

A
  • Confusion
  • BUN more than 7
  • RR more than 30
  • BP less than 90/60 (either)
  • Over 65
    -Each 1 pt
37
Q

What action would you take for a patient with a CURB score of 1?

A

Home antibiotic course-amoxicillin + clarithromycin

38
Q

What action would you take for a patient with a CURB score of 2?

A

Consider hospitalisation, antibiotics

39
Q

What action would you take for a patient with a CURB score of 3+?

A

ICU, antibiotics

40
Q

What is the Glasgow coma score?

A

Assesses consciousness

41
Q

What is a normal GCS?

A

15

42
Q

What would be the GCS of a comatose patient?

A

8

43
Q

What would a GCS of 3 or less mean?

A

Patient is unresponsive

44
Q

What 3 categories are assessed with the GCS?

A

-Eye opening
-Verbal response
-Motor response

45
Q

Name the criteria for infective endocarditis

A

Modified Duke

46
Q

How many criteria would you need to fulfil to confirm a Dx of I.E. with the Dukes criteria?

A

2 major or 1 major + 3 minors or 5 minor

Phase 2a (8 decks)

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