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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

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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
Name 2 scores for UC
-Truelove -Witts
26
What is the Glasgow Blatchford score used for?
Stratifies upper GI bleeds for risk + management
27
What GB score would suggest intervention?
Over 1
28
What does TNM stand for?
Tumour-size + extent Node-any nodal involvement? Metastasis-Y/N
29
Name 3 scoring factors for the Glasgow Blatchford score
-Malaena -BP -Hb
30
What is the criteria for hepatic encephalopathy?
West Haven
31
What score is used to assess breathlessness?
MRC dyspnoea score
32
Describe the stages of the MRC dyspnoea score
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
What score assesses severity of AKI's?
RIFLE
34
Explain RIFLE
- 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
What is the pneumonia severity assessment?
CURB-65
36
What does CURB-65 stand for?
- Confusion - BUN more than 7 - RR more than 30 - BP less than 90/60 (either) - Over 65 -Each 1 pt
37
What action would you take for a patient with a CURB score of 1?
Home antibiotic course-amoxicillin + clarithromycin
38
What action would you take for a patient with a CURB score of 2?
Consider hospitalisation, antibiotics
39
What action would you take for a patient with a CURB score of 3+?
ICU, antibiotics
40
What is the Glasgow coma score?
Assesses consciousness
41
What is a normal GCS?
15
42
What would be the GCS of a comatose patient?
8
43
What would a GCS of 3 or less mean?
Patient is unresponsive
44
What 3 categories are assessed with the GCS?
-Eye opening -Verbal response -Motor response
45
Name the criteria for infective endocarditis
Modified Duke
46
How many criteria would you need to fulfil to confirm a Dx of I.E. with the Dukes criteria?
2 major or 1 major + 3 minors or 5 minor
47
What score assesses stroke risk with a fib?
CHA2DS2VASc
48

Phase 2a (8 decks)

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