Scores for Conditions

Question 1

What score is Used to diagnose DVT/PE?

Answer 1

Wells Score:

> 4 = PE Likely
<4 = D-Dimer test

2> = DVT likely
<2 = D-Dimer Test

Question 2

What score is used to calculate the probability of a cardiac event in the next 10 years in a patient with no cardiac History?

Answer 2

QRISK

Question 3

What score is used to calculate stroke risk after an AF diagnosis

Answer 3

CHA2DS2VASc:
Congestive HF
Hypertension
Age >75 (+2)
DM
Stroke/TIA previously (+2)
Vascular Disease
Age 65-74
Sc (sex category) - Female

Score 1 = moderate risk consider Aspirin

Score 2 or more = high risk - give warfarin

Question 4

What score is used to assess bleeding risk in patients with AF on anticoagulation?

Answer 4

HASBLED/ORBIT

Used to monitor patients but NOT stop the anticoagulation

Question 5

What score is used to assess the severity of Heart Failure

Answer 5

NYHA 1-4
1: ASx
2: Sx w/moderate exertion
3: Sx w/mild exertion
4: Sx at rest

Question 6

What score is used to assess PVD?

Answer 6

Fenton classification 1-4
1: ASx
2: Intermittent Claudication
3: Critical Limb Ischaemia
4: Acute gangrene/acute limb ischaemia

Question 7

What are the values for Hypertension?

Answer 7

Normal BP = 120/80 - <90/<60

Stage 1:
Clinical = 140/90
AMBP = 135/85

Stage 2:
Clinical = 160/100
AMBP = 150/95

Stage 3:
Clinical = 180/110
Htn Crisis - treat with Phentolamine

Question 8

What scoring system is used to assess Stage of Lymphoma?

Answer 8

Ann Arbour Staging: 1-4 A/B

1: 1 Lymph Node effected
2: >2 Lymph nodes effected on same side of diaphragm
3: Lymph nodes affected on both sides of the diaphragm
4: Extra organ involvement (out of lymph nodes)

A - no B symptoms
B - Has B Symptoms ((Fever, Night sweats, Weight Loss)

Question 9

What score is used to assess Ulcerative Colitis Severity?

Answer 9

Truelove and Witts

Mild - <4 stools daily, No fever, Little-no blood and not anaemic

Moderate - 4-6 Stools daily, no fever, some blood and not anaemic

Severe >6 stools daily, fever, visible blood and anaemic

Question 10

What score is used to assess initial Upper GI bleed?

Answer 10

Glasgow Blatchford score

Question 11

What score is used to assess severity of Upper GI bleed?

Answer 11

Rockall Score
Age
Shock
Co-morbidities
Recent Haemorrhage

Question 12

What is the APACHE II score used for?

Answer 12

Assessing the severity of Upper GI bleeds in ICU patients

Eg. acute pancreatitis

Question 13

What score is used to assess cancers?

What cancers are the alternatives?

Answer 13

TNM:
Tumour: 1-4,
Nodes: 0, 1, 2
Metastases: 0, 1, X

Prostate = Gleason score 1-4
Lymphoma = Ann Arbour 1-4 A/B

Question 14

What score is used to assess Hepatic Encephalopathy?

Answer 14

West Haven Criteria 1-4
1: Lack of awareness/reduced attention span
2: Lethargy, Disorientation, Asterixis
3: Unresponsive and incoherent
4: Coma

Question 15

What score is used to assess breathlessness?

Answer 15

MCR Dyspnoea Scale (used in HF and RESP conditions)

1: Breathless on strenuous exercise
2: Breathless on incline
3: Breathless when walking flat
4: Breathless after 100m/few mins
5: Breathless to do ADLs

Question 16

What score is used to assess stage of AKI?

Answer 16

KDIGO (RIFLE):
Risk:

• Rise of creatine of 26mg in 48hrs
• Rise of creatine of 1.5x baseline over 7 days
• Urine output <0.5ml/kg/hr for 6 hours

Injury: 2-3x Baseline Cr OR <0.5ml/kg/hr for 12 hours

Failure: 3-4x Baseline Cr OR 0.3ml/kg/hr for 24 hours or Anuria for 12 hrs

Loss: Anuria for 4+ weeks

End of Function: for 3+ months

Question 17

What score is used to assess stage of CKD?

Answer 17

KDIGO:
1 = eGFR >90 w/renal signs
2 = eGFR 60-89 w/renal signs
3a = eGFR 45-59
3b = eGFR 30-44
4 = eGFR 15-29
5 = eGFR <15 (dialysis)

Question 18

What score is used to assess severity of pneumonia?

Answer 18

CURB65:

Confusion
Urea >7mmol/l
Respiratory Rate >30/min
BP <90 Sys or <60V Dia
65 years old

0-1: Amoxicillin for 5 days at home

2: Amoxicillin + Clarithromycin for 7-10 days in hospital

> 3 IV Co-amoxiclav + clarithromycin for 7-10 days in ICU

Question 19

What score is used to assess consciousness?

Answer 19

Glasgow Coma Scale (GCS):
Normal = 15/15
Comatose = <8
Unresponsive = <3

Eyes Opening - n/4
Verbal responsiveness - n/5
Motor Function - n/6

Question 20

What score is used to assess Stool?

Answer 20

Bristol Stool Chart 1-7
5-7 = Very loose/ Abnormal

Question 21

What score is used to assess Alcohol Dependency?

Answer 21

CAGE - n/4

Cut Down
Annoyed
Guilty
Eye-opener

2 or more = addiction

Audit

Question 22

What is the Fontaine Score for?

Answer 22

Used to Assess PVD:
1. Asymptomatic
2. Intermittent claudication
3. Chronic Limb Ischaemia
4. Ulcerated/Gangrene ischaemia

Question 23

What is the PHQ9 test/score for

Answer 23

To help the diagnosis of depression

Question 24

What is the Beighton Score for?

Answer 24

To diagnose Ehlers Danlos

Question 25

What is the Ghent Criteria for?

Answer 25

To Diagnose Marfans:

Question 26

What is the Jones Score for?

Answer 26

Rheumatic Fever: 2 Major / 1 Major + 2 minor

Major:
Joint Arthritis
Organ inflammation - carditis
Nodules (subcut skin nodules)
Erythema Nodosum
Sydenham’s Chorea

Minor:
Fever
ECG changes - PR prolongation
Arthralgia w/o arthritis
Raised inflammatory markers (ESR/CRP)