Scoring Systems

Question 1

CHA2DS2-VASc

Answer 1

Used to determine the need to anticoagulate a patient in atrial fibrillation

Question 2

ABCD2

Answer 2

Prognostic score for risk stratifying patients who’ve had a suspected TIA

Question 3

NYHA

Answer 3

Heart failure severity scale

Question 4

DAS28

Answer 4

Measure of disease activity in rheumatoid arthritis

Question 5

Child-Pugh classification

Answer 5

A scoring system used to assess the severity of liver cirrhosis

Question 6

Wells score

Answer 6

Helps estimate the risk of a patient having a deep vein thrombosis

Question 7

PHQ-9

Answer 7

Patient Health Questionnaire - assesses severity of depression symptoms

Question 8

GAD-7

Answer 8

Used as a screening tool and severity measure for generalised anxiety disorder

Question 9

Edinburgh Postnatal Depression Score

Answer 9

Used to screen for postnatal depression

Question 10

SCOFF

Answer 10

Questionnaire used to detect eating disorders and aid treatment

Question 11

AUDIT

Answer 11

Alcohol screening tool

Question 12

CAGE

Answer 12

Alcohol screening tool

Question 13

FAST*

Answer 13

Alcohol screening tool

Question 14

Used in the assessment of suspected obstructive sleep apnoea

Answer 14

Epworth Sleepiness Scale

Question 15

International prostate symptom score

Answer 15

IPSS

Question 16

Indicates prognosis in prostate cancer

Answer 16

Gleason

Question 17

Used to help assess the whether induction of labour will be required

Answer 17

Bishop

Question 18

Assesses the risk of a patient developing a pressure sore

Answer 18

Waterlow

Question 19

Risk assessment tool developed by WHO which calculates a patients 10-year risk of developing an osteoporosis related fracture

Answer 19

Frax

Question 20

Acute pancreatitis

Answer 20

Ranson criteria

Question 21

Malnutrition

Answer 21

MUST

Question 22

Upper GI bleeding

Answer 22

use the Blatchford score at first assessment, and

the full Rockall score after endoscopy

Question 23

Severity of UC flares

Answer 23

Truelove and Witts criteria.

Question 24

used during acute episodes of alcoholic hepatitis to determine who would benefit from glucocorticoid therapy

Answer 24

Maddrey’s discriminant function (DF)

Question 25

Alternative to Child-pugh

Answer 25

Model for End-Stage Liver Disease (MELD)

Question 26

Determines if a stroke is likely?

Answer 26

Rosier

Question 27

Frailty questionnaire

Answer 27

Prisma-7

Question 28

measures disability or dependence in activities of daily living in stroke patients

Answer 28

Barthell index

Question 29

identifies medications where the risk outweighs the therapeutic benefits in certain conditions

Answer 29

STOPP tool

Question 30

Alert doctors to the Right Treatment. It looks at which medications should be used for certain conditions in patients 65 years or older

Answer 30

Start tool

Question 31

Pulmonary Embolism Rule-out Criteria, an initial screening tool to assess if the patients could be having a pulmonary embolism.

Answer 31

PERC

Question 32

score given to assess the risk of major bleeding in patients who are taking anticoagulants

Answer 32

HAS-BLED

Question 33

Centor criteria (likelihood of strep tonsillitis). 3 or more to give abx

Answer 33

Presence of tonsillar exudate Tender anterior cervical lymphadenopathy Fever No cough

Question 34

certain factors are more likely to indicate septic arthritis over transient synovitis: temperature \>38.5C,

Answer 34

Kochers criteria * temperature \>38.5C, * refusal to bear weight on affected limb * raised inflammatory markers (erythrocyte sedimentation rate \>40 mm/hour and CRP \> 20.0 mg/litre) * a peripheral white cell count of \> 12.0 x 109 (normal range 3.5 – 10.5 x 109 cells per cubic litre)

Question 35

Nausea and vomiting in pregnancy

Answer 35

PUQE (Pregnancy-Unique Quantification of Emesis)

Question 36

9 body areas are assigned a score of 0 - 4, a score \> 15 is considered to indicate moderate or severe hirsutism

Answer 36

Ferriman-Gallwey scoring system

Question 37

Beighton score

Answer 37

Beighton score is a useful tool to assess hypermobility. Beighton score is positive if at least 5/9 in adults, or at least 6/9 in children

Question 38

Hypertensive retinopathy

Answer 38

The table below shows the Keith-Wagener classification of hypertensive retinopathy