Scoring Systems

Question 1

CHA2DS2 VASC

Answer 1

in AF, this is used to calculate the stroke risk (i.e. the need for anti-coagulation)

Question 2

Qrisk

Answer 2

in HTN, this is used to calculate the risk of MI + stroke

Question 2

HASBLED / ORBIT

Answer 2

in AF patients on anti-coagulation, this calculates the bleeding risk

Question 3

New York heart association classification

Answer 3

for heart failure -
I: no limitations of physical activity
II: slight limitation of physical activity, but comfortable at rest
III: marked limitation of physical activity, but comfortable at rest
IV: symptoms with activity + at rest

Question 4

Dukes criteria

Answer 4

infective endocarditis classification

Question 5

GRACE

Answer 5

calculate 6-month mortality for patients with NSTEMI

Question 6

Glasgow coma scale (GCS)

Answer 6

assesses consciousness via eye opening, verbal response, + motor response

Question 7

Brighton criteria

Answer 7

takes into account how many hypermobile joints you have - Guillain-Barre syndrome

Question 8

ROSIER

Answer 8

differentiates a stroke from a mimic of a stroke

Question 9

Glasgow Blatchford score

Answer 9

determines the likelihood that a patient with an upper GI bleed needs intervention

Question 10

Rockall score

Answer 10

identifies patients at risk of adverse outcome following acute upper GI bleeding

Question 11

Truelove + Witts

Answer 11

scoring system for UC

Question 12

Marsh histological classification

Answer 12

determines extent of damage in coeliac disease

Question 13

Hinchey classification

Answer 13

used to classify diverticular disease

Question 14

Alvarado score

Answer 14

assesses the likelihood of appendicitis

Question 15

Duke’s classification

Answer 15

used to stage colorectal cancer

Question 16

Glasgow scoring system

Answer 16

used to stage acute pancreatitis

Question 17

PEST

Answer 17

screens patients with psoriasis for psoriatic arthritis every year

Question 18

Kocher criteria

Answer 18

criteria for septic arthritis

Question 19

Ghent criteria

Answer 19

criteria to confirm the diagnosis of Marfan’s

Question 20

CAT

Answer 20

measures QOL for people with COPD

Question 21

Well’s score

Answer 21

determines risk of developing DVT

(>2 points means DVT is likely)

Question 22

Ann Arbor classification

Answer 22

Staging of Hodgkin’s lymphoma (I-IV, + either A or B)

Question 23

ROME IV criteria

Answer 23

diagnoses IBS

abdo pain at least 3 days/months in past 3 months, along with 2 or more of -
- improves with defecation
- altered stool frequency
- altered stool appearance

Question 24

Los Angeles classification

Answer 24

determines extent of damage in GORD/oesophagitis

Question 25

Child-Pugh score

Answer 25

predict mortality + need for liver transplant in liver cirrhosis

Question 26

APACHE score

Answer 26

assess severity of acute pancreatitis (can be done faster than Glasgow score)

Question 27

KDIGO classification?

Answer 27

defines AKI: - Rise in SCr >26 umol/L in 48hrs - Rise in SCr >1.5 x baseline - Urine output <0.5 ml.kg for more than 6 hours

Question 28

MRC dyspnoea scale?

Answer 28

assesses the degree of baseline functional disability due to dyspnoea

Question 29

CURB65?

Answer 29

assess severity of CAP Confusion Urea >7mmol/L RR >30 mins BP <90 mmHg systolic or 60 mmHg diastolic >65 yrs

Question 30

Stanford classification?

Answer 30

classifies aortic dissection Type A = dissection involves ascending aorta Type B = dissection doesn't involve ascending aorta

Question 31

ABCD^2?

Answer 31

calculate stroke risk following a TIA

Question 32

DAS28 score?

Answer 32

used in Rheumatoid Arthritis (RA) to monitor disease activity + response to treatment (Disease Activity Score based on the assessment of 28 joints)

Question 33

International Prostate Symptom Score (I-PSS)?

Answer 33

measure severity of LUTS (<7 = mild) (>20 = severe)

Question 34

Bamford classification?

Answer 34

classified ischaemic stroke based on their initial clinical presentation (classified into TACS, PACS, LACs, or POCS)

Question 35

Tennis score?

Answer 35

used to classify haemorrhagic shock (I-III)

Question 36

Vaughan's Williams classification?

Answer 36

used to classify antiarrhythmic drugs

Question 37

CKD stages: >90 ml (eGFR)

Answer 37

stage 1

Question 38

CKD stages: 60-89 ml (eGFR)

Answer 38

stage 2

Question 39

CKD stages: 45-59 ml (eGFR)

Answer 39

stage 3a

Question 40

CKD stages: 30-44 ml (eGFR)

Answer 40

stage 3b

Question 41

CKD stages: 15-29 ml (eGFR)

Answer 41

stage 4

Question 42

CKD stages: <15 ml (eGFR)

Answer 42

stage 5

Question 43

Fontaine classification?

Answer 43

classifies PVD

Question 44

ACE III?

Answer 44

screens for cognitive impairment + dementia (Addenbrooke's Cognitive Examination)

Question 45

MMSE?

Answer 45

screens for cognitive impairment + dementia (Mini Mental State Examination)

Question 46

HADS?

Answer 46

assesses severity of anxiety or depression (Hospital Anxiety and Depression Score)

Question 47

MoCA?

Answer 47

screens for cognitive impairment + dementia (Montreal Cognitive Assessment)

Question 48

NEWS score?

Answer 48

detects clinical deterioration in adult patients (National Early Warning Score)

Question 49

McDonald criteria?

Answer 49

used to make a MS diagnosis (requires 2 or more attacks disseminated in time + space)

Question 50

CAGE tool?

Answer 50

assess alcohol use

Question 51

AUDIT tool?

Answer 51

assess alcohol use (Alcohol Use Disorders Identification Test)

Question 52

AKI Stages 1-3?

Answer 52

Stage 1: Cr increase 1.5-2 x baseline Stage 2: Cr increase 2-3 x baseline Stage 3: Cr increase 3 x baseline

Question 53

Jones criteria?

Answer 53

rheumatic fever