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Year 3 > Scoring Systems > Flashcards

Scoring Systems Flashcards

1
Q

Glasgow Coma Scale - Eye Opening

A

4- spontaneously
3- to speech
2- to pain
1- none

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2
Q

Glasgow Coma Scale - Verbal Response

A

5- orientated
4- confused
3- inappropriate
2- incomprehensible
1- none

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3
Q

Glasgow Coma Scale - Motor Response

A

6- obeys commands
5- localises to pain
4- withdraws from pain
3- flexion to pain
2- extension to pain
1- none

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4
Q

You are assessing the motor component of a patient’s Glasgow Coma Scale. They are unable to obey commands but bend their elbow when their finger nail bed is stimulated. What do you do next?

A

3- flexion to pain

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5
Q

If you were told by a colleague that their assessment of a patient’s Glasgow Coma Scale was E2, V3, M5, how would you interpret this?

A

The patient’s eyes open to pressure, they can utter some words but do not form sentences, and they are able to localise to trapezius pinch.

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6
Q

If you were told by a colleague that their assessment of a patient’s Glasgow Coma Scale was E4, V3, M2, how would you interpret this?

A

Eyes open spontaneously
Say inappropriate words. e.g. ask you for a drink when you ask them where they are
Extension to pain

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7
Q

CURB-65

A

Confusion
Urea >7
Resp rate >30
Blood pressure <90S or <60D
Over 65?
1 point for each

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8
Q

CURB65 - 1 point

A

Low risk, consider outpatient treatment

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9
Q

CURB65 - 2 points

A

Moderate risk, consider inpatient or outpatient with close followup

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10
Q

CURB65 - 3 points

A

Severe risk group, consider in patient treatment with possible intensive care admission

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11
Q

CURB65 - 4 points

A

Severe risk group, consider in patient treatment with possible intensive care admission

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12
Q

CURB65 - 5 points

A

Severe risk group, consider in patient treatment with possible intensive care admission

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13
Q

71M, wandering streets [new confusion].
O/E RR32; BP 95/50
What’s his CURB-65 score?

A

4 points
inpatient recommended

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14
Q

67-year-old male with CAP, blood pressure of 120/85mmHg, and confusion
CURB65?

A

2 points
short inpatient or outpatient with close followup

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15
Q

68-year old male with CAP, blood pressure of 130/80mmHg, and respiratory rate of 18/min
CURB65?

A

1 point
Outpatient tx

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16
Q

69-year old female with CAP, blood pressure of 125/82mmHg, and creatinine of 2.1mg/dL (Baseline is 0.8mg/dL)
CURB65?

A

2 points
short inpatient or outpatient with close follow up

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17
Q

58-year old female with CAP, blood pressure of 100/50mmHg, and confusion
CURB65?

A

2 points
inpatient is recommended - use clinical judgement alongside CURB65

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18
Q

32-year-old female with CAP, blood pressure of 90/50mmHg, altered mental status, and respiratory rate 34/min
CURB65?

A

3 points
inpatient tx recommended

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19
Q

FeverPAIN score

A

Fever
Purulent tonsils
Attend rapidly [<3 days]
Inflamed tonsils
No cough
1 point for each

20
Q

FeverPAIN - 0 point

A

Unlikely streptococcal infection; no antibiotic recommended

21
Q

FeverPAIN - 1 point

A

Unlikely streptococcal infection; no antibiotic recommended

22
Q

FeverPAIN - 2 points

A

Consider delayed antibiotics [prescribe, only take if not better after a few days]

23
Q

FeverPAIN - 3 points

A

Consider delayed antibiotics

24
Q

FeverPAIN - 4 points

A

Consider antibiotics

25
Q

FeverPAIN - 5 points

A

Consider antibiotics

26
Q

Centor criteria

A

Age [3-14y]
Exudate or swollen tonsils
Tender/swollen anterior or cervical lymph nodes
Fever
No cough
1 point for each

27
Q

CHA2DS2-VASc score

A

Congestive Heart Failure - 1point
Hypertension - 1point
Age >75 - 2points
Diabetes - 1point
Stroke, TIA, TE - 2point
Vascular disease - 1point
Age 65-74 - 1point
Sex category [female] - 1point

28
Q

CHA2DS2-VASc - 0 point

A

no anticoagulation

29
Q

CHA2DS2-VASc - 1 point

A

consider anticoagulation [unless scoring solely due to Sc]

30
Q

CHA2DS2-VASc - 2 points

A

strongly consider anticoagulation

31
Q

S/S of moderate acute asthma

A

increasing symptoms
PEF >50-75% best or predicted
no features of acute severe asthma

32
Q

S/S of acute severe asthma

A

Any of the following:
PEF 33-50% best or predicted
respiratory rate >=25/min
heart rate >=110/min
inability to complete sentences in one breath

33
Q

S/S of life-threatening asthma

A

Pt with severe asthma, any one of the following:
PEF <33% best or predicted
SpO2 <92%
PaO2 <8kPa
‘normal’ PaCO2 [4.6-6]
altered conscious level
exhaustion
arrhythmia
hypotension
cyanosis
silent chest
poor respiratory effort

34
Q

S/S near fatal asthma

A

Raised PaCO2 and/or requiring mechanical ventilation with raised inflation pressures

35
Q

MRC Dyspnoea Scale 1

A

no breathlessness except with strenuous exercise

36
Q

MRC Dyspnoea Scale 2

A

Shortness of breath when hurrying on the level or walking up a slight hill

37
Q

MRC Dyspnoea Scale 3

A

Walks slower than people of the same age on the level because of breathlessness or has to stop for breath when walking at own pace on the level

38
Q

MRC Dyspnoea Scale 4

A

Stops for breath after walking about 100m or after a few minutes on the level

39
Q

MRC Dyspnoea Scale 5

A

Too breathless to leave the house or breathless when dressing or undressing

40
Q

CKD Classification - groups

A

G1
G2
G3a
G3b
G4
G5

41
Q

CKD - G1 [GRF and term to describe]

A

> =90 ml/min/1.73m2
normal or high

42
Q

CKD - G2 [GRF and term to describe]

A

60-89
mildly decreased

43
Q

CKD - G3a [GRF and term to describe]

A

45-59
mildly-moderately decreased

44
Q

CKD - G3b [GRF and term to describe]

A

30-44
mildly-moderately decreased

45
Q

CKD - G4 [GRF and term to describe]

A

15-29
severely decreased

46
Q

CKD - G5 [GRF and term to describe]

A

<15
kidney failure

47
Q

MRC Muscle Power Scale

A

0 no contraction
1 flicker or trace of contraction
2 active movement, with gravity eliminated
3 active movement against gravity
4 active movement against gravity and resistance
5 normal power

Year 3 (5 decks)

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