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2b OSCE > Scoring systems > Flashcards

Scoring systems Flashcards

1
Q

What predicts risk of CVD (heart attack or stroke) in next 10 years

A

QRISK

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2
Q

What do you do if someone QRISK is >10%

A

Offer statin therapy

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3
Q

What score is used to give risk to stroke cause by AF

A

CHA2DSVASc

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4
Q

What are parameters for scoring CHA2DS2VASc

A

HF
HtN
Age 75+(2)
Diabetes
Provious stroke/ TIA/ VTE (2)
Age 65-74
Female

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5
Q

What to do if CHA2DS2VASc score is 2 or more

A

Anticoag with warfarin or DOAC

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6
Q

What scoring system is used for to assess risk of bleeding in adults with AF on anticoag.

A

ORBIT

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7
Q

What are scoring parameters for orbit

A

Sex
Hb
>74
Bleeding history (GI bleed, haemorrhagic stroke)
eGFR
Treatment

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8
Q

What assess patients chance of having a DVT

A

Wells’ score

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9
Q

What to do if wells score 2 or more

A

Proximal leg ultrasound
If neg then d-dimer

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10
Q

Scoring parameters for wells score

A

Active cancer
Paralysis or recent plaster on the lower limb
Bedridden or recent surgery
Tenderness
Entire leg swollen
At least 3cm swelling
Pitting odema
Previous DVT

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11
Q

What assess risk of further TIA/ stroke after TIA

A

ABCD2

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12
Q

Scoring parameters for ABCD2

A

60+
BP 140/90
Featurs of TIA (Unilateral weakness (2) speech disturbance (1))
10-59 (1) 1hr+ (2)
Diabetes

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13
Q

What to do if score 6+, 4+, 3- in ABCD2

A

6+ specialist referral
4+ specialist referral within 24hr
3- reviewed within a week

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14
Q

What advice to give someone following TIA

A

Do not drive for at least 1 month

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15
Q

What predicts someone’s risk of type 2 diabetes

A

Know your risk score

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16
Q

What are non-modifiable risk factors of the ‘Know your Score’

A

Age
Male gender
Family history of diabetes
Ethnicity, anything other than white Europeans

17
Q

What are the modifiable risk factors of the ‘Know your risk’ score

A

Waist Measurement
BMI
Hypertension

18
Q

What to do if high risk for type 2 diabtes

A

HbA1C
Also enquire about diabetic symtoms

19
Q

What scoring system is used to predict 10 year risk of fracture

A

FRAX

20
Q

Scoring parameters for FRAX

A

Age
Sex
Height and Weight
Previous pathological fracture
Parental hip fracture
Smoking and alcohol use
Glucocorticoid use
Femoral kneck density from previous DEXA scan
RA
Secondary osteoporosis

21
Q

What diseases linked with secondary osteoporosis

A

Kidney Failure
Hyperthyroidism/ hyperparathyroidism
Coeliac
T1DM
Chronic liver disease
Premature menopause

22
Q
A

2b OSCE (1 decks)

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