Scoring Systems

Question 1

• CT-FISHER SCORE - for SAH

Answer 1

on CT

* 1  Thin SAH (<1mm)    NO IVH (intraventricular hemorrhage)
* 2  Thin SAH + IVH
* 3  Thick >1mm   NO IVH
* 4  Thick + IVH

Question 2

• Hunt and Hess

Answer 2

in SAH!

* I – asymptomatic or mild headache
* II – moderate-severe headache, meningism and no weakness
* III – mild alteration in mental status
* IV – depressed LOC and/or hemiparesis
* V – posturing or comatose

Question 3

• ASIA SCORE

Answer 3

in spinal cord injury

* A = Complete: No sensory or motor function is preserved in sacral segments S4-S5
* B = Incomplete: Sensory, but not motor, function is preserved below the neurologic level and extends through sacral segments S4-S5
* C = Incomplete: Motor function is preserved below the neurologic level, and most key muscles below the neurologic level have a muscle grade of less than 3
* D = Incomplete: Motor function is preserved below the neurologic level, and most key muscles below the neurologic level have a muscle grade that is greater than or equal to 3
* E = Normal: Sensory and motor functions are normal

Question 4

• Tiles Classification

Answer 4

Pelvic # - speaks to stability - A = stable, B = Rotationally unstable, vertically stable, C = unstable both ways + SI joint disrupted

Question 5

• Young-Burges Classification

Answer 5

• Pelvic # - speaks to mechanism
  • Anteroposterior compression (APC) - 1 stable - 3 unstable
  • Lateral compression (LC) - 1 stable - 3 unstable
  • Vertical shear injuries (VS) - (completely unstable)
  • Combined mechanism (CM) fractures — (completely unstable)

Question 6

• Torode and Zeig classification - describes four types of pelvic injuries:

Answer 6

• ● Type I – Avulsion injury
  
  • ● Type II – Iliac wing fracture
  • ● Type III – Simple ring fracture (stable)
  • ● Type IV – Unstable ring disruption.

Question 7

KILLIP

Answer 7

Killip Scale (Post MI)
I – No Congestion
II – S3, Basalar Rales
III- Acute Pulmonary Edema
IV – Cardiogenic Shock

Question 8

Gustio Classification of Compound Fracture

Answer 8

I - < 1cm
II - > 1cm < 10cm
IIIa – Significant tissue injury, no flap
IIIb – Significant tissue injury, requiring flap
IIIc – Significant tissue injury , vascular

Question 9

Gold Classification
(COPD/Obstructive Respiratory
Classification)

Answer 9

FEV 1.0
I - <70 – 80 = Minimal obstruction
II – 50 – 80 Mild Obstruction
III – 30 – 50 Moderate Obstruction
IV - < 30 – Severe Obstruction

Question 10

Muscle Strength Grading

Answer 10

5 – normal strength
4 – ROM decreased with str
3 – ROM decreased with gravity
2 – ROM decreased with no gravity
1 – Fasciculation
NT – not testable

Question 11

Forrester Scale – PAC CHF

Answer 11

I – PCP <18 CI > 2.2
II – PCP >18 CI > 2.2
III – PCP < 18 CI<2.2
IV – PCP >18 CI < 2.2

Question 12

New York Heart Association Scale

(NYHA) - CHF

Answer 12

I – CAD, No limitations on activity
II- Mild symptoms, Slight limitations of daily
activity
III – Marked Limitation – comfortable at rest
symptoms with normal activity
VI – Severe Limitations Symptoms at rest

Question 13

AAA Classification

DeBakey
&
Sanford

Answer 13

DeBakey
1 – Ascending
2 – Ascending Arch
3 – Below Arch

Sanford
A – Ascending
B – Descending

Question 14

Canadian Cardiovascular Society (CCS) Score

Answer 14

Grades the severity of ANGINA

Onset with:
I – Strenuous Exertion
II- Mild exertion
III- Moderate Exertion
IV – At Rest

Question 15

Timi Risk Score

Answer 15

(NSTEMI)
Age > 65
ASA last 7 days
2 Angina episodes x 24hrs
ST changes of 0.5mm or greater
Elevated Biomarkers
Known CAD (50% stenosis)
At least 3 risk factors for CAD
*+1 for each positive = Timi Risk Score

Question 16

RASS

Answer 16

\+4 Combative
\+3 Very Agitated
\+2 Agitated
\+1 Restless
0 Alert and Calm
-1 Drowsy
-2 Light Sedation
-3 Moderate Sedation
-4 Deep Sedations
-5 Unrousable

Question 17

GRACE SCORE

Answer 17

GRACE score -Global Registry of Acute Coronary Events - used in NSTEMI/STEMI and predicts
1. in hospital mortality + 2. 1 year mortality / have another MI??