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General Investigations > Scoring Systems > Flashcards

Scoring Systems Flashcards

1
Q

What Classification is used for heart failure?

A

New York Heart Association

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2
Q

What is Class IV on the NYHA?

A

Symptoms of HF present even at rest

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3
Q

What is the QRisk2 score? What indicates treatment and what treatment?

A
  • Risk of cardiovascular disease
  • > 10%
  • Start on Atorvastatin 10mg and build up
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4
Q

What do you use when recognising a stroke in the emergency room?

A

ROSIER score >0

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5
Q

What do you use in suspected TIA?

A

ABCD2 scale 5+ = high risk

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6
Q

What is CHADSVAS used for?

A

Assess stroke risk in AF

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7
Q

What is HASBLED used for?

A

Assessing bleeding risk in AF

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8
Q

What forms the APGAR score and what is each section worth?

A 
Appearance - 2 = pink all over
Pulse - 2 = >100
Grimace - 2 = sneeze, cough, pull away
Activity - 2 = Normal activity/muscle tone
Resiration - 2 = strong
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9
Q

What is the Bishops score for?

A

The ripeness of the cervix

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10
Q

What are the 5 factors for the Bishops score?

A 
Position
Consistency
Effacement
Dilation
Foetal station in relation to ischial spines
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11
Q

What Bishops score would indicate ARM and syntocinon

A

> 6

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12
Q

What scoring system is used for cervical cancer staging?

A

FIGO

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13
Q

List the ABCDE2

A
  • Age >60 = 1
  • Blood pressure >140/90 = 1
  • Clinical symptoms of focal weakness with spell = 2 or speech impairment without weakness = 1
  • Duration >60mins = 2
  • Diabetes = 1
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14
Q

What are the SIRS criteria?

A
  • Temperature over 38 or <36
  • Respiration >20
  • HR > 90
  • White cell count <4 or >12
  • BGL >7.7
  • New altered mental state

Infection = SIRS + source of infection

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15
Q

What scoring system is used for myelosuppression? And what score indicates high risk?

A

Multinational Association of Supportive Care in Cancer

Less than 21 = High Risk

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16
Q

Outline the CURB >65

A 
Confusion - AMTS <8
Urea >7mmol
Respiration >30
Blood pressure < 90/60
>65 years old
17
Q

What is the management for a CURB score of 0-1

A

Home treatment

Amoxicillin 500mg TDS/Clarithro/Doxy

18
Q

What is the management for a CURB of 2?

A

Hospital management

Amoxicillin + clarithromycin

19
Q

What is the management for a CURB score of >2?

A

ABCDE
BUFALO within 1 hour
Co-amoxiclav + clarithromycin

For strep pneumonia - Benzyl Penicillin
Staph A = Fluclox/vancomycin

20
Q

What is used for Prostate Cancer Staging?

A

Gleason Grading

21
Q

Name 7 criteria for the PE Well’s score

A
  • Clinical signs/symptoms of DVT
  • PE is number 1 diagnosis/likely
  • Heart rate >100
  • Immobilisation for at least 3 days or surgery in last 4 weeks
  • Previous, pbjectively diagnosed PE or DVT
  • Haemoptysis
  • Malignancy with treatment within 6 months
22
Q

What scoring can be used for NSTEMI?

A

Grace Score >3 = glycoprotein IIa/IIIb inhibitors and coronary angiography within 96hours of admission

23
Q

What is used to classify aortic dissection?

A

DeBlakey Type I –> III

Stanford A and Stanford B

24
Q

Which score is used to asses the severity of hyperemesis?

A

The Pregnancy-Unique Quantification of Emesis (PUQE)

25
Q

Which scoring is used to assess adverse risks from syncope?

A

San Fransisco Syncope Rule:

  • CHF
  • Haematocrit <30%
  • ECG abnormal
  • SoB
  • Systolic blood pressure <90
26
Q

What score is used to assess mortality risk in upper GI bleed?

A

Rockall score

  • <3 = good prognosis
  • > 8 = very poor
27
Q

What is used to assess the likelihood of medical intervention?

A

Glasgow-Blatchford score

- 0-2 = low risk

28
Q

Which scoring system is used for uterine prolapse?

A

Shaw grading

29
Q

What is the Centor score?

A
  • Indication of antibiotic use in tonsillitis

- If >3 then penicillin V

30
Q

What is used for Croup?

A

Wesley Croup score:

- >3 = severe and requires hospital admission

31
Q

What is used for the diagnosis of Rheumatic Fever?

A

Jones criteria

32
Q

Assessing severity of Ulcerative Colitis?

A 
True-love Witts:
•	Stool frequency >6/day
•	Temperature >38 degrees
•	Pulse > 90 beats/min
•	Haemoglobin <10.5 g.dl
•	ESR > 40mm/ h

General Investigations (6 decks)

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