Scoring systems

Question 1

What is the Glasgow Coma Score used for? (+criteria)

Answer 1

status for the CNS

E(4), V(5), M(6)

Question 2

What is the Child Pugh score used for?

Answer 2

liver failure

Question 3

What is the Ranson score used for?

Answer 3

pancreatitis

Question 4

What is the Breslow score used for?

Answer 4

melanoma

Question 5

What is the Clark score used for?

Answer 5

melanoma

Question 6

What is the CURB 65 score used for? (+criteria)

Answer 6

pneumonia

C - confusion
U - urea >7
R - RR>30
B - BP - SBP<90 / DBP<60
65 - aged over 65

0-1 - mild
2 - moderate
3+ severe

Question 7

What is the APACHE II score used for?

Answer 7

pancreatitis

Question 8

What is the Rockall score used for?

Answer 8

upper GI bleed

adverse o/c following upper GI bleed

Question 9

What is the Waterlow score used for?

Answer 9

pressure sore risk

Question 10

What is the Modified Duke criteria used for?

Answer 10

endocarditis

Question 11

What is the Modified Glasgow criteria used for? (+criteria)

Answer 11

pancreatitis

P - paO2 <8
A - >55yrs 
N - neutrophils: WBC >15
C - Ca <2
R - renal: urea >16
E - enzymes: AST/ALT >200 / LDH>600
A - albumin <32
S - sugar: glucose >10

Question 12

What is the ABCD2 score used for? (+criteria)

Answer 12

stroke risk (following TIA):
A - age >60
B - BP: SBP >140 / DBP >90
C - clin features of TIA: unilateral weakness +/- speech impairment
D - duration: TIA>60 (=2), TIA 1-59 (=1)
D - diabetes

Question 13

What is the CHADSVASC score used for? (+criteria)

Answer 13

stroke risk assessment in AF:
Congestive HF
HTN
Age >75 (=2), 65-74 (=1)
DM
Stroke/TIA/thromboembolism
Vascular disease
Sex = female

Question 14

What is the Wells score used for?

Answer 14

likelihood pt has a PE

Question 15

What is the Gleason score used for?

Answer 15

prostate cancer

Question 16

What is Dukes staging used for? (+criteria)

Answer 16

colorectal cancer
Dukes A - confined to bowel
Dukes B - invade through bowel wall but no lymph node involvement
Dukes C1 - invade the bowel wall and involve lymph nodes (apical node NOT involved)
Dukes C2 - invade the bowel wall and involve lymph nodes (apical node involved)
Dukes D - distal mets present