Scoring Systems Need to Know

Question 1

Glasgow coma scale score use

Answer 1

Assess level of consiousness

Question 2

Glasgow coma scale score components

Answer 2

Eye opening:

• Spontaneous - 4
• To speech - 3
• To pain - 2
• No response - 1

Verbal response:

• Oriented to time, place, person - 5
• Confused - 4
• inappropriate words - 3
• Incomprehensible - 2
• No response - 1

Motor response:
Obeys commands - 6 
Moves to pain - 5 
Moves away from pain - 4 
Abnormal flexion - 3 
Abnormal extension - 2 
No response - 1

Question 3

Comatose pt GCS

Answer 3

8 or less

Question 4

CURB65 use

Answer 4

Assess severity of pneumonia

CRB 65 used in primary care

Question 5

CURB 65 componenets

Answer 5

Confusion
Urea > 7 mmol/L
RR > 30
BP < 90/60

65+ yo

Question 6

CURB score mx

Answer 6

1 - amoxicillin at home 5 days

2 - consider hospital admission - amoxicillin + clarithromycin

3+ - hospital admission - co -amoxiclav + clarithromycin

Question 7

Centor use

Answer 7

Estimates probability that pharyngitis is streptococcal, and suggests management course

Question 8

Centor components

Answer 8

Fever 1

Tonsillar exudate 1

Absent cough 1

Anterior cervical lymphadenopathy 1

Age 3 - 14 yo 1

Age >44 (-1)

Question 9

Centor mx

Answer 9

0- 2 - no abx

3 - 4 - Consider immediate or back up abx

Question 10

FeverPAIN score use

Answer 10

Estimates probability that pharyngitis is streptococcal, and suggests management course

Question 11

FeverPAIN score components

Answer 11

Fever in past 24 hrs 1

Purulent tonsils 1

Attend within < 3 days 1

Inflamed tonsils 1

No cough or fever 1

Question 12

FeverPAIN score mx

Answer 12

0 - 1 - no abx

2 - 3 - consider no abx or back up

4 - 5 - immediate abx or back up

Question 13

CHA₂DS₂-VASc score use

Answer 13

Asesses stroke risk for patients with atrial fibrillation

Question 14

CHA₂DS₂-VASc components

Answer 14

CHF Hx 1

HTN 1

Age
- 75 + - 2

Diabetes 1

Stroke/TIA/VTE 2

Vascular disease: 1

• MI
• Peripheral vascular disease

Age
- 65 - 74 - 1

Sex - Female 1

Question 15

CHA₂DS₂-VASc mx

Answer 15

0 - no treatment but do TOE to exclude valvular heart disease
1 in females - no treatment

Do HAS BLED if:
1 + males
2+ females

If HAS BLED > 2 - no DOAC

If < 2 - DOAC

Question 16

BTS classification of mild asthma

Answer 16

SpO2 > 92%
Able to talk 
HR < 110
RR < 25
PEF > 33 - 50% 

Treat in home

Question 17

BTS classification of severe asthma

Answer 17

SpO2 > 92%
Can't complete sentences
HR < 110
RR < 25
PEF > 50 - 75%

Consider admission

Question 18

BTS classification of life threatening asthma

Answer 18

SpO2 < 92%

Silent chest 
Cyanosis
Poor respiratory effort 
Exhaustion 
Altered consciousness 
Hypotension 

PEF < 33%

Immediate admission

Question 19

MRC dyspnoea scale use

Answer 19

1 - breathless with strenuous exercise

2 - SOB when walking up hill

3 - Breathless at own pace, must walk slower

4 - Stop for breaths after walking 100m

5 - Too breathless to leave the house

Question 20

CKD classifiction

Answer 20

Stage 1 ≥90 with haematuria/proteinuria

Stage 2 > 60 with haematuria/proteinuria

Stage 3a - 45-59

Stage 3b - 30-44

Stage 4- 15-29

Stage 5 <15 Kidney failure

Question 21

MRC grading of muscle power

Answer 21

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