Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Medicine Extras > Management Stratification > Flashcards

Management Stratification Flashcards

(46 cards)

Start Studying
1
Q

Well’s

A

DVT (/9) and PE (/12.5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ABCD^2

A

Chance of Stroke Within 7 Days of TIA (/7)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CHA2DS2VaSc

A

Chance of Future Stroke when AF is Present (/9)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CURB65

A

Management of Community-Acquired Pneumonia (/5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Glasgow

A

Coma (/15) and Acute Pancreatitis Grading (not diagnosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

MRC ____ ?

A

Dyspnoea Scale (/4) or POWER grading for a limb.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List Well’s DVT scoring and the values for each:

A

(-2 to 9)
Recent Surgery / Bed Bound = 1
Active Cancer = 1
Unilateral Swollen Calf = 1
Swollen Leg = 1
Tender Deep veins = 1
Pitting Oedema = 1
Collateral Leg Veins = 1
Previous DVT = 1
Paralysis/Pariesis = 1
Other DDx = -2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

List Well’s PE scoring and the values for each:

A

(0 to 12.5)
Signs/Sx of PE = 3
PE Number-1 Diagnosis = 3
Recent Surgery / Bed Bound = 1.5
HR >100 = 1.5
Previous DVT/PE = 1.5
Haemoptysis = 1
Cancer + Chemo = 1

E M B O L I S M
Emboism Hx ; Malignancy ; Bed-Rest ; Oral blood ; Legs affected ; Increased HR ; Signs of PE ; Most likely Diagnosis PE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List ABCD^2 and the values for each:

A

(0 to 7)
Age >60 = 1
Blood Pressure >140/90 = 1
Clinical - Speech issue = 1 / Unilateral Weaknes = 2
Duration in mins - <10 = 0 / 10-59 = 1 / >60 = 2
Diabetes = 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List CHA2DS2VaSc scoring and the values for each:

A

(0 to 9)
Congestive Heart Disease = 1
Hypertension (Clinical bp > 140/90) = 1
Age - <65 = 0 / 65-74 = 1 / ≥75 = 2
Diabetes Melitus = 1
Stroke Hx = 2
Vascular DIsease Hx = 1
Sex Class Female = 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List CURB65 scoring and the values for each:

A

(0 to 5)
Confusion = 1
Urea > 7mmol/L = 1
Respiratory Rate >30 = 1
Blood Pressure Sys<90 OR Dia<60 = 1
Age >65 = 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List Glasgow Coma scoring and the values for each:

A

(0-15)
Eyes (/4):
No Opening = 1 / To Pain = 2 / To Command = 3
/ Spontaneous = 4

Verbal (/5)
No Response = 1 / Incomprehensible Sound = 2
/ Confused = 4 / Oriented = 5

Motor (/6)
No Response = 1 / Extends to Pain = 2
/ Flexes to Pain = 3 / Withdraw = 4
/ Moves to Localise Pain = 5 / Obey Command = 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

List the MRC Dyspnoea scoring and the values for each:

A

(0-4) (or 1-5 depending on which version)
Dyspnoea on exertion = 0 (or 1)
Dyspnoea up a hill = 1 (or 2)
Dyspnoea walking with same age = 2 (or 3)
Has to stop after 100m walking = 3 (or 4)
Dyspnoea means cannot leave hosue = 4 (or 5)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Management cutoffs for Well’s DVT Score:

A

(/9)
0-2 = D-Dimer… (+) = USS, then Anti-Coag if (+). if (-)DD, <1% chance.

≥3 = USS, then Anti-Coag if (+)
-DD only used for risk stratification.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Management cutoffs for Well’s PE Score:

A

(/12.5)
0-4 = D-Dimer, then CTAngio, then thrombolysis if all +
≥5 = CTAngio, then consider thrombolysis.
High: Consider thrombolysis without CTangio.

If it is decently suspected to be PE and they are haemodynamically unstable DON”T DELAY ALTEPLASE.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Management cutoffs for CURB65:

A

(/5)
0-1 = Community: PO Amoxicillin

2 = Admit: PO Amoxicillin + PO Clarythromycin

3-5 = Admit: IV Amoxicillin + IV Clarythromycin + Consider ICU Admission

If using C_RB65 then use clinical judgment when they score 1, whether to admit or not.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Management cutoffs for CHA2DS2VaSc:

A

(/9)
0 (M) / 1 (W) = No Antithrombotics
1 (M) = Consider Anththrombotics
≥2 (W) = Offer Antithrombotics
Higher scores have more weight up against the risk of major bleeds (HAS-BLED score).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Management cutoffs for Glasgow-Coma Scale:

A

(/15)
0 = ded
<8 = Conisder Intubation
Rapidly deteriorating = Check airways and consider intubation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Management cutoffs for ABCD2 Scale:

Study These Flashcards
A

(/7)
(Aspirin 300mg / Clopidog 75mg)
<4 = See within 7 days
4-6 = See by neurology within 24 hours
>6 = See by neurology immediately
Do not drive for at least 1 month following TIA.

20
Q

GRACE Score.

Study These Flashcards
A

6-month risk of a cardiac event (/266 = 90%)

21
Q

List grace scoring:

Study These Flashcards
A

Age
Heart Rate
Systolic BP
Creatinine
Cardiac Arrest on Admission?
ST-Segment Issue on ECG?
Abnormal Cardiac Enzymes?
No CHF / JVD / P-Oedema / Cardiogenic Shock?

22
Q

What do you give the first-line for hypertension and what affects that decision?

Study These Flashcards
A

Under 55 / T2DM = ACE-Is/ARBs
Over 55 / Black = CCBs / Thiaz-Like-Di

23
Q

What do you add second-line for hypertension and what factors affect this?

Study These Flashcards
A

Under 55 / T2DM = +CCBs OR +Thiaz-Like-Di
Over 55 / Black = +ACE-Is/ARBs or +Thiaz-Like-Di

24
Q

What do you add third-line for hypertension and what factors affect this?

Study These Flashcards
A

Diabetes / Any Age / Black = CCBs, ACE-Is/ARBs, and Thiaz-Like-Di

25
What do you add fourth-line for hypertension and what factors affect this?
Spironolactone if low K+ Alpha/Beta-Blockers if Normal/high K+
26
What is the target range for clinical and ambulatory blood pressure?
≥80 years old = <150/90 clinical BP ≥80 years old = <145/85 ABPM <80 years old = <140/90 clinical BP <80 years old = <135/85 ABPM DM and signs of chronic kidney disease: <130/80
27
Duke
Criteria to diagnose Infective Endocarditis. (/5) OR Staging of Colon Cancer.
28
List Duke's criteria and the values for each:
(0 to 5) Vegetation with microbes = 5 2 Positive IE-specific Blood Cultures = 3 Evidence of Endocardial Involvement = 3 Predisposing heart condition or IVDU = 1 Fever = 1 Vascular phenomena (Haemorage etc) = 1 Immunological phenomina (RF+ etc) = 1 1 Positive non-IE-speciffic Blood Culture = 1
29
Management cutoffs for Duke's criteria:
(/5) <3 = Rejected - Consider other diagnosis 3-4 = Possible - Consider Trans-Eosophageal-Echo. 5+ = Definite - Start Abx and consider surgery.
30
Centor
Criteria for bacterial pneumonia (/5)
31
Diabetes Mellitus: Glucose / HBA1c Cutoffs:
HbA1c: ≥48 mmol/L / ≥6.5% Fasting Glucose ≥7 mmol/L Random Glucose ≥11.1 mmol/L + Symptoms
32
What does FRAX scoring take into account?
Current Stats: -Age -Gender -Height -Weight -Femoral Neck Bone-Mineral-Density. (g/cm²) Drugs: -Corticosteroid Use (Rheumatoid Arthritis?) -Lithium PMHx: -Previous Fracture -Parent Fractured Hip? -Secondary Osteoporosis? --------T1DM, Kidney failure, hyperthyroidism --------Chronic liver disease, premature menopause. SocHx: -Currently Smoking? -More than 3 units of alcohol a day?
33
List Centor criteria and the values for each: (FeverPain now preferred)
(/5) Age: >45 = -1 ; 15-44 = 0 ; 3-14 = 1 Tonsillar Exudate/Swelling = 1 Tender cervical lymph nodes = 1 Temp >38ºC = 1 Absence of Cough = 1 (FeverPain similar, but without age cutoffs, without tender lymph nodes, and with the presentation <3 days = 1).
34
What are the criteria for giving empirical Abx after a urine dipstick?
≥3 UTI Sx and NO vaginal discharge = YES ≤2 UTI Sx, Cloudy urine, and Nitrite[+] / Leukocyte[+] = YES ≤2 UTI Sx, Cloudy urine, and Nitrite[-] / Leukocyte[+] = 50% - Consider sending culture unless symptoms severe. ≤2 UTI Sx, Cloudy urine, and Nitrite[-] / Leukocyte[-] = Consider another diagnosis.
35
List Duke's Staging of Colon Cancer
A - Mucosa B - Through Muscularis (No Lymph) C - Through Muscularis (With Lymph) D - Thorugh Muscularis + Distant Metastases
36
Management cutoffs for Grace scoring?
Low Risk: -Ticagrelor (P2Y12 ADP-Channel Blocker) -Aspirin (COX-Inhibitor) High Risk: -PCI -Prasugrel (P2Y12 ADP-Channel Blocker) -Aspirin
37
List AKI Stages and the cutoffs for each
1: >26microMol/L in 48h or >50% in a week creatine rise. Urine output <0.5mL/kg/h for >6h. 2: >100% creatine rise in a week. Urine output <0.5mL/kg/h for >12h. 3: >354microMol/L creatine. >200% creatine rise in a week. Urine output <0.3mL/kg/h for >24h.
38
List the HbA1C T2DM targets
Patient on one drug without hypoglycaemic effects (lone metformin) / Lifestyle modification: ------48mmol/L------ Patient on drugs with hypoglycaemic effects (Meformin+ Sulfonylureas / SGLT2-I / DPP4): ------53mmol/L------
39
FRAX Score Management:
Low Risk (<10%): -Lifestyle advice + Home adaptations Intermediate Risk (10-20%): -DEXA Scan + Bisphosphonates (Alendronate), denosumab, or teriparatide. High Risk (>20%) -Calculate T Score, change lifestyle, reassess in 2 years.
40
QRISK2
Score for Cardiovascular Events
41
QRISK2 scoring
-Age, Sex, Ethnicity -BMI, Systolic BP, Cholesterol levels. PMHx: -CKD, AF -Rheumatoid Arthritis, Diabetes DHx: -Antihypertensives? FamHx: -Angina / Heart Attack from 1st degree relative SocHx: -Smoking?
42
PRISMA-7 scoring
Frailty Score: >3 = Frailty needs to be assessed. 1 point each. 1. >85 2. Male? 3. Is health limiting ADLs? 4. Need help on reg basis? 5. Health causes staying indoors? 6. Relies on someone close to them? 7. Uses a stick or aid regularly?
43
Waterlow
Pressure Sore Risk Score /64. Only categories were all mentioned, not every single item on each category. >10/15/20 = A / High / V-High Risk 1. BMI (>25, >30, <20) 0-3. 2. Continence (None, U, F, U&F) 0-3. 3. Skin (Healthy, dry, wounded++) 0-3. 4. Mobility (Complete > WChair) 0-5. 5. Sex (M, F) 1, 2. 6. Age (14-49, >81) 1, 5. 7. Diet (Normal > Anorexia) 0, 3. 9. Tissue issues (E.g. Vasc): Upto 22. 10. Neuorology (DM, Paraplegia): 5. 11. Surg (OrthoBelowWaist / >2h): 5 each 12. Meds (Steroids / NSAIDs): 4.
44
ORBIT
Bleeding Risk (Preferred over HASBLED) /7 >3/4 = Med/High Risk. -Older (>75) (1) -Reduced Hb (2) -Bleed Hx (2) -Insufficient kidneys (1) -Treatment with antiplatelets (1)
45
Barthel Index
Frailty Post-Stroke /100 (20x5). 100 = completely independent. Scored by assessing ability to do the following out of 0-2: 1. Feeding 2. Wheelchair to bed 3. Toileting 4. Getting on/off toilet 5. Bathing 6. Walking 7. Ascending stairs 8. Dressing 9. Bowel control 10. Bladder control.
46
SADQ
Alcohol-Dependence Questionnaire /60 (0-3 per question x20). D/a = day after. ≥16 = Chlordiazepoxide regime /Moderate. ≥31 = Severe. Sweat d/a. HandShake d/a. BodyShake d/a. DrenchedSweat d/a. DreadWakingUp d/a. FrightenedSocialising d/a. EdgeOfDespair d/a. Frightened d/a. MorningDrink d/a. DownedDrinkASAP d/a. DrankToRidShakes d/a. CravedDrink d/a. >10 unit/d. >20unit/d. >40unit/d. >80unit/d. 2w without then 2d heavy drinking then: (0= none. 3= a lot): Sweat d/a. Handshake d/a. Bodyshake d/a. CraveDrink d/a

Medicine Extras (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions