QRISK

Question 1

What is QRISK for

Answer 1

Likelihood of MI in next 10 years

Question 2

What 4 medical conditions put you at higher risk of an MI

Answer 2

● Chronic kidney disease (stage 4 or 5)
● Atrial fibrillation
● Rheumatoid arthritis
● Diabetic status
(CARD)

Question 3

What drug history is relevant to a QRISK score 4

Answer 3

● Existing hypertension treatment
anything that increases BP eg steroids, antipsychotics, tamsulosin

Question 4

What family history is relevant to a QRISK score 1

Answer 4

● Angina or heart attack in a 1st degree relative <60

Question 5

What 3 personal factors, apart from age and sex, are relevant to QRISK score

Answer 5

Ethnicity
BMI
Postcode

Question 6

What direct measurements are relevant to QRISK 2

Answer 6

cholesterol/ HDL ratio
systolic blood pressure

Question 7

What are the values of risk for QRISK

Answer 7

<10% low risk
10-20% moderate
> 20% high

Question 8

What is the management for below 10% in QRISK

Answer 8

1. lifestyle changes

Question 9

what is the management for above 10% in QRISK (3)

Answer 9

1. lifestyle changes
2. consider a statin
3. review co-morbidities that are not well-controlled

Question 10

what are the lifestyle changes that can be made for QRISK 5

Answer 10

smoking cessation
exercise
diet change
weight loss
control of disease/ medication adherence

Question 11

Risk factors for MI:

Answer 11

Age
Tobacco
Hypertension meds/ control (last BP reading)
Exercise
Relative with angina/ MI
Obesity/ oral contraceptive
Migranes/ mental health
Alcohol

Question 12

What medications

Answer 12

steroids, antihypertensive