Risk Scores

Question 1

FRAX

Answer 1

• Personal Information
  1) age 2) sex 3) BMI
• PMHx (PSR)
  1) Prev frac 2) Secondary osteo 3) RA
• DHx
  1) glucocorticoids - current, or 3/12 at high dose
• FHx
  1) parent fractured hip
• SHx
  1) current smoking 2) alcohol 3+ units a day

(r10 yr risk of osteoporotic fracture)

Question 2

Q risk

Answer 2

• Personal Information:
  1) age 2) sex 3) BMI 4) ethnicity 5)UK postcode
• PMHx (CARD)
  1) CKD 2) AF 3) RA 4) DM
• DHx: anti-hypertensives
• FHx: Angina/MI in 1st rel under 60
• SHx: Smoking
• Direct measurements:
  1) BP 2) cholesterol/HDL ratio

(10yr risk of MI/Stroke)

Question 3

Diabetes Risk Score

Answer 3

PI:
1) age 2) gender 3) ethnicity 4)BMI 5) waist circumference

hypertension
relative with diabetes

Question 4

Wells Score

Answer 4

HPc:

1) Swelling size/whole leg
2) Noticed any: Tenderness/vessel swelling/oedema
3) recent immobilisation

PMHx:

1) Recent cancer trmt
2) Bed ridden/surgery/flights
3) Previous incidences

(HRT/contraceptive pill if appropriate)

Question 5

ABCD2

Answer 5

• Age >60
• BP > 140/90
• Clinical features
  - unilateral weakness
  - speech disturbance (without weakness)
• Duration of symptoms
  - >1h
  - 10-59 min
• Diabetes

(r of stroke after TIA)

Question 6

CHADS2 VASc

Answer 6

• CHF
• Hypertension (>140/90)
• Age >75
• Diabetes Mellitus
• S2 - prior TIA or Stroke
• Vascular disease (e.g. MI or intermittent claudication
• Age 65-74
• Sex category female

If score 1+ (2+ if female) consider anticoagulation

(Risk of Stroke in AF)