Scoring Systems

Question 1

Wells Score

Answer 1

Predicts probability of DVT and PE

(Two different scoring systems).

Question 2

Modified Glasgow Score

Answer 2

Acute pancreatitis

Question 3

GRACE Score

Answer 3

(GRACE = Global Registry is Acute CV Events)

GRACE Score = predicts mortality following an ACS, using 8 risk factors factors.

Age
Killip class
Systolic blood pressure
Cardiac arrest during presentation 
Serum creatinine
Presence of elevated cardiac enzymes
Heart rate

Question 4

CHA2DS2-VASc Score

Answer 4

Predicts stroke risk in AF

C - congestive heart failure
H - Hypertension (>140/90)
A2 - > 75 (2 points)
D - diabetes mellitus
S2 - prior stroke, TIA or thromboembolism (2 points)
V - vascular disease (PVD, MI)
A - age 65-74 (1 point)
Sc - female sex (1 point)

Question 5

HASBLED

Answer 5

Predicts 1 year risk of a major bleeding in patients with AF.

Major bleed = intracranial bleed, hospitalization, transfusion or hHb decrease > 2 g/dL

H - hypertension 
A - abnormal renal or liver function 
S - stroke
B - prior major bleed
L - Labile INR
E - elderly > 65yrs
D - drug/alcohol use - including anticoagulants and NSAIDs

Question 6

CDAI Score

Answer 6

Crohn’s Disease Activity Index:

Used to assess disease severity in Crohn’s over the last 7 days (0 to 600)

< 150 is in remission, >220 = moderate to severe, > 300 is severe.

Question 7

Child-Pugh Score

Answer 7

Classification of liver disease (cirrhosis) severity: Class A,B,C

Class A - 100% 1 year survival, 85% 2 year survival
Class B - 81%, 57%
Class C - 45%, 35%

Question 8

Ranson’s Score

Answer 8

Predicts severity of acute pancreatitis

Question 9

Rockall Score

Answer 9

Estimates risk of rebleed or death in upper GI bleeding

Question 10

Killip classification

Answer 10

Classification of acute MI based on signs of heart failure

Class I - no signs of heart failure
Class II - signs of moderate heart failure
Class III - overt pulmonary oedema
Class IV - cardiogenic shock

Question 11

APACHE, SAPS and SOFA

Answer 11

Predictors of mortality in the ICU

Acute Physiology And Chronic Health Evaluation - 17 parameters

Simplified Acute Physiology Score - 17 parameters

Sequential Organ Dysfunction Score - 6 parameters

Question 12

Duke criteria

Answer 12

For infective endocarditis:

Major criteria: positive blood culture of a typical organism, evidence of endocardial involvement

Minor: fever > 38, predisposing heart condition or IV drug use, echocardiogram, immune signs/symptoms

Question 13

CURB 65

Answer 13

CAP

Question 14

Lights criteria

Answer 14

To distinguish transudative vs exudative pleural effusion

Question 15

Framingham Risk Score

Answer 15

Estimates 10-year cardiovascular risk of an individual

Question 16

ABCD2

Answer 16

Predicts risk of stoke following a TIA

Age - > 60?
Blood Pressure
Clinical features - speech disturbance or unilateral weakness
Duration of TIA- <10 mins, 10-59 mins, > 60 mins
Diabetes?