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Scoring Systems Need To Know For Exams Flashcards

(41 cards)

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1
Q

What are the three components of GCS?

A

Eye opening 4
Motor response 6
Verbal response 5

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2
Q

Components of eye opening GCS

A
  • 4 spontaneous
  • 3 to speech
  • 2 to pain
  • 1 no response
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3
Q

Components of motor response GCS

A
  • 6 obeys
  • 5 localises to stimuli
  • 4 withdraws to pain
  • 3 abnormal flexor response to pain
  • 2 extension response to pain
  • 1 no response to pain
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4
Q

Components of verbal response GCS

A
  • 5 oriented in time/place
  • 4 confused conversation
  • 3 inappropriate words
  • 2 incomprehensible sounds
  • 1 no response
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5
Q

Components of GCS + their scoring

A

eye opening:
- 4 spontaneous
- 3 to speech
- 2 to pain
- 1 no response
.
motor response
- 6 obeys
- 5 localises to stimulus
- 4 withdraws from pain
- 3 flexor response to pain
- 2 extensor response to pain
- 1 no response to pain
.
verbal response
- 5 orientated to time/place
- 4 confused conversation
- 3 innapropriate words
- 2 incomprehensible sounds
- 1 no response

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6
Q

What is CURB65 for?

A

Severity of pneumonia

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7
Q

Outline CURB65 incl what the results mean

A
  • Confusion
  • Urea >7mmol/L
  • Resp rate >30
  • Blood pressure <90s or <60d
  • >65
    .
  • score 2 - mild
  • score 3+ - severe
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8
Q

What are Centor + FeverPAIN used for?

A

Probability of whether tonsillitis is due to bacterial cause

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9
Q

Outline FeverPAIN score incl what the results suggest

A
  • Fever in last 24 hours
  • Pus on tonsils
  • Acute presentation 3 or less days
  • Inflamed tonsils
  • No coryzal symptoms
    .
  • score 2-3 | 34-40% chance
  • score 4-5 | 62-65% chance
  • 4+ giver abx
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10
Q

Outline Centor score incl what results would suggest

A
  • Fever >38
  • Tonsillar exudates
  • Absence of cough
  • Tender anterior cervical lymph nodes
    .
  • score >3 40-60% chance > offer abx
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11
Q

What is CHA2DS2-VASc score used for?

A

To assess whether to start patients with AF on anticoagulation based on their stroke risk

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12
Q

Outline CHA2DS2-VASc score incl what the results suggest

A
  • Congestive cardiac failure
  • Hypertension
  • Age >75 x2
  • Diabetes mellitus
  • Stroke, TIA or thromboembolism x2
  • Vascular disease
  • Age 65-74
  • Female
    .
  • 0 no anti coagulation needed
  • 1 consider
  • 2+ offer
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13
Q

Outline BTS asthma severity

A

mild
- no features of severe
- PEFR >75%
.
moderate:
- no features of severe
- PEFR 50-75%
.
severe:
- PEFR 33-50%
- cannot complete sentence in 1 breath
- RR >25
- HR >110
.
life threatening
- PEFR <33%
- sats <92% or ABG pO2 <8kPa
- cyanosis, poor resp effort or silent chest
- exhaustion, confusion, hypertension or arrhythmias
- normal pCO2
.
near fatal
- high pCO2

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14
Q

MRC dyspnoea score

A
  • 1: breathlessness on strenuous exercise
  • 2: breathlessness on walking uphill or hurrying
  • 3: breathlessness that slows them down walking on flat
  • 4: breathlessness that stops them walking >100m on flat
  • 5: unable to leave house due to breathlessness
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15
Q

How do you score COPD severity?

A
  • using FEVI
  • stage 1/mild: FEV1 >80%
  • stage 2/moderate: FEV1 50-79%
  • stage 3/severe: FEV1 30-49%
  • stage 4/severe: FEV1 <30%
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16
Q

ASA scoring

A
  • ASA I: normal healthy patient
  • ASA II: patient with mild systemic disease
  • ASA III: patient with severe systemic disease
  • ASA IV: patient with severe systemic disease that is a constant threat to life
  • ASA V: patient who is not expected to survive without the operation
  • ASA VI: brain dead patient whose organs are being removed for donation
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17
Q

What would make a patient ASA II?

Study These Flashcards
A

Patient with mild systemic disease:
- smoker
- pregnant
- BMI 30-40
- well controlled HTN or DM
- mild lung disease
- social drinker

18
Q

What would make a patient ASA III?

Study These Flashcards
A

Patient with severe systemic disease:
- poorly controlled HTN/DM
- COPD
- BMI >40
- ESRD with regular dialysis
- implanted pacemaker
- MI > 3 months ago
- alcohol abuse/dependence

19
Q

What would make a patient ASA IV?

Study These Flashcards
A

Patient with severe systemic disease that is a constant threat to life:
- MI <3 months ago
- severe HFrEF
- sepsis
- ESRD without dialysis
- severe valve dysfunction
- DIC

20
Q

How can you score CKD severity?

21
Q

CKD classification based on ACR

Study These Flashcards
A

< 3 normal A1
3-30 moderate A2
>30 severe A3

22
Q

CKD classification based on eGFR

Study These Flashcards
A
  • G1: >90
  • G2: 60-89
  • G3a: 45-59
  • G3b: 30-44
  • G4: 16-29
  • G5: <15
23
Q

Outline MRC muscle power scale

Study These Flashcards
A

0 - no contraction
1 - flicker/trace of contraction
2 - active movement with gravity eliminated
3 - active movement against gravity
4 - active movement against gravity + resistance
5 - normal power

24
Q

What is DAS score used for?

Study These Flashcards
A

Disease activity scoring
RA severity

25
What is HAS-BLED score used for?
Risk of major bleeding in AF patients on anticoagulants
26
What is ORBIT score used for?
Risk of major bleeding in AF pts on anticoagulants
27
What is Rockall score used for?
Risk of re bleeding + mortality after endoscopy
28
What is Glasgow-Blatchford score used for?
- Used in initial presentation in suspected GI bleed - risk of patient having an upper GI bleed - calculated before endoscopy - score >0 suggests bleed
29
What is POSSUM score used for?
Predicts post op mortality + morbidity in pts undergoing surgery
30
What is NELA score used for?
Predicts 30 days mortality risk for pts undergoing emergency laparotomy
31
What is Ranson score used for?
Severity + prognosis of acute pancreatitis
32
What is ROME score used for?
IBS diagnosis
33
What is PHQ-9 score used for? What does the score suggest
Depression 0-4 normal 4-9 mild 10-14 moderate 15-19 moderate -severe 20-27 severe
34
What is GAD-7 score used for?
Generalised anxiety disorder
35
What is FAST score used for?
Stroke risk Face Arms Speech Time
36
What is GPCOG score used for?
Memory - cognitive impairment Dementia
37
What is STaRTBack score used for?
Risk of patients with acute back pain developing chronic back pain
38
What is Epworth score used for?
OSA
39
What is Berlin score used for?
Screen for high risk of OSA
40
What is QRISK score used for?
% chance of cardiovascular event in next 10 years >10% offer statin
41
What is MUST score used for?
Nutritional assessment 0 low risk 1 medium risk 2+ high risk

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