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PGMEE TEsT sEriEs for neet & aiims

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38-SCALE/SCORE/CRITERIA/GRADING/INDEX

a/c pancreatitis severity Glasgow score≥3 Ranson score≥3 admission(BAWLA) Bld glu>10mmol/l(200mg/dl) Age>55y WBC>16000/mm³(16×10^9/l) LDH>700U/l AST>250sigma Frankel U

<48h↑ bld urea N2>5mg%↓ hct>10%

PaO2<60mmHg sr Ca<2mmol/l base deficit>4mmol/l fluid sequestration>6l

CT severity index≥6(best) Apache score≥8 sr K, sr Na, sr creatinine CRP>150mg/L Balthazar grade-° of necrosis

Agatson score-coronary calcific MDCT

Ahlback radiological grade osteoarthritis knee I-jt space narrowing(<3mm) II-jt space absent III-mild bone attrition(0-5mm) IV-mod bone attrition(5-10mm) V-severe bone attrition(>10mm)

Alvarado score-a/c Appendicitis(MANTRELS) Migrating RIF pain=1 Anorexia=1 Nausea, vomiting=1 Tenderness RIF=2 Rebound tenderness=1 Elevated temperature=1 Leucocytosis=2 Shift to lt=1

Americal College Rheumatology(ACR) criteria-Dx SLE 1-malar rash(50%)

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2-discoid rash(20%) 3-oral ulcer(30-40%) 4-photosensitivity(70%) 5-arthritis(60%) 6-polyserositis(pleuritis50%, pericarditis40%, peritonitis30%) 7-lupus nephritis

WHO grade(renal Bx) I-normal II-mesangial GN III-focal GN<50% IV-diffuse GN>50% V-membranous GN-subepithelial VI-end stage>90% glom

8-CNS-cognitive decline, headache,GTCS, focal neurological deficit, psychosis↓ ↓ 9-hematologic lupus-anem of c/c ds, PLT, hemolyt anem(Coomb+ve), TLC

10-AI marker-anti dsDNAAb(65%), anti phospholipidAb(30-40%), anti SmithAb(25%, most sp) 11-ANA(98%)

Dx-≥4/11 criteria

American Society of Anaesthesiology grade-physical health of pt before Sx I-norm healthy II-mild systemic ds not limit activity III-severe systemic ds limit activity IV-incapacitating systemic ds life threatening V-moribund, not able to survive>24h with/without Sx VI-brain dead for organ donation E-Emergency

Amsler criteria-Dx Gardenella vaginalis pH>4.5 clue cell white discharge fishy odour when mixed with 10%KOH

Amsterdam criteria, revised Bethesda criteria-Dx HNPCC

ankle brachial index=ankle BP/brachial BP norm=1.0-1.3 PVD=0.9-0.5 crital ischem≤0.4

antiphospholipid Ab synd Dxclinical 1-recur fetal loss(≥3fetal loss, <10w gest) 2-≥1FL, ≥10w 3-thrombosis-DVT>a thrombosis 4-≥1preterm delivery(<34w) sec to severe preeclampsia or uteroplacental insufficiencylab

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1-anticardiolipinAb(ACA)-IgM/IgG in medium to high titre on 2occasion 12w apart 2-antiβ2microglobulinAb

↑ 3-antilupus anticoagulantAb/antirussel viper venumAb( aPTT) Dx-1clinical+2lab criteria

Apgar score sign—0—1—2 HR-absent-<100/min->100/min Resp effort-absent-slow,gasping-good crying M tone-limp/flaccid-some flexion extremity-active Colour-blue,pale-pink body,blue extremity-all pink Reflex irritabilit-no response-grimace-cough,sneeze total score=10 severe depression=0-3 mild=4-6 norm=7-10

AshBury criteria-GB synd

ATP III(Adult Treatment Panel) criteria-metabolic synd abd obesity-waist circumference mal>102cm(>40inch)

fem>88cm(>35inch) TG≥150mg/dL HDL cholesterol mal<40 mg/dL fem<50 mg/dL

BP≥130/≥85 mm Hg fasting pl glu≥110mg/dl

Beatuex index Aedes aegypti index=(no. of house with breeding/total house)×100 airport(<400m)=0

BIRADS(Breast Imaging Reporting And Database System) score-mammogram 0-assessm incomplete 1-norm 2-bn 3-probably bn 4-suspicious malign-Bx recommended 5-highly suspicious-Bx req 6-known malign

Bishop/preinduction score(DCPEStation) 1-cx Dilatation(MI) 2-cx Consistency 3-cx Position 4-cx Effacement/lth 5-Station of head favourable≥9/13, unfavourable≤4/13

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bispectral index-frontal EEG for depth/awareness during anaesth adeq sedation=60-85 adeq anaesth=40-60 cortic depress<40

Bradford Hill/surgeon general criteria-causal association temporal association strength of association specificity of association consistency of association biological plausibility coherence of association

brainstem death criteria Harvard criteria(best) Minnesota criteria Philadelphia criteria

Briquet/somatization synd 4 pain sympt 2 GI sympt 1 sexual sympt 1 pseudoneurologic sympt

CAD prognosis ↓ ↑ high sensitivity-CRP> HDL> LDL

CASPAR criteria-Psoriatic ARthritis

CHADS2 score-Stroke CHF HTN Age>75y DM Stroke=2

Chandler index=no. of Ankylostoma egg/g of soil <200=not of much significance 200-250=potential danger 250-300=minor public health problem >300=major public health problem

Cheopis(flea) index(more sp)=no. of flea/no. of rat >1-plague outbreak

CHEOPS(Children Hosp Eastern Ontario Pain Scale)-assessm pain child cry, facial, verbal, torso, touch, leg

mod Child criteria-sec prophylaxis esoph varices(BAPAE)

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Bilirubin Albumin PT Ascitis Encephalopathy

modif COrmack Lehane grade-LaryngosCOpe view

CURB65-indication for ICU admission in CAP Confusion Uraemia RR>30/min SBP<90mmHg age>65y

Cystic Fibrosis(CF) Dx typic c/f(resp, GIT, genitourinary) or h/o CF in sibling or +ve neonat screen test + lab evidence of CFTR dysfn↑ sweat Cl conc on 2separate d or

2CF mutat or abnorm nasal PD

Demeester score-24 h pH monitoring GERD<14.7

dengue fever I-+ve tourniquet test II-blding diathesis(petechiae, epistaxis, hematemesis) III-circulation failure(rapid weak pulse, cold clammy skin, hypotension) IV-profound shock dengue hgic shock-III,IV

diaphr hernia neonate progn-pulm HTN

Downe score-resp distresscharacteristic—0—1—2 grunting-none-audible with steth-aud without steth retraction-absent-mild-mod

↓ air entry-present- -barely audible cyanosis-absent-present in room air with <40%O2-present even with>40%O2 RR(/min)-(40-60)-(60-80)->80 resp distr≥4, resp fail≥7

Duke criteria-inf endocarditis Dx major 1-bld culture(all+ve)-2 BC 12h aprt/3 BC 1h apart

2-evid of endocardial involvem(TTE/TEE) minor

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1-predisposing factor-k/c/o RHD,congHD,IV drug user,prosthetic valve 2-fever 3-vasc phenomenon-splinter hge nail, Janeway lesion(palm, sole), mycotic

aneurysm, thromboembolism 4-immunologic phenom-Roth spot(Retina), Osler node(tender, pulp finger), AGN, RF+ve 5-bld culture+ve(2maj)/(1maj+3min)/(5min)-Dx

endometrioma <12cm attached to lat pelvic wall/BL contains tarry thick fluid

↑ CA125 >90

Feriman Gallway score-hirsutism ≥8-Dx

grade of filarial lymphedema I-edema pitting-complete relieve on rest II-edema pitting-partially relieve on rest& elevation III-edema nonpitting-skin involvem, subcutaneous thickening IV-edema nonpitting-not relieve, warty projection, elephantiasis, lymphorrhoea

Foam stability index-Fetal lung maturity

Folstein MMSE(Mini Mental Status Examination)-RORAL Registration Orientation Recall Attention Language signif brain dysfn≤24/30 mild=18-23 severe=0-17 no moderate drawback-biased to dominant lobe

Framingham criteria-CHF↑ major-PND, neck v distension, rales, S3 gallop, cardiomegaly, a/c pulm edema, v

press(>16cmH2O), +ve hepatojugular reflex↑ minor-extremity edema, night cough, HR, exertion dyspnea, hepatomegaly, pleural

↓effusion, VC 1maj+2min=CHF

GHENT citeria-Dx MarfaN synd family history, cardinal sign, fibrillin mutation

Glassgow coma scale(GCS)(EVM-CAEF) Eye opening

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no response 1 to pain 2 to verbal stimuli 3 spontaneous 4

Verbal response no response 1 inComprehensible sound 2 inAppropriate word 3 disoriented/confused 4 oriented, converse 5

Motor response no response 1 Extension withdrawal 2 Flexion withdrawal 3 withdrawal to pain 4 localize pain 5 obey command 6 ≤7-coma

Gleason score(2-10)-progn ca prostate↑ ↓ score- prognosis

score>7-poor prognosis Gleason grade(1-5)

HAI criteria >48h of hosp admission <2w of discharge <12mth of discharge for prosth implant

Hannifin Rajka criteria-atopic dermatitis

Hunt Hess scale-SAH

hypersensitivity pneumonitis predictive criteria1.exposure to known Ag2.+ve predictive Ab to Ag3.recur sympt4.sympt develop after 4-8h of exposure5.exp crackle6.wt loss

Inslers cx score-cx mucus ≥12=good 10-11=satisfactory <10=poor

IQ scale WAIS(Weschler Adult Intelligence Scale) IDEAS(Indian Disability Evaluation Assessm Scale) BKT(Binet Kamat Test)

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Jones criteria(2002-03)-RF Dx major(CPCES) Carditis(50-60%) Polyarthritis(75%) Chorea(<10%)(Dxtic) Erythema marginatum(5%) Subcutaneous nodule(5%)

minor clinical-fever,arthralgia

↑ ECG- PR interval↑ ↑ lab- ESR, TLC

(2major/1major+2minor)+evidence of recent grp A βhemol Str(S pyogenes) inf(ASLO+ve)>90%/throat swab Gram stain/culture+ve(30%)-Dx

Kawasaki ds fever×5d+≥4 of following b/l nonpurulent bulbar conjunctivitis injected pharynx, dry fissured lip, strawberry tongue u/l cervic LNpathy>1.5cm nonvesicular polymorphic trunkal rash edema, erythema of hand,feet, periungual desquamation

Rx-2g/kg IVIgG+100mg/kg/d aspirin×2w

Kurtzke Expanded/Extended Ds/Disability Scoring Scale(EDSS)-multiple sclerosis

LAP score(DCPPA)↓ -CML, PNH, Pernicious Anem↑ -inf, leukemoid rxn, polycythemia

Levenson criteria-cong cholesteatoma white behind norm TM norm pars flaccida, pars tensa no h/o discharge, perforat, instrumentat, prior Sx, exclusion of canal atresia

Light criteria-exudate pleural effusion pl fluid prot/sr prot>0.5 pl fluid LDH/sr LDH>0.6

⅔ pl fluid LDH> sr LDH

Mallampatti grade-size of tongue for laryngoscopy I-faucial pillar, uvula tip II-uvula without tip III-soft palate IV-no soft palate diff ETT-III, IV

Mangled Extremity Severity Score(MESS) (SALE)-for preservation of limb Shock Age

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Limb ischemia Energy

Manning score-biophysical profile nonstress test, fetal bod movem, resp activity

McDonald criteria-MRI Multiple sclerosis

MCHAT-screen tool for AuTism

MELD(Model for End stage Liver Ds) Liver transplant

MentzoR index=MCV/RBC Fe def anem>14(Fourteen) Thalassemia min<12(Twelve) borderline=12-14

MetAcARpAl index-MARfAn synd

Mirel criteria-prophylactic Mx of path lesion bone >7-poor progn

Morris index deep –ve P wave in V1-LA enlargem(MS)

m strength grade 0(zero)-no contract 1(trace)-palpable contract only 2(poor)-move jt, not against gravity 3(fair)-move jt against gravity 4(good)-move jt against gravity&moderate resistance 5(norm)-norm strength

Myer COTTon grade-subglOTTic stenosis

Nadas criteria-Dx of congHD major systolic murmur≥3 diastolic murmur central cyanosis CHF

minor systolic murmur≤2 abn S2 abn BP abn CXR abn ECG

Dx-1major+2minor

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Nazer prognostic criteria-cystic fibrosis

Nazer score-Mx of Wilson ds cirrhosis SGOT, PT, STB

modif New York criteria-Dx ankylosing spondilitis b/l radiographic sacroiliitis+any 1 1-inflamm back pain 2-limited spine movem 3-limited chest expansion

Nugent criteria-Gram stain Dx bact vaginosis 0-3=norm 4-6=indeterminate 7-10=bact vaginosis

osteoporosis(bone mineral density) T score-race, sex matched young person Z score-age, race, sex matched person

Paalman&MCEllin criteria-CErvical preg

pain scale CGI scale COMFORT scale FACES scale McGill questionnaire visual analogue scale

PEDS(Parent Evaluation of Development Status)-screen developm child<8y

RA Dx jt-large(hip, knee, ankle, shoulder, elbow), small(1stIP, PIP, wrist, MCP, MTP) 1large=0 2-10large=1 1-3small=2 4-10small=3 >10 jt=5

subcutaneous nodule(30%)–ve=0

mild(1-3time)=2 strong(>3time)=3 ESR&CRP both norm=0 either/both=1

duration <6w=0 >6w=1 score≥6/10-Dx

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Reid index=mucus thick/alveolar wall thickn c/c bronchitis>0.4

Revised Trauma Score(RTS) RR SBP GCS

ROME II criteria-IBS Dx abd pain/discomfort≥3d/mth>3mth

⅔ +any ↓ pain by defecation

onset a/w change in stool freq onset a/w change in stool consistency

ROtterDam criteria-PCOD Dx 1-amenorrhoea>oligomenorrhoea 2-hyperandrogenemia(sr total testosterone= 70-150mg)& hyperandrogenism 3-USG>12follicle(cyst), <10mm, total ovary vol>10ml⅔ criteria-provisional Dx

SCADDing grade CXR-SArCoiDosis

Silverman score-neonat resp distresscharacteristic—0—1—2 nasal flaring-none-mild-mod grunting-none-audible with steth-aud without steth upper chest movem-synchronous-mild insp lag-paradox(see-saw) lower chest retract-none-mild-mod xiphoid retract-none-mild-mod resp distress≥4, resp fail≥7

Sjogrens synd Dx 1-ocular sympt-dryness 2-oral sympt-dryness 3-ocular sign-Schirmer test 4-sal gld Bx-CD4 Tcell infiltration 5-sal gld dysfn 6-anti Ro/anti LaAb Dx≥4/6

Sokolov&Lyon criteria LVH-R(V5,V6)+S(V1)>35mm

Spigelberg criteria-ovary preg 1-gestational sac located in region of ovary 2-ectopic preg attached to uterus by ovarian lig 3-ovarian ts in wall of gestational sac proved histologically 4-FT on involved side intact

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systolic murmur grade I-very soft II-soft III-loud IV-loud+thrill(palpable murmur) V-rim stethoscope VI-without stethoscope

T Berry Brazelton-neonat behaviour assessment scale(DLDQAC) sleep state 1-Deep sleep 2-Light sleep awake state 3-Drowsy 4-Quiescent alert 5-Active alert 6-Crying alert

TRaum Injury Severity Scale(TRISS)(MIRA) Mechanism of injury Injury severity score Revised Trauma Score(RTS) Age

visual analogue scale-assessm pain child 0-no pain, 100-worst imaginable pain

VUR grade(MCU) I-reflux lower part non dilat ureter-abtc II-reflux upto kidn non dilat ureter-abtc III-dilatation of ureter-u/l-abtc, b/l-Sx IV-grossly dilat ureter-u/l-abtc, b/l-Sx V-no loss renal papill-0-1y-abt, >1y-abtc

Waterston criteria-trachesoph fistula wt>5.5lb+no pneum-single stage thoracotomy

→ wt=4-5.5lb+min pneum-made fit by IV fluid Sx→ wt<4lb/sever pneum-feeding gastrostomy after few w Sx

Wells criteria-pulm thromboembolism

West Havens grading-encephalopathy(ADSC) I-Alter sleep cycle>Alter handwriting II-Drowsy III-Stuporous IV-Coma

Wong Baker rating scale-assessm pain in child

Zatuchni Anderson score-breech delivery

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0-4-CS

Abbreviations a-artery, AA-amino acid, abtc-antibiotic, AI-autoimmune bef-before, bel-below, b/l-bilateral, bld-blood, b/n-between, bn-benign, br-branch, Bx-biopsy ca-carcinoma, carb-carbohydrate, c/i-contraindication, c/l-contralateral, conc-concentration, cong-congenital, Cx-cervix d-day, def-deficient, ds-disease, d/t-due to, Dx-diagnosis E-estrogen fem-female, fr-from gld-gland, glu-glucose h-hormone idiop-idiopathic, i/l-ipsilateral, inf-infection, inj-injury lig-ligament, LL-lower limb, l/t-leading to m-muscle, maj-major, mal-male, MC-most common, met-metastasis, min-minor, mtx-methotrexate, Mx-management n-nerve, norm-normal P-progesterone, pl-plasma, prot-protein, pt-patient Rx-treatment SCC-squamous cell carcinoma, sr-serum, Sx-surgery, sz-seizure tm-tumour, ts-tissue UL-upper limb, u/l-unilateral vag-vagina, VC-vocal cord, vel-velocity, vert-vertebra, vit-vitamin, vol-volume w-week, wt-weight Xr-X ray y-year #-fracture °-degree

THESE NOTES ARE ONLY FOR THE PURPOSE OF GUIDANCE AND HELP TO PG ASPIRANTS, NOT FOR COMMERCIAL OR OTHER PURPOSE. REFERENCE HAS BEEN TAKEN FROM VARIOUS STANDARD TEXTBOOKS.

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