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Emergency Medicine Risk Stratification | Clinical Decision Tools & Practice Questions 2026/2027

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Comprehensive Emergency Medicine review covering risk stratification, clinical decision rules, diagnostic scoring systems, emergency assessment, and evidence-based clinical decision-making to help students prepare for Emergency Medicine exams and clinical reasoning assessments in 2026/2027.

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Emergency Medicine Risk Stratification Tools | Complete Practice Questions & Verified Answers

What are risk stratification tools in emergency medicine? Standardized frameworks + scoring systems + algorithms used to assess
severity and predict outcomes such as morbidity mortality or need for
intervention


What clinical decisions can risk stratification tools assist Triage + diagnostic testing + treatment + disposition
with?



Do risk stratification tools replace clinical judgment? No + they assist but do not replace sound clinical judgment and decision making




What is the ABCD2 score used for? Assess risk of stroke after a transient ischemic attack and help determine need
for hospitalization or further management



What does the A in ABCD2 represent? Age




What does the B in ABCD2 represent? Blood pressure at presentation




What does the C in ABCD2 represent? Clinical features




What does the first D in ABCD2 represent? Duration of symptoms




What does the second D in ABCD2 represent? Diabetes




What ABCD2 score is low risk? 0 to 3




What ABCD2 score is moderate risk? 4 to 5




What is the approximate 2 day stroke risk with an About 4%
ABCD2 score of 4 to 5?



What ABCD2 score is high risk? 6 to 7




What is the approximate 2 day stroke risk with an About 8%
ABCD2 score of 6 to 7?



How are low risk ABCD2 patients generally managed Outpatient management
according to the lecture?



How are moderate to high risk ABCD2 patients generally Hospitalization
managed?

, Emergency Medicine Risk Stratification Tools | Complete Practice Questions & Verified Answers
What is the CHA2DS2-VASc score used for? Determine stroke risk in atrial fibrillation and guide anticoagulation decisions




Is CHA2DS2-VASc typically an ED risk tool? Not usually + it may be used in patients admitted for new onset atrial fibrillation




What CHA2DS2-VASc score is considered very low risk 0 in a male or 1 in a female
according to the lecture?



What is the usual management for very low risk No anticoagulation typically needed
CHA2DS2-VASc?



What CHA2DS2-VASc score is considered low risk 1 in a male or 2 in a female
according to the lecture?



How is low risk CHA2DS2-VASc generally managed? Consider anticoagulation based on individual risk factors




At what CHA2DS2-VASc score is anticoagulation 2 or more in a male or 3 or more in a female
strongly recommended according to the lecture?



What does the Canadian Syncope Risk Score predict? 30 day serious adverse events after a syncopal episode




Why is the Canadian Syncope Risk Score preferred over It is considered more accurate for identifying low risk patients who can be safely
the San Francisco score in this lecture? discharged



What is the minimum age for using the Canadian Older than 16 years
Syncope Risk Score?



How soon after syncope must the patient present for the Within 24 hours
Canadian Syncope Risk Score to apply?



When should the Canadian Syncope Risk Score not be If the episode lasted more than 5 minutes
used based on duration of syncope?



What other situations limit use of the Canadian Syncope Change in mental status from baseline + witnessed seizure + major trauma +
Risk Score? intoxication + language barrier + head trauma causing loss of consciousness



What Canadian Syncope Risk Score values are very low Minus 3 to minus 2
risk?



What Canadian Syncope Risk Score values are low risk? Minus 1 to 0




What Canadian Syncope Risk Score values are medium 1 to 3
risk?

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