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Old 11-12-2012
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Question Framingham risk score

hello guys.....

USMLE World Q ID 4928........the guy has four risk factors for CAD---- age ,HTN, h/o premature CAD in his dad and smoking history

in the explanation, the Framingham risk score was calculated to be 17.......how did they get the no 17...???? and accrdngly ha has a 10 yr risk of >20% and placed in high risk..

do we need to know how to calculate the framingham risk score, if yes, how do we do that...??????

would appreciate if anyone can clarify this.....
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Ayman Qasrawi (11-16-2012)



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Old 11-14-2012
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Just know the risk factors.
Don't worry about calculations, it's too complicated and I wonder even the Framingham study researchers can do do it off hand.
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anomali (11-14-2012)
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Old 11-14-2012
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thats a relief..........you've always been someone's saviour...thanku
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Old 11-16-2012
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UW just confused me with this, there are two questions other that particular question which asked about it, and UW did not mention about these criteria; they just say calculate the risks:
Age > 45 male, > 55 FM
HTN
Smoking
HDL < 40, if > 60 is a negative factor
Family hx of premature CAD: < 55 in M, < 65 in FM

Now know the CAD equivalents: DM, AAA, PAD, or 10 year risk > 20% (this particular point I don't know how to calculate)

If CAD or CAD equivalent: Start diet at 100, statin at 130
2 or more risks: diet at 130, statin at 160
0-1: diet at 160, statin at 190

There are two questions that I solved based on these criteria, but in that particular question; if you calculate it based on these criteria, it will be moderate risk, but the answer as I remember is high-risk !

Personally, I will stick to these criteria, no one on planet earth can memorize the stupid Framingham critera, they use calculators !!
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anomali (11-18-2012)
  #5  
Old 11-18-2012
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thanks guys....i feel the same...leave these calculations aside....
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