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PACES for the MRCP

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PACES for the MRCP
PACES for the MRCP

PACES for the MRCP

with 250 Clinical Cases

9780443103704
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Description

British Medical Association Book Awards 2009 - Highly Commended, Medicine

Clinical examinations in the OSCE style of marked stations are daunting for all students, whether undergraduates or MRCP candidates. The recent introduction of the 5-station PACES (Progressive Assessment of Clinical Examination Skills) exam inspired a great deal of apprehension, so the appearance of the first edition of Halls PACES for MRCP was greatly welcomed by candidates and became an immediate success. This new edition builds on the books reputation. It provides, in one colourful and attractive volume, complete coverage of all the most common medical cases that will be covered in PACES and similar exams. Although designed specifically for the PACES part of the MRCP exam, its in-depth coverage means that it can be used by any student preparing for clinical examinations in medicine.
Product Details
Churchill Livingstone
34936
9780443103704
9780443103704

Data sheet

Publication date
2008
Issue number
2
Cover
paperback
Pages count
768
Dimensions (mm)
246 x 189
Weight (g)
1615
  • INTRODUCTION

    STATION 1 RESPIRATORY AND ABDOMINAL SYSTEM

    RESPIRATORY SYSTEM

    Examination of the respiratory system

    Cases

    1.1 Chronic obstructive pulmonary disease
    1.2 Consolidation
    1.3 Dullness at the lung base
    1.4 Pneumonia
    1.5 Lung cancer
    1.6 Pancoasts syndrome
    1.7 Superior vena cava obstruction
    1.8 Collapse/pneumonectomy/lobectomy
    1.9 Bronchiectasis
    1.10 Cystic fibrosis
    1.11 Kartageners syndrome
    1.12 Tuberculosis
    1.13 Idiopathic pulmonary fibrosis and diffuse parenchymal lung disease

    1.14 Rheumatoid lung

    1.15 Extrinsic allergic alveolitis

    1.16 Asbestos-related lung disease and pneumoconiosis

    1.17 Pulmonary sarcoidosis
    1.18 Pulmonary hypertension
    1.19 Cor pulmonale
    1.20 Pulmonary embolism
    1.21 Pleural effusion
    1.22 Pleural rub
    1.23 Pneumothorax
    1.24 Obstructive sleep apnoea-hypopnoea syndrome

    1.25 Lung transplant

    ABDOMINAL SYSTEM

    Examination of the abdominal system

    Cases

    1.26 Chronic liver disease
    1.27 Jaundice
    1.28 Ascites
    1.29 Alcoholic liver disease
    1.30 Viral hepatitis
    1.31 Autoimmune hepatitis
    1.32 Primary biliary cirrhosis
    1.33 Hereditary haemochromatosis
    1.34 Wilsons disease
    1.35 Hepatomegaly
    1.36 Splenomegaly

    1.37 Hepatosplenomegaly
    1.38 Feltys syndrome
    1.39 Abdominal mass
    1.40 Crohns disease
    1.41 Ulcerative colitis
    1.42 Carcinoid syndrome
    1.43 Enteric and urinary stomas
    1.44 Chronic myeloid leukaemia
    1.45 Polycythaemia vera, myeloproliferative disorders and myelodysplasia
    1.46 Chronic lymphocytic leukaemia
    1.47 Lymphadenopathy and lymphoma
    1.48 Polycystic kidney disease
    1.49 Nephrotic syndrome
    1.50 Renal transplant

    STATION 2: HISTORY-TAKING SKILLS

    Introduction to history-taking skills

    Clinical reasoning

    The traditional medical history model

    Incorporating the patients perspective - ideas, concerns and expectations

    History-taking skills - the communication skills that make history-taking effective

    The traditional model and communication skills - putting these two together

    Cases

    Respiratory problems

    2.1 Breathlessness
    2.2 Asthma

    Abdominal problems

    2.3 Dyspepsia
    2.4 Dysphagia
    2.5 Abdominal pain
    2.6 Altered bowel habit

    Cardiovascular problems

    2.7 Prevention of cardiovascular disease and weight gain
    2.8 Chest pain and angina
    2.9 Acute coronary syndrome
    2.10 Heart failure
    2.11 Palpitations
    2.12 Atrial fibrillation
    2.13 Dyslipidaemia
    2.14Hypertension

    Neurological problems

    2.15 Headache
    2.16 Transient ischaemic attack
    2.17 Weakness and wasting
    2.18 TMultiple sclerosis
    2.19 Tremor

    Locomotor problems

    2.20 Back pain
    2.21 Joint pain

    Eye problems

    2.22 Visual loss

    Endocrine problems

    2.23 Type 1 diabetes mellitus
    2.24 Type 2 diabetes mellitus

    Renal and metabolic problems

    2.25 Acute renal failure
    2.26 Chronic kidney disease and renal replacement therapy
    2.27 Glomerulonephritis
    2.28 Systemic vasculitis
    2.29 Hypercalcaemia
    2.30 Hyponatraemia
    2.31 Poisoning and metabolic disturbance

    Haematological problems

    2.32 Anaemia
    2.33 Sickle cell disease and thalassaemia
    2.34 Purpura
    2.35 Haemophilia
    2.36 Deep vein thrombosis
    2.37 Thrombophilic tendency
    2.38 Myeloma

    Infectious disease

    2.39 Human immunodeficiency virus infection

    Other general internal medicine and elderly care problems

    2.40 Falls and rehabilitation
    2.41 Syncope
    2.42 Seizures
    2.43 Acute confusion
    2.44 Mild cognitive impairment and dementia
    2.45 Incontinence
    2.46 Raised inflammatory markers
    2.47 Polymyalgia and giant cell arteritis
    2.48 Pyrexia and sepsis
    2.49 Weight loss
    2.50 Tiredness

    STATION 3: CARDIOVASCULAR SYSTEM AND NERVOUS SYSTEM

    CARDIOVASCULAR SYSTEM

    Examination of the cardiovascular system

    Cases

    3.1 Mitral stenosis
    3.2 Mitral regurgitation
    3.3 Aortic stenosis
    3.4 Aortic regurgitation
    3.5 Tricuspid regurgitation and Ebsteins anomaly
    3.6 Other right-sided heart murmurs
    3.7 Mixed valve disease
    3.8 Mitral valve prolapse
    3.9 Prosthetic valves
    3.10 Permanent pacemaker
    3.11 Infective endocarditis
    3.12 Congenital heart disease
    3.13 Cyanotic heart disease
    3.14 Hypertrophic (obstructive) cardiomyopathy
    3.15 Pericardial rub and pericardial disease

    NERVOUS SYSTEM

    Examination of the nervous system

    - Overview of the organisation of the nervous system and how to examine it
    - Cranial nerves
    - Higher cortical function and specific lobes
    - Speech and language
    - Power and sensation
    - Upper limbs
    - Lower limbs
    - Gait

    Cases

    3.16 Visual field defects
    3.17 Ocular nerve lesions
    3.18 Internuclear ophthalmoplegia
    3.19 Nystagmus
    3.20 Ptosis
    3.21 Large pupil
    3.22 Small pupil
    3.23 Horners syndrome
    3.24 Cerebellopontine angle syndrome
    3.25 Facial nerve palsy
    3.26 Bulbar palsy
    3.27 Anterior circulation stroke syndromes
    3.28 Dysphasia and dysarthria
    3.29 Pseudobulbar palsy
    3.30 Agnosias and apraxias
    3.31 Posterior circulation stroke syndromes
    3.32 Parkinsons disease
    3.33 Cerebellar disease
    3.34 Spastic paraparesis and Brown Sequard syndrome
    3.35 Syringomyelia
    3.36 Absent ankle jerks and extensor plantars
    3.37 Motor neurone disease
    3.38 Cervical myeloradiculopathy
    3.39 Cauda equina syndrome
    3.40 Carpal tunnel syndrome (median nerve lesion)
    3.41 Ulnar nerve lesion
    3.42 Radial nerve lesion
    3.43 Wasting of the small (intrinsic) muscles of the hand
    3.44 Common peroneal nerve lesion
    3.45 Peripheral neuropathy
    3.46 Charcot-Marie-Tooth disease and hereditary neuropathies
    3.47 Guillain-Barre syndrome
    3.48 Myasthenia gravis
    3.49 Myotonic dystrophy

    STATION 4: COMMUNICATION SKILLS AND ETHICS

    COMMUNICATION SKILLS AND ETHICS

    Introduction to communication skills and ethics

    Cases

    Discussing clinical management

    4.1 Explaining a diagnosis
    4.2 Explaining an investigation
    4.3 Discussing a treatment
    4.4 Discussing management, prognosis and possible complications in a patient with multiple problems
    4.5 Discussing diagnostic uncertainty
    4.6 Discussing risk and treatment effect
    4.7 Negotiating a management plan for a chronic disease/long-term condition
    4.8 Encouraging concordance with treatment and prevention

    Communication in special circumstances

    4.9 Cross-cultural communication
    4.10 Communicating with angry patients or relatives
    4.11 Communicating with upset and distressed relatives
    4.12 Discharge against medical advice
    4.13 Delayed discharge

    Breaking bad news

    4.14 Cancer - potentially curable
    4.15 Cancer - likely incurable
    4.16 Cancer - patient not fit for active treatment
    4.17 Chronic disease
    4.18 Discussing an acutely terminal situation with relatives

    Confidentiality, consent and capacity

    4.19 Legal points in confidentiality
    4.20 Breaching confidentiality when a third party may be at risk
    4.21 Breaching confidentiality in the public interest
    4.22 Confidentiality when talking with relatives and other third parties
    4.23 Consent for investigation or treatment
    4.24 Consent and capacity
    4.25 Refusal to consent
    4.26 Deliberate self-harm

    End of life issues

    4.27 Resuscitation-status decision-making discussion with patient
    4.28 Resuscitation status decision-making discussion with relative
    4.29 Appropriateness of intensive therapy unit transfer
    4.30 Withholding and withdrawing life-prolonging treatments - Artificial hydration and nutrition
    4.31 Withholding and withdrawing life-prolonging treatments - antibiotics and drugs
    4.32 Percutaneous endoscopic gastrostromy feeding
    4.33 Palliative care
    4.34 Advance directives/decisions
    4.35 Persistent vegetative state
    4.36 Brainstem death
    4.37 Discussing live organ donation
    4.38 Requesting an autopsy (post-mortem)

    Clinical Governance

    4.39 Critical incident
    4.40 Managing a complaint and the question of negligence
    4.41 Fitness to practice - poor peformance in a colleague
    4.42 Fitness to practice - misconduct in a colleague
    4.43 Fitness to practice - health problems in a colleague
    4.44 Recruitment to a randomised controlled trial

    Other communication, ethical and legal scenarios

    4.45 Genetic testing
    4.46 HIV testing
    4.47 Needlestick injury
    4.48 Medical opinion on fitness for anaesthesia
    4.49 Fitness to drive
    4.50 Industrial injury benefits

    STATION 5: SKIN, LOCOMOTOR SYSTEM, EYES, ENDOCRINE SYSTEM

    SKIN

    Examination of the skin

    Cases

    5.1 Psoriasis
    5.2 Dermatitis
    5.3 Lichen planus
    5.4 Blistering skin condititions
    5.5 Facial rash
    5.6 Scleroderma, vitiligo and autoimmune skin disease
    5.7 Oral lesions
    5.8 Nail lesions
    5.9 Shin lesions
    5.10 Neurofibromatosis
    5.11 Tuberose sclerosis
    5.12 Neoplastic skin lesions
    5.13 Skin vasculitis
    5.14 Xanthomata and xanthelasmata
    5.15 Skin and soft tissue infection

    LOCOMOTOR SYSTEM

    Examination of the joints

    Examination of the hands and arms

    Examination of the legs

    Examination of the spine

    Cases

    5.16 Rheumatoid hands and rheumatoid arthritis
    5.17 Ankylosing spondylitis and spondyloarthropathies
    5.18 Systemic lupus erythematosus
    5.19 Scleroderma
    5.20 Crystal arthropathy
    5.21 Osteoarthritis
    5.22 Pagets disease
    5.23 Marfans syndrome
    5.24 Ehlers-Danlos syndrome
    5.25 Osteogenesis imperfecta

    EYES

    Examination of the eyes

    Cases

    5.26 Diabetic retinopathy
    5.27 Hypertensive retinopathy
    5.28 Swollen optic disc and papilloedema
    5.29 Optic atrophy
    5.30 Chorioretinitis
    5.31 Retinitis pigmentosa
    5.32 Central retinal vein occlusion
    5.33 Central retinal artery occlusion
    5.34 Retinal detachment and vitreous haemorrhage
    5.35 Drusen and age-related macula degeneration (asteroids)
    5.36 Angioid streaks
    5.37 Myelinated nerve fibres
    5.38 Glaucoma
    5.39 Cataracts
    5.40 Uveitis and red eye

    ENDOCRINE SYSTEM

    Examination of the thyroid

    Cases

    5.41 Hyperthyroidism and Graves disease
    5.42 Hypothyroidism
    5.43 Goitre and neck lumps
    5.44 Acromegaly
    5.45 Hypopituitarism
    5.46 Cushings syndrome
    5.47 Hypoadrenalism and Addisons disease
    5.48 Hirsutism and polycystic ovarian syndrome
    5.49 Hypogonadism and gynaecomastia
    5.50 Pseudohypoparathyroidism

    APPENDIX 100 tips for passing PACES

    INDEX

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PACES for the MRCP
PACES for the MRCP
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