An Aid to the MRCP PACES Stations 2 and 4

by Banerjee, Dev; Ryder, Robert E. J.; Mir, M. Afzal; Freeman, E. Anne

Edition: 3rd

ISBN13: 9781405106627

ISBN10: 140510662X

Format: Paperback

Pub. Date: 2003-10-20

Publisher(s): Wiley-Blackwell

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Summary

The forerunner to this book - Ryder, Mir & Freeman's 'An Aid to the MRCP Short Cases' - rapidly established itself as a classic and has sold over 30,000 copies.The new Progressive Assessment of Clinical Examination Skills (PACES) has replaced the old short case exam and, as a result, the authors have revised, reworked and extended their highly successful text so that it continues to address the study needs of candidates. This new revision aid is now presented in two volumes: An Aid to the MRCP PACES Volume 1: Stations 1, 3 and 5 An Aid to the MRCP PACES Volume 2: Stations 2 and 4This Volume covers Station 2 'History Taking' and Station 4 'Communication Skills'. In the 'History Taking' section at least 50 examples of each type of question and case are included, together with scenarios with simulated patients. The focus of the book is very much on the examiners' expectations so that candidates have a true picture of the areas on which they are being tested.Station 4 'Communication Skills' also covers the ethical issues in the doctor-patient relationship, such as managing organ transplantation, consenting for hospital post-mortem, etc.Also included in this Volume is the 'Experiences and Anecdotes' chapter providing real quotes from both candidates and examiners - this helps the candidate to avoid the more common pitfalls of the exam.

Preface,

vii

Introduction,

viii

Section D,

(128)

Station 2, History Taking Skills,

(126)

1 Abdominal swelling,

(2)

2 Ankle swelling,

(2)

3 Asymptomatic hypertensive,

(3)

4 Backpain,

(3)

5 Breathlessness,

(3)

6 Burning of the feet,

(3)

7 Chest pain,

(2)

8 Cold and painful fingers,

(2)

9 Cause of collapse?

(2)

10 Confusion,

(2)

11 Cough,

(3)

12 Diabetic feet,

(3)

13 Difficulty in walking,

(3)

14 Dizziness and feeling faint,

(2)

15 Double vision,

(2)

16 Dysphagia,

(2)

17 Epigastric pain and nausea,

(2)

18 Facial swelling,

(3)

19 Funny turns,

(3)

20 Haemoptysis,

(2)

21 Headache,

(3)

22 Hoarse voice,

(2)

23 Hypercalcaemia,

(2)

24 Hyperlipidaemia,

(3)

25 Jaundice,

(3)

26 Joint pains,

(3)

27 Loin pain,

(2)

28 Loss of weight,

(2)

29 Lower gastrointestinal haemorrhage,

(2)

30 Macrocytic anaemia,

(3)

31 Neck lump,

(2)

32 Painful shins,

(2)

33 Painful shoulders,

(2)

34 Palpitations,

(2)

35 Personality change,

(3)

36 Pins and needles,

(2)

37 Polyuria,

(2)

38 Pruritus,

(2)

39 Purpuric rash,

(2)

40 Pyrexia,

(3)

41 Renal colic and haematuria,

102

(2)

42 Tiredness,

104

(3)

43 Tremor,

107

(2)

44 Visual disturbances,

109

(3)

45 Vomiting,

112

(3)

46 Vomiting and forgetfulness,

115

(3)

47 Weakness of an arm,

118

(3)

48 Weight gain,

121

(3)

49 Weight loss and chronic diarrhoea,

124

(2)

50 Wheeze,

126

(3)

Section E,

129

(148)

Station 4, Communication Skills and Ethics,

131

(146)

1 A colleague with hepatitis B infection,

134

(3)

2 Apologizing for a delay with investigative management,

137

(2)

3 Asking for a postmortem,

139

(5)

4 Bleeding varices in a Jehovah's witness,

144

(3)

5 Blood transfusion,

147

(2)

6 Brain stem death,

149

(4)

7 Breaking bad news,

153

(3)

8 Breaking bad news: a chronic illness,

156

(2)

9 Concerns over infection control,

158

(4)

10 Consent for bedside teaching,

162

(3)

11 Consent from a patient who does not have the capacity to give consent,

165

(4)

12 Consent to participate in a clinical trial,

169

(3)

13 Dealing with poor compliance,

172

(3)

14 Deliberate self-harm,

175

(3)

15 Deep vein thrombosis in pregnancy,

178

(3)

16 Eligibility for coronary artery bypass surgery,

181

(2)

17 Fitness to drive,

183

(3)

18 Genetic counselling,

186

(3)

19 HIV testing,

189

(3)

20 Hormone replacement therapy,

192

(3)

21 Industrial benefits,

195

(2)

22 Informed consent for an emergency operation,

197

(3)

23 Informed refusal of therapy,

200

(3)

24 Internet therapy,

203

(3)

25 Lifestyle adjustments after an anterior myocardial infarction,

206

(3)

26 Managing a complaint after an adverse incident,

209

(4)

27 Medical opinion for fitness for anaesthesia,

213

(2)

28 Needlestick injury from an HIV patient,

215

(3)

29 Obesity-'It must be my glands, doctor,

218

(3)

30 Obtaining consent for a lumbar puncture,

221

(3)

31 Postponing an investigation,

224

(2)

32 Pregnancy and pharmacy,

226

(2)

33 Refusal to have effective analgesia,

228

(3)

34 Resuscitation status in a terminally ill patient,

231

(3)

35 Screening for prostate cancer,

234

(3)

36 Self discharge,

237

(2)

37 Smoking cessation advice,

239

(3)

38 Starting insulin therapy,

242

(2)

39 Submitting an audit project,

244

(3)

40 The improper doctor,

247

(3)

41 The incompetent doctor,

250

(2)

42 The sick doctor,

252

(3)

43 Third party confidentiality,

255

(2)

44 To ventilate or not to ventilate?

257

(3)

45 Treating a prisoner,

260

(2)

46 Unrelated live organ donation,

262

(2)

47 Unwanted drug reactions,

264

(3)

48 Violent and abusive patients,

267

(3)

49 Withdrawing treatment (1 ),

270

(3)

50 Withdrawing treatment (2),

273

(4)

Section F: Experiences, Anecdotes, Tips, Quotations,

277

(100)

Full PACES experiences in the first person,

280

(37)

Additional Station 2 experiences,

317

(4)

Additional Station 4 experiences,

321

(4)

Invigilators diaries-Station 2 and 4,

324

(1)

Experiences,

325

(37)

The power and range of the candidate's observations,

327

(2)

The candidate's examination technique,

329

(1)

The clinical competence of the candidate,

330

(1)

Common errors,

331

(1)

Look first,

332

(1)

Double pathology,

332

(1)

Tell them of the expert that told you,

332

(1)

Apologies accepted,

332

(1)

'Even though I didn't mean to say it-I did,

333

(1)

Invigilator's diaries,

333

(2)

Fly on the wall-complete accounts,

335

(3)

Ungentlemanly clinical methods,

338

(1)

Miscellaneous 'pass' experiences,

339

(11)

You never know you've failed until the list is published,

350

(2)

Survivors of the storm,

352

(3)

Some 'fail' experiences,

355

(5)

Downward spirals,

360

(2)

Anecdotes,

362

(5)

Some anecdotes in the first person,

365

(2)

Miscellaneous,

367

(1)

Useful tips,

367

(2)

Quotations,

369

(8)

Adopt good bedside manners,

369

(1)

Practise clinical examination and presentation,

369

(1)

Get it right,

370

(1)

Listen, obey and do not stray,

370

(1)

One wrong does not make one fail,

371

(1)

If you say less they want more,

371

(1)

Humility is more persuasive than self-righteousness,

371

(1)

Keep cool: agitation generates aggression,

371

(1)

Simple explanations raise simple questions,

372

(1)

Think straight, look smart and speak convincingly,

372

(1)

You have seen it all before,

372

(1)

Use your eyes first and most,

372

(1)

Doing and forgetting,

372

(1)

Examiners are different,

373

(1)

Additional comments and quotes from candidates,

373

Appendices

1 Mark sheet used by the examiners in PACES Stations 2 and 4,

377

(3)

2 Website links,

380

(1)

3 Detailed Contents of Section F,

381

(2)

Index,

383