An Aid to the MRCP Short Cases

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

Edition: 2nd

ISBN13: 9780632030675

ISBN10: 0632030674

Format: Paperback

Pub. Date: 1999-01-26

Publisher(s): Wiley-Blackwell

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Summary

The first edition of An Aid to the MRCP Short Cases rapidly estabished itself as a classic and has sold over 25,000 copies.The aims of this revised and extended second edition are the same as those of the first: to provide a comprehensive guide for those preparing for the short cases section of the Membership of the Royal College of Physicians examination. The MRCP examination is a major hurdle for all trainee hospital physicians and has a failure rate of over 70%.The largest part of the book consists of 200 short cases that are presented in order of frequency of their occurrence in the examination (based on an extensive survey of successful candidates). The clinical features of each case are fully covered and supported by illustrations and photographs. The emphasis throughout the book is on examination technique and how to present the clinical information in the style that the examiners expect. In short, it is an indispensable guide for anyone preparing for this critical examination.

Author Biography

Robert E. J. Ryder is the author of An Aid to the MRCP Short Cases, 2nd Edition, published by Wiley. M. Afzal Mir is the author of An Aid to the MRCP Short Cases, 2nd Edition, published by Wiley.

Preface to the second edition

Preface to the first edition

Introduction

xiii

Section 1: Preparation

(6)

Section 2: Examination Routines

(54)

Heart

(4)

Abdomen

(4)

Fundi

(2)

Hands

(4)

Legs

(4)

Chest

(3)

Spot diagnosis

(4)

Eyes

(2)

Face

(1)

Arms

(4)

Neck

(1)

Ask questions

(3)

Pulse

(2)

Visual fields

(1)

Skin

(2)

Gait

(2)

Rash

(1)

Legs and arms

(1)

Cranial nerves

(3)

Thyroid status

(3)

Section 3: 200 Short Case Records

(384)

Diabetic retinopathy

(4)

Hepatosplenomegaly

(2)

Mitral stenosis (lone)

(2)

Rheumatoid hands

(3)

Mixed mitral valve disease

(2)

Dullness at the lung base

(2)

Splenomegaly (without hepatomegaly)

(2)

Optic atrophy

(2)

Chronic liver disease

(2)

Polycystic kidneys

(1)

Paget's disease

(3)

Psoriatic arthropathy/psoriasis

(3)

Other combinations of mitral and aortic valve disease

(1)

Mixed aortic valve disease

(2)

Systemic sclerosis/CRST syndrome

(2)

Exophthalmos

(3)

Hepatomegaly (without splenomegaly)

101

(1)

Spastic paraparesis

102

(1)

Fibrosing alveolitis

103

(1)

Aortic incompetence (lone)

104

(2)

Hemiplegia

106

(2)

Old tuberculosis

108

(1)

Acromegaly

109

(3)

Aortic stenosis (lone)

112

(2)

Graves' disease

114

(3)

Ocular palsy

117

(4)

Mitral incompetence (lone)

121

(2)

Motor neurone disease

123

(3)

Goitre

126

(3)

Ulnar nerve palsy

129

(2)

Visual field defect

131

(3)

Peripheral neuropathy

134

(2)

Hypertensive retinopathy

136

(2)

Resuscitation Annie

138

(4)

Cerebellar syndrome

142

(2)

Retinitis pigmentosa

144

(1)

Carcinoma of the bronchus

145

(3)

Parkinson's disease

148

(2)

Chronic bronchitis and emphysema

150

(2)

Hypothyroidism

152

(3)

Osler--Weber--Rendu syndrome

155

(2)

Abdominal mass

157

(2)

Dystrophia myotonica

159

(2)

Bronchiectasis

161

(1)

Wasting of the small muscles of the hand

162

(3)

Generalized lymphadenopathy

165

(1)

Papilloedema

166

(2)

Diabetic foot

168

(3)

Nystagmus

171

(3)

Old choroiditis

174

(2)

Neurofibromatosis (von Recklinghausen's disease)

176

(2)

Erythema nodosum

178

(2)

Horner's syndrome

180

(2)

Old polio

182

(2)

Ankylosing spondylitis

184

(2)

Abnormal gait

186

(3)

Irregular pulse

189

(1)

Single palpable kidney

190

(1)

Ascites

191

(2)

Sturge--Weber syndrome

193

(2)

Necrobiosis lipoidica diabeticorum

195

(2)

Ventricular septal defect

197

(1)

Lower motor neurone VIIth nerve palsy

198

(3)

Clubbing

201

(2)

Retinal vein thrombosis

203

(2)

Eisenmenger's syndrome

205

(2)

Crohn's disease

207

(2)

Mitral valve prolapse

209

(2)

Cervical myelopathy

211

(2)

Patent ductus arteriosus

213

(1)

Tricuspid incompetence

214

(1)

Purpura

215

(3)

Xanthomata

218

(2)

Drug-induced extrapyramidal syndrome

220

(1)

Bilateral parotid enlargement/Mikulicz's syndrome

221

(1)

Primary biliary cirrhosis

222

(2)

Lupus pernio

224

(2)

Muscular dystrophy

226

(2)

Prosthetic valves

228

(1)

Addison's disease

229

(2)

Cushing's syndrome

231

(3)

Friedreich's ataxia

234

(2)

Peutz--Jeghers syndrome

236

(1)

Systemic lupus erythematosus

237

(2)

Superior vena cava obstruction

239

(2)

Vasculitis

241

(3)

Deep venous thrombosis/Baker's cyst/cellulitis

244

(3)

Cor pulmonale

247

(1)

Myelinated nerve fibres

248

(1)

Charcot--Marie--Tooth disease

249

(2)

Cataracts

251

(2)

Idiopathic haemochromatosis

253

(2)

Chest infection/consolidation/pneumonia

255

(1)

Coarctation of the aorta

256

(1)

Bulbar palsy

257

(1)

Choreoathetosis

258

(2)

Dysarthria

260

(1)

Dysphasia

261

(2)

Ehlers-Danlos syndrome

263

(2)

Erythema ab igne

265

(2)

Marfan's syndrome

267

(2)

Myasthenia gravis

269

(3)

Osteoarthrosis

272

(2)

Raised jugular venous pressure

274

(1)

Pretibial myxoedema

275

(2)

Retinal artery occlusion

277

(2)

Vitiligo

279

(3)

Tophaceous gout

282

(2)

Fallot's tetralogy with a Blalock shunt

284

(1)

Slow pulse

285

(1)

Guillain-Barre syndrome (acute inflammatory demyelinating polyradiculopathy)

286

(2)

Pneumonectomy/lobectomy

288

(2)

Obesity/pickwickian syndrome

290

(3)

Dermatomyositis

293

(2)

Hypopituitarism

295

(2)

Swollen knee

297

(2)

Pseudobulbar palsy

299

(1)

Pemphigus/pemphigoid

300

(3)

Syringomyelia

303

(2)

Tuberculosis/apical consolidation

305

(2)

Rheumatoid lung

307

(1)

Tuberous sclerosis/adenoma sebaceum

308

(2)

Proximal myopathy

310

(1)

Pseudoxanthoma elasticum

311

(2)

Radiation burn on the chest

313

(1)

Subacute combined degeneration of the cord

314

(1)

Holmes--Adie--Moore syndrome

315

(1)

Peripheral vascular disease

316

(2)

Transplanted kidney

318

(2)

Glaucoma/peripheral field loss

320

(2)

Nephrotic syndrome

322

(1)

Jugular foramen syndrome

323

(2)

Herpes zoster

325

(2)

Henoch-Schonlein purpura

327

(2)

Polymyositis

329

(1)

Argyll Robertson pupils

330

(1)

Congenital syphilis

331

(2)

Carpal tunnel syndrome

333

(2)

Cerebellopontine angle lesion

335

(1)

Dextrocardia

336

(1)

Down's syndrome

337

(1)

Gynaecomastia

338

(2)

Absent ankle jerks and extensor plantars

340

(1)

Lichen planus

341

(2)

Lateral popliteal (common peroneal) nerve palsy

343

(2)

Ptosis

345

(3)

Osteogenesis imperfecta

348

(1)

Pulmonary stenosis

349

(1)

Raynaud's phenomenon

350

(2)

Turner's syndrome

352

(2)

Mycosis fungoides

354

(2)

Morphoea

356

(2)

Laurence--Moon--Bardet--Biedl syndrome

358

(2)

Short stature

360

(2)

Pseudohypoparathyroidism

362

(3)

AIDS related

365

(3)

Porphyria

368

(2)

Lupus vulgaris

370

(2)

Cannon waves

372

(1)

Polycythaemia rubra vera

373

(1)

Asteroid hyalosis

374

(1)

Pernicious anaemia

375

(2)

Dermatitis herpetiformis

377

(2)

Urticaria pigmentosa (mastocytosis)

379

(1)

Pneumothorax

380

(1)

Tabes

381

(2)

Tylosis

383

(2)

Klippel--Feil syndrome

385

(2)

Pendred's syndrome

387

(2)

Secondary syphilis

389

(2)

Ectodermal dysplasia

391

(2)

Old rickets

393

(2)

Partial lipodystrophy

395

(2)

Fabry's disease

397

(2)

Subclavian-steal syndrome

399

(2)

Reiter's syndrome/keratoderma blenorrhagica

401

(2)

Carcinoid syndrome

403

(1)

Infantile hemiplegia

404

(2)

Pulmonary incompetence

406

(2)

Hereditary spherocytosis

408

(1)

Juvenile chronic arthritis

409

(2)

Cystic fibrosis

411

(2)

Infective endocarditis

413

(2)

Malignant melanoma

415

(2)

Leg oedema

417

(2)

Acanthosis nigricans

419

(3)

Drusen

422

(1)

Yellow nail syndrome

423

(1)

Klinefelter's syndrome/hypogonadism

424

(4)

Keratoacanthoma

428

(1)

Thalamic syndrome

429

(1)

Atrial septal defect

430

(1)

Pyoderma gangrenosum

431

(2)

Multiple sclerosis

433

(2)

Felty's syndrome

435

(1)

Hypertrophic obstructive cardiomyopathy

436

(1)

Radial nerve palsy

437

(1)

Lateral medullary syndrome (Wallenberg's syndrome)

438

(2)

Psychogenic/factitious

440

(4)

Normal

444

(1)

Section 4: Experiences, Anecdotes, Tips, Facts and Figures, Quotations

445

(66)

Experiences

447

(19)

The power and range of the candidate's observations

449

(2)

The candidate's examination technique

451

(2)

The clinical competence of the candidate

453

(1)

Common errors

454

(1)

Look first

455

(1)

Double pathology

456

(1)

Tell them of the expert that told you

456

(1)

Apologies accepted

457

(1)

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

457

(1)

Invigilator's diaries

458

(2)

Fly on the wall---complete accounts

460

(6)

Ungentlemanly clinical methods

466

(1)

Some experiences written in the first person

466

(27)

Miscellaneous `pass' experiences

467

(12)

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

479

(4)

Survivors of the storm

483

(3)

Some `fail' experiences

486

(5)

Downward spirals

491

(2)

Anecdotes

493

(8)

Some anecdotes in the first person

498

(3)

Useful tips

501

(1)

Facts and figures

502

(1)

Quotations

503

(8)

Adopt good bedside manners

503

(1)

Practise clinical examination and presentation

504

(1)

Get it right

505

(1)

Listen, obey and do not stray

505

(1)

One wrong does not make one fail

506

(1)

If you say less they want more

506

(1)

If you know it---say it

506

(1)

Humility is more persuasive than self-righteousness

507

(1)

Keep cool: agitation generates aggression

507

(1)

Simple explanations raise simple questions

507

(1)

Think straight, look smart and speak convincingly

508

(1)

You have seen it all before

508

(1)

Use your eyes first and most

508

(1)

Doing and forgetting

509

(1)

Examiners are different

509

(2)

Appendices

511

(36)

1 Checklists

513

(4)

2 Examination frequency of MRCP short cases

517

(5)

3 Examination frequency of examiners' instructions

522

(2)

4 Pocket Snellen's chart

524

(1)

5 Texidor's twinge and related matters

525

(2)

6 Colour photographs of some MRCP short cases

527

(17)

7 Detailed contents of Section 4

544

(3)

Index

547