Cases for PACES by Stephen Hoole, Andrew Fry, Rachel Davies

By Stephen Hoole, Andrew Fry, Rachel Davies

Instances for PACES presents a concise examine reduction to half II of the MRCP exam; the sensible review of scientific exam talents or PACES. the recent version of this very hot examine consultant has been thoroughly up-to-date, and now comprises situations for Station five, brought in October 2009.

that includes a ‘case examine’ structure that fits the fashion of the examination, it contains all of the crucial details - excellent for on-the-ward revision and research. Written via authors who take into account their very own PACES exam, their event in studying and educating PACES is condensed to supply precisely what you want to comprehend to move.

With its casual variety, situations for PACES is usually perfect for self-directed studying in teams, and should assist you hone your medical abilities and improve your self belief within the run-up to the exam.

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Sample text

Scoring well on this station requires good examination technique. It is rather different to the history you take daily at work and it is also the station that most candidates underestimate during preparation for the examination. What follows are 10 typical examples that we suggest you practise in small groups. The cases are introduced with a GP letter. We also include a briefing to be read only by the person role-playing the patient. At the end 36 History Taking there is a suggested problem list to compare with your own along with likely discussion points.

Case 3 Dear Dr, This 26-year-old female attended my surgery today complaining of difficulty walking that had come on over a few days. On examination she has a markedly ataxic gait but no other abnormality. She has no significant past medical history and takes only simple analgesia for headaches. I would be grateful for your urgent assessment. Case 4 Dear Dr, Thank you for seeing this 35-year-old teacher urgently. I am concerned she has had a pulmonary embolus. She developed central pleuritic chest pain during the course of yesterday; however, she has felt generally unwell for a week.

A similar thing has happened before while you were washing up. As it starts, you sometimes get tunnel vision and feel sweaty before you collapse. You have no chest pain, palpitations or breathlessness either at rest or on exertion. The attacks are not related to moving your head around and you have no ear problems. There have been no problems with your speech or limbs. These attacks have never occurred while sitting or lying down. If you stand up too quickly the symptoms occur. In the past you have had a heart attack and needed a pacemaker afterwards.

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