with 250 Clinical Cases To order this title, and for more information, click here Second Edition
By Tim Hall, MB, ChB, MRCP, MRCGP, DipMedEd, Consultant in Geriatric Medicine and Acute and General (Internal) Medicine and Geriatric Medicine, Plymouth
Hospitals NHS Trust, South West Peninsula Deanery, Plymouth, UK
Description This title is written for MRCP candidates preparing for PACES exam in UK and rest of world. 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 Hall's PACES for MRCP was greatly welcomed by candidates and became an immediate success. This new edition builds on the book's 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.
Audience
– MRCP candidates preparing for PACES exam
– All students preparing for postgraduage and undergraduate exams in medicine
Contents 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 Pancoast's syndrome 1.7 Superior vena cava obstruction 1.8 Collapse/pneumonectomy/lobectomy 1.9 Bronchiectasis
1.10 Cystic fibrosis 1.11 Kartagener's 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
- 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 Horner's 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 Parkinson's 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
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