Table of Contents for (9780470655184) Aid to the MRCP PACES ...

Table of Contents for (9780470655184) Aid to the MRCP PACES ... Table of Contents for (9780470655184) Aid to the MRCP PACES ...

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Aid to the MRCP PACES: Volume 2: Stations 2 and 4 Banerjee, D ISBN-13: 9780470655184 Table of Contents Preface Introduction Section D Station 2, History Taking Skills 1 Abdominal swelling 2 Ankle swelling 3 Asymptomatic hypertensive 4 Backpain 5 Breathlessness 6 Burning of the feet 7 Chest pain 8 Cold and painful fingers 9 Cause of collapse? 10 Confusion 11 Cough 12 Diabetic feet 13 Difficulty in walking 14 Dizziness and feeling faint 15 Double vision 16 Dysphagia 17 Epigastric pain and nausea 18 Facial swelling 19 Funny turns 20 Haemoptysis 21 Headache 22 Hoarse voice 23 Hypercalcaemia 24 Hyperlipidaemia 25 Jaundice 26 Joint pains 27 Loin pain 28 Loss of weight 29 Lower gastrointestinal haemorrhage

<strong>Aid</strong> <strong>to</strong> <strong>the</strong> <strong>MRCP</strong> <strong>PACES</strong>: Volume 2: Stations 2 and 4<br />

Banerjee, D<br />

ISBN-13: <strong>9780470655184</strong><br />

<strong>Table</strong> <strong>of</strong> <strong>Contents</strong><br />

Preface<br />

Introduction<br />

Section D<br />

Station 2, His<strong>to</strong>ry Taking Skills<br />

1 Abdominal swelling<br />

2 Ankle swelling<br />

3 Asymp<strong>to</strong>matic hypertensive<br />

4 Backpain<br />

5 Breathlessness<br />

6 Burning <strong>of</strong> <strong>the</strong> feet<br />

7 Chest pain<br />

8 Cold and painful fingers<br />

9 Cause <strong>of</strong> collapse?<br />

10 Confusion<br />

11 Cough<br />

12 Diabetic feet<br />

13 Difficulty in walking<br />

14 Dizziness and feeling faint<br />

15 Double vision<br />

16 Dysphagia<br />

17 Epigastric pain and nausea<br />

18 Facial swelling<br />

19 Funny turns<br />

20 Haemoptysis<br />

21 Headache<br />

22 Hoarse voice<br />

23 Hypercalcaemia<br />

24 Hyperlipidaemia<br />

25 Jaundice<br />

26 Joint pains<br />

27 Loin pain<br />

28 Loss <strong>of</strong> weight<br />

29 Lower gastrointestinal haemorrhage


30 Macrocytic anaemia<br />

31 Neck lump<br />

32 Painful shins<br />

33 Painful shoulders<br />

34 Palpitations<br />

35 Personality change<br />

36 Pins and needles<br />

37 Polyuria<br />

38 Pruritus<br />

39 Purpuric rash<br />

40 Pyrexia<br />

41 Renal colic and haematuria<br />

42 Tiredness<br />

43 Tremor<br />

44 Visual disturbances<br />

45 Vomiting<br />

46 Vomiting and <strong>for</strong>getfulness<br />

47 Weakness <strong>of</strong> <strong>the</strong> right arm<br />

48 Weight gain<br />

49 Weight loss and chronic diarrhoea<br />

50 Wheeze<br />

Section E<br />

Station 4, Communication Skills and Ethics,<br />

Category 1: In<strong>for</strong>med Consent<br />

1 Consent <strong>for</strong> a Lumbar puncture<br />

2 Consent <strong>for</strong> OGD<br />

3 Emergency surgery under principles <strong>of</strong> ‘best interests’<br />

4 A competent patient’s refusal <strong>of</strong> treatment<br />

Category 2: Diagnoses and management advice<br />

5 Obesity Management<br />

6 Side-effects <strong>of</strong> cardiac medication<br />

7 Presentation <strong>of</strong> a first seizure<br />

8 Rheuma<strong>to</strong>id arthritis<br />

9 Valvular heart disease in a young woman<br />

10 Air-travel with COPD<br />

11 Polypharmacy<br />

12 Blood transfusion<br />

13 Hormone replacement <strong>the</strong>rapy


14 Lifestyle adjustments after a myocardial infarction<br />

15 Smoking cessation<br />

16 Starting insulin <strong>the</strong>rapy<br />

17 Refusal <strong>of</strong> analgesia<br />

Category 3: General clinical issues<br />

18 HIV testing<br />

19 Communication <strong>of</strong> an HIV positive result<br />

20 New diagnosis <strong>of</strong> tuberculosis<br />

21 Non-compliance with anti-tuberculous treatment<br />

22 Multi-drug resistant tuberculosis<br />

23 “Hospital Superbug” 1 (Clostridium Difficile)<br />

24 “Hospital Superbug” 2 (MRSA)<br />

25 Assessing suicide risk<br />

26 Genetic counselling<br />

27 Fitness <strong>for</strong> anaes<strong>the</strong>sia/surgery<br />

28 Screening <strong>for</strong> prostate cancer<br />

Category 4: Breaking Bad News<br />

29 Malignancy in a young patient<br />

30 A chronic illness<br />

Category 5: Ethical and legal issues<br />

31 A patient with a functional illness<br />

32 Brainstem death testing and organ transplantation<br />

33 Hospital post-mortem<br />

34 Coroner’s post-mortem<br />

35 Do not attempt resuscitation decisions<br />

36 Withholding in<strong>for</strong>mation from patients<br />

37 Maintaining patient confidentiality<br />

38 Advanced care decisions<br />

39 Healthcare decisions in a patient who lacks mental capacity<br />

40 Care <strong>of</strong> <strong>the</strong> vulnerable adult<br />

41 Blood transfusion <strong>for</strong> a Jehovah’s witness<br />

42 Eligibility <strong>for</strong> major surgery<br />

43 Postponement <strong>of</strong> an investigation<br />

44 Clinical error in drug administration<br />

45 Fitness <strong>to</strong> drive<br />

46 Limits <strong>of</strong> treatment in end-stage disease<br />

47 Withdrawing treatment<br />

48 Enrolling a patient in a clinical trial<br />

49 Industrial benefits


50 Internet <strong>the</strong>rapy<br />

51 Unrelated live donor transplant<br />

Category 6: Dealing with Difficult Patients/Relatives<br />

52 A patient desperate <strong>for</strong> a diagnosis<br />

53 A missed tumour<br />

54 An unhappy inpatient<br />

55 Delay in investigation<br />

56 A patient wanting <strong>to</strong> self-discharge<br />

Category 7: Pr<strong>of</strong>essional Issues and Communication with Colleagues<br />

57 Major incident exercise<br />

58 A struggling team <strong>of</strong> doc<strong>to</strong>rs<br />

59 A colleague with Hepatitis B infection<br />

60 A colleague with a needlestick injury<br />

61 The improper doc<strong>to</strong>r<br />

62 The incompetent doc<strong>to</strong>r<br />

63 The sick doc<strong>to</strong>r<br />

64 Consent <strong>for</strong> medical examination<br />

65 Submitting an audit project<br />

66 Treating a prisoner<br />

67 A violent and abusive patient<br />

68 Withdrawing treatment in intensive care<br />

Section F: Experiences, Anecdotes, Tips, Quotations<br />

Full <strong>PACES</strong> experiences in <strong>the</strong> first person<br />

The following full <strong>PACES</strong> experiences predate <strong>the</strong> changes in Station 5 that occurred in Autumn 2009<br />

Additional Station 2 experiences<br />

Additional Station 4 experiences<br />

Invigila<strong>to</strong>rs diaries—Station 2 and 4<br />

Some anecdotes from our most recent surveys<br />

Experiences,<br />

The power and range <strong>of</strong> <strong>the</strong> candidate’s observations,<br />

The candidate’s examination technique<br />

The clinical competence <strong>of</strong> <strong>the</strong> candidate<br />

Common errors<br />

Look first<br />

Double pathology<br />

Tell <strong>the</strong>m <strong>of</strong> <strong>the</strong> expert that <strong>to</strong>ld you<br />

Apologies accepted<br />

‘Even though I didn’t mean <strong>to</strong> say it—I did’<br />

Invigila<strong>to</strong>r’s diaries


Fly on <strong>the</strong> wall—complete accounts<br />

Ungentlemanly clinical methods<br />

Miscellaneous ‘pass’ experiences<br />

You never know you’ve failed until <strong>the</strong> list is published,<br />

Survivors <strong>of</strong> <strong>the</strong> s<strong>to</strong>r<br />

Some ‘fail’ experiences<br />

Downward spirals,<br />

Anecdotes<br />

Some anecdotes in <strong>the</strong> first person<br />

Miscellaneous<br />

Useful tips<br />

Quotations<br />

Adopt good bedside manners<br />

Practise clinical examination and presentation<br />

Get it right<br />

Listen, obey and do not stray<br />

One wrong does not make one fail<br />

If you say less <strong>the</strong>y want more<br />

Humility is more persuasive than self-righteousness<br />

Keep cool: agitation generates aggression<br />

Simple explanations raise simple questions<br />

Think straight, look smart and speak convincingly<br />

You have seen it all be<strong>for</strong>e<br />

Use your eyes first and most<br />

Doing and <strong>for</strong>getting<br />

Examiners are different<br />

Additional comments and quotes from candidates<br />

Appendices<br />

1 Website links<br />

2 Detailed contents <strong>of</strong> Section F

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