Cases for PACES - Fry, Andrew

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Résumé :

Comprehensive Study Resource That Helps Readers Pass the PACES Exam

Concise and ideal for quick reference, Cases for PACES is the perfect resource for MRCP PACES preparation in the run-up to the examination. Its full-colour one-page case study format matches the style of the exam and lets you quickly read up on all the most common cases to ensure you will be prepared.

The authors' experience in learning and teaching PACES is condensed to provide exactly what is needed to pass. The informal writing style means Cases for PACES is also ideal for self-directed learning in groups. The book will help readers hone their clinical skills and boost their confidence levels throughout their revision time. Study resources covered in the book include:

• Information pertaining to all five stations: respiratory, abdominal system examination with communication, cardiovascular and neurology system examination, and two consultations
• Revised, updated and new cases on all the most common topics in the exam
• Aligned to the new exam format which was introduced in 2023

For MRCP candidates and final-year medical students, Cases for PACES is an accessible learning resource to gain a foundational mastery over all topics included in the PACES exam....

Biographie:

Foreword ix

Preface x

Acknowledgements xii

Abbreviations xiii

Advice xx

Respiratory 1

Clinical mark sheet 1

Respiratory exam - general advice 2

Pulmonary fibrosis 4

Bronchiectasis 5

Old tuberculosis 6

Surgical respiratory cases 7

Chronic obstructive airways disease 8

Pleural effusion 10

Lung cancer 12

Cystic fibrosis 14

Pneumonia 15

Pulmonary hypertension 17

Cardiology 19

Clinical mark sheet 19

Cardiology exam - general advice 20

Aortic stenosis 22

Aortic incompetence 25

Mitral stenosis 27

Mitral incompetence 29

Tricuspid incompetence 31

Pulmonary stenosis 32

Prosthetic valves: aortic and mitral 33

Implantable devices 35

Constrictive pericarditis 36

Common Congenital Defects 38

Atrial septal defect 38

Ventricular septal defect 39

Associations with Congenital VSD 40

1. Fallot's tetralogy 40

2. Coarctation 40

3. Patent ductus arteriosus (PDA) 40

Hypertrophic (obstructive) cardiomyopathy 42

Heart failure 44

Neurology 46

Clinical mark sheet 46

Neurology exam - general advice 47

Dystrophia myotonica 51

Cerebellar syndrome 53

Multiple sclerosis 54

Stroke 56

Spastic legs (i.e. spinal cord lesion) 59

Syringomyelia 61

Motor neurone disease 63

Parkinson's disease 64

Hereditary motor sensory neuropathy aka Charcot-Marie-Tooth 66

Friedreich's ataxia 67

Facial weakness 68

Myasthenia gravis 70

Tuberous sclerosis 71

Neurofibromatosis 72

Abnormal pupils 73

Horner's pupil 73

Holmes-Adie (myotonic) pupil 73

Argyll Robertson pupil 74

Oculomotor (III) nerve palsy 74

Optic atrophy 75

Retinal Pathology 77

Age-related macular degeneration 77

Retinitis pigmentosa 78

Retinal artery occlusion 79

Retinal vein occlusion 79

Abdominal 80

Clinical mark sheet 80

Abdominal exam - general advice 81

Chronic liver disease and hepatomegaly 83

Haemochromatosis 86

Splenomegaly 88

Renal enlargement 90

The liver transplant patient 92

The renal patient 93

Communication 95

Clinical mark sheet 95

Communication station - general advice 96

Ethics and Law in Medicine 97

Contents vii

Principles of medical ethics 97

Competency and consent 98

Legal aspects 98

Confidentiality 101

End-of-life decisions 102

Types of Communication 104

Information delivery 104

Breaking bad news 105

Dealing with a difficult patient 106

Worked Examples 108

Duty of candour/medical mistake 108

Advanced care planning 108

Needlestick injury 110

Epilepsy 111

Huntington's chorea 111

Paracetamol overdose 112

Brain-stem death and organ donation 113

Non-compliant diabetic 115

Vaccination compliance 116

Shared decision making 117

Sample questions for self-directed learning 119

Consultations 120

Clinical mark sheet 120

Consultation - general advice 121

Chest pain 122

Pericarditis with effusion 124

Atrial fibrillation 125

Hypertension 127

Eisenmenger's syndrome 130

Ataxia 131

Headache 132

Altered conscious state 135

Syncope 137

Worsening mobility 139

Fall and a fragility fracture 141

Dyspnoea - asthma 142

Dyspnoea - acute pulmonary embolus 144

Haemoptysis 146

Sommaire:

Stephen Hoole is a Consultant Cardiologist, Royal Papworth Hospital, Cambridge, UK.

Andrew Fry is a Consultant in Acute Medicine and Nephrology, Addenbrooke's Hospital, Cambridge, UK.

Rachel Davies is a Consultant Respiratory Physician, Hammersmith Hospital, London, UK....