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Mrcp (Uk) Exam Preparation Guide

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Mrcp (Uk) Exam Preparation Guide Spring/Summer 2014 MRCP (UK) EXAM PREPARATION GUIDE www.ealingpaces.com [email protected] 0203 330 0031 2 | P a g e M R C P – REVISION COURSE GUIDE Spring/Summer 2014 Contents Welcome to Ealing Paces ...................................................................................................................... 5 Exam Outline ......................................................................................................................................... 6 Course Structure ................................................................................................................................... 8 Course Timetable .................................................................................................................................. 9 The individual groups will rotate through stations A-G as follows: ................................................... 9 Station 1: The Respiratory System ...................................................................................................... 10 1. Most Common Cases .................................................................................................................. 10 2. The basic examination: Inspections and Observation ................................................................ 10 3. Then proceed with the Respiratory Examination of the Chest .................................................. 12 4. Key Diagnostic Test ..................................................................................................................... 12 5. Management ............................................................................................................................... 13 6. Presentation ................................................................................................................................ 17 Station 1: Abdominal System .............................................................................................................. 18 1. Most Common Cases .................................................................................................................. 18 2. General inspection ...................................................................................................................... 18 4. Common differential diagnoses: ................................................................................................. 19 5. Presentation ................................................................................................................................ 20 Station 2: History Taking Skills ............................................................................................................ 21 1. Most Common Cases .................................................................................................................. 21 2. Introduction ................................................................................................................................ 21 Station 3: Neurology Station & Cardiovascular Station ...................................................................... 24 1. Most Common Cases .................................................................................................................. 24 2. Introduction ................................................................................................................................ 24 3. Cranial nerves ............................................................................................................................. 25 4. Speech examination .................................................................................................................... 29 Station 4: Cardiovascular .................................................................................................................... 34 Most Common Cases: ..................................................................................................................... 34 Station 4: Communication Skills & Ethics ........................................................................................... 42 1. Most Common Cases .................................................................................................................. 42 2. Format of station ........................................................................................................................ 43 3. How to conduct the interview .................................................................................................... 43 3 | P a g e M R C P – REVISION COURSE GUIDE Spring/Summer 2014 4. Driving regulations ...................................................................................................................... 43 5. Consent ....................................................................................................................................... 45 6. Criteria for brainstem death (Conference of Medical Royal Colleges 1976-1981) ..................... 46 7. How to pass the ethics station .................................................................................................... 46 Station 5: Integrated Clinical Assessment .......................................................................................... 47 1. Ophthalmology Station ............................................................................................................... 47 1.1 Most Common Cases ................................................................................................................ 47 2 Scenarios ...................................................................................................................................... 49 Diabetic retinopathy ....................................................................................................................... 49 3. Endocrinology ............................................................................................................................. 54 3.1 Most Common Cases ................................................................................................................ 54 4. Dermatology & Rheumatology ....................................................................................................... 57 4.1 Most Common Cases ................................................................................................................ 57 Contributing Authors .......................................................................................................................... 62 Appendices ......................................................................................................................................... 63 Appendix 1 – Mark Sheets .............................................................................................................. 63 4 | P a g e M R C P – REVISION COURSE GUIDE Spring/Summer 2014 Welcome to Ealing Paces The Ealing Paces MRCP course has been running since 1992 and is the leading course in the country. You will have the opportunity to see over 80 system examinations (short cases), as well as receive advice on examination technique and skills for the exam. This guide has been written by our highly experienced teachers to help you prepare in advance for the course and your exam. Please read thoroughly as part of your preparation. Getting there: For details on how to get there via public transport, please visit either the TFL website on: http://journeyplanner.tfl.gov.uk/ Or visit the Ealing Hospital website on: http://www.ealinghospital.nhs.uk/how-to-find-us/ If travelling by car, please follow the ‘Ealing Paces MRCP Car Park’ signs which are clearly displayed upon entering the hospital to find the free parking allocated for you, as shown by the X on the map. Walk through the main entrance and follow the signs marked ‘Ealing Paces MRCP Registration’ which will be in the lecture theatre on the third floor. If you need to get in touch with one of the co-ordinators on the day, please call 020 3330 0031. 5 | P a g e M R C P – REVISION COURSE GUIDE Spring/Summer 2014 Exam Outline Before attending the Ealing Paces Course, it is essential that you have a detailed understanding of the MRCP UK exam and marking scheme. The MRCP (UK) PACES website has video demonstrations that are worth watching before you attend http://www.mrcpuk.org/PACES/Pages/CandidateVideo.aspx. In addition you should review the following exam outline: Station 1: Respiratory system Examination (10 minutes) Examination of the Abdomen (10 minutes) Make sure that you have thoroughly revised your examination skills so that you can perform both of these examinations in 6 minutes, giving yourself a further 4 minutes to present your findings and discussing the differential diagnoses with the examiners. Station 2: History taking skills (20 minutes) The history-taking skills station aims to assess your ability to gather data from the patient, construct a differential diagnosis, deal with concerns the patient may have, construct a management plan that is explained to the patient clearly and treat the patient with dignity and respect. Instructions for the case are given to the candidate during the 5-minute interval before the station, usually in the form of a letter from the patient's GP. 14 minutes are allowed for the history- taking, followed by a 1-minute period of reflection, followed by 5 minutes for discussion with the examiners. Station 3: Cardiovascular (10 minutes) Neurology (10 minutes) You should make sure that you can examine the entire cardiovascular system, each
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