This new edition of An Aid to the MRCP Paces Volume 1: Stations 1 and 3 has been fully revised and updated, and reflects feedback from PACES candidates as to which cases frequently appear in each station.
The hundreds of cases have been written in accordance with the latest examining and marking schemes used for the exam and, together with exam hints, tips, routines and clinical checklists, provide an invaluable training and revision aid for all MRCP PACES candidates.
Table of Contents:
Preface vii
Preface to the third edition xi
Preface to the second edition xiii
Preface to the first edition xv
Introduction xvii
Section A: Preparation 1
Section B: Examination Routines 7
1 Pulse 11
2 Heart 12
3 Chest 17
4 Abdomen 21
5 Visual fields 26
6 Cranial nerves 27
7 Arms 30
8 Legs 34
9 Legs and arms 38
10 Gait 39
11 Ask some questions 40
12 Fundi 43
13 Eyes 47
14 Face 49
15 Hands 51
16 Skin 55
17 Rash 57
18 Neck 58
19 Thyroid status 60
20 Knee 62
21 Hip 64
22 What is the diagnosis? 65
Section C: Short Case Records 69
Station 1 Respiratory 73
1 Interstitial lung disease (fibrosing alveolitis) 74
2 Pneumonectomy/lobectomy 77
3 Chronic bronchitis and emphysema 79
4 Bronchiectasis 81
5 Dullness at the lung base 83
6 Rheumatoid lung 85
7 Old tuberculosis 86
8 Chest infection/consolidation/pneumonia 87
9 Yellow nail syndrome 89
10 Kyphoscoliosis 90
11 Stridor 92
12 Marfan’s syndrome 93
13 Carcinoma of the bronchus 94
14 Klippel–Feil syndrome 97
15 Kartagener’s syndrome 98
16 Lung transplant 99
17 Cystic fi brosis 101
18 Obesity/Pickwickian syndrome 103
19 Pneumothorax 107
20 Corpulmonale 109
21 Collapsed lung/atelectasis 110
22 Superior vena cava obstruction 112
23 Tuberculosis/apical consolidation 113
24 Normal chest 115
Station 1 Abdominal 117
1 Transplanted kidney 118
2 Polycystic kidneys 120
3 Chronic liver disease 121
4 Hepatosplenomegaly 124
5 Hepatomegaly (without splenomegaly) 126
6 Splenomegaly (without hepatomegaly) 127
7 Ascites 129
8 Abdominal mass 131
9 Crohn’s disease 133
10 Polycythaemia rubra vera 135
11 Normal abdomen 136
12 PEG tube 138
13 Single palpable kidney 139
14 Generalized lymphadenopathy 140
15 Hereditary spherocytosis 142
16 Idiopathic haemochromatosis 143
17 Primary biliary cirrhosis 145
18 Carcinoid syndrome 147
19 Motor neurone disease 149
20 Nephrotic syndrome 150
21 Pernicious anaemia 152
22 Pyoderma gangrenosum 153
23 Felty’s syndrome 154
Station 3 Cardiovascular 155
1 Prosthetic valves (mechanical) 156
2 Mitral incompetence (lone) 157
3 Mixed mitral valve disease 159
4 Aortic incompetence (lone) 161
5 Aortic stenosis (lone) 163
6 Mixed aortic valve disease 165
7 Mitral stenosis (lone) 167
8 Irregular pulse 169
9 Other combinations of mitral and aortic valve disease 171
10 Mitral valve prolapse 172
11 Tricuspid incompetence 174
12 Ventricular septal defect 175
13 Marfan’s syndrome 176
14 Pulmonary stenosis 177
15 Ankylosing spondylitis 178
16 Atrial septal defect 179
17 Ebstein’s anomaly 181
18 Raised jugular venous pressure 183
19 Down’s syndrome 184
20 Hypertrophic cardiomyopathy 185
21 Dextrocardia 186
22 Rheumatoid arthritis 187
23 Fallot’s tetralogy with a Blalock shunt 188
24 Normal heart 189
25 Cannon waves 190
26 Coarctation of the aorta 191
27 Eisenmenger’s syndrome 193
28 Infective endocarditis 195
29 Patent ductus arteriosus 198
30 Pulmonary incompetence 199
31 Slow pulse 201
Station 3 Central Nervous System 203
1 Peripheral neuropathy 205
2 Myotonic dystrophy (dystrophia myotonica) 207
3 Parkinson’s disease 209
4 Charcot–Marie–Tooth disease (hereditary motor and sensory neuropathy) 212
5 Abnormal gait 214
6 Spastic paraparesis 217
7 Cerebellar syndrome 218
8 Hemiplegia 220
9 Muscular dystrophy 222
10 Multiple sclerosis 224
11 Motor neurone disease 226
12 Friedreich’s ataxia 229
13 Visual fi eld defect 231
14 Ulnar nerve palsy 233
15 Old polio 235
16 Ocular palsy 236
17 Spinal cord compression 240
18 Ptosis 243
19 Guillain–Barré syndrome (acute inflammatory demyelinating polyradiculopathy) 247
20 Choreoathetosis 249
21 Bulbar palsy 251
22 Lateral popliteal (common peroneal) nerve palsy 252
23 Proximal myopathy 254
24 Absent ankle jerks and extensor plantars 255
25 Cerebellopontine angle lesion 256
26 Cervical myelopathy 257
27 Myasthenia gravis 259
28 Normal central nervous system 263
29 Syringomyelia 264
30 Diabetic foot/Charcot’s joint 266
31 Holmes–Adie–Moore syndrome 267
32 Nystagmus 269
33 Carpal tunnel syndrome 272
34 Drug-induced extrapyramidal syndrome 274
35 Lower motor neurone VIIth nerve palsy 275
36 Dysarthria 279
37 Subacute combined degeneration of the cord 280
38 Argyll Robertson pupils 281
39 Congenital syphilis 282
40 Dysphasia 284
41 Horner’s syndrome 286
42 Infantile hemiplegia 288
43 Jugular foramen syndrome 290
44 Lateral medullary syndrome (Wallenberg’s syndrome) 292
45 Polymyositis 294
46 Pseudobulbar palsy 295
47 Psychogenic/factitious 296
48 Radial nerve palsy 298
49 Subclavian-steal syndrome 299
50 Tabes 301
51 Thalamic syndrome 303
52 Wasting of the small muscles of the hand 304
Appendices 307
1 Checklists 309
2 Examination frequency of MRCP PACES short cases 313
3 Texidor’s twinge and related matters 317
4 Abbreviations 319
Index 321
About the Author :
Robert E.J. Ryder is Consultant Physician and Clinical IT Lead at City Hospital NHS Trust, Birmingham, and Honorary Senior Lecturer in Medicine at the University of Birmingham.
Dr M. Afzal Mir is Senior Lecturer and Consultant Physician at University Hospital of Wales, Cardiff
Dr Anne Freeman is Consultant Physician at Royal Gwent Hospital, Newport, and Clinical Adviser and Chairwoman of the Welsh Stroke Alliance
