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An aid to the MRCP PACES Volume 2, Stations 2 and 4 by Banerjee, D.

By Banerjee, D.

"The first quantity during this revised suite of the best-selling MRCP PACES revision publications is now totally up-to-date. It displays either suggestions from PACES applicants as to which instances usually look in every one station. additionally taken under consideration is the hot marking procedure brought during which the previous four-point marking scale has been replaced to a three-point scale and applicants are actually marked explicitly on among 4 and  Read more...

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Additional resources for An aid to the MRCP PACES Volume 2, Stations 2 and 4

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The features of conditions such as superior vena cava obstruction (see Vol. 1, Station 1, Respiratory, Case 22), systemic sclerosis (see Station 5, Locomotor, Case 3) and lupus pernio (see Station 5, Skin, Case 9) may be readily apparent as should be severe kyphoscoliosis. However, ankylosing spondylitis is easily missed with the patient lying down (see Vol. 2, Section F, Experiences 110 and 139). Observe specifically whether the patient 2 is breathless at rest or from the effort of removing his clothes, 3 purses his lips (chronic small airways obstruction), or 4 has central cyanosis* (cor pulmonale, fibrosing alveolitis, bronchiectasis).

Left hemiplegia and atrial fibrillation) Diagnoses from our original survey in order of frequency 1 2 3 4 5 Motor neurone disease (Vol. 1, Station 3, CNS, Case 11) 29% Cervical myelopathy (Vol. 1, Station 3, CNS, Case 26) 14% Syringomyelia (Vol. 1, Station 3, CNS, Case 29) 14% Friedreich’s ataxia (Vol. 1, Station 3, CNS, Case 12) 14% Parkinson’s disease (Vol. 1, Station 3, CNS, Case 3) 7% Examination routine As appropriate from ‘Examine this patient’s arms’ (see Examination Routine 7) and ‘Examine this patient’s legs’ (see Examination Routine 8).

9 Test power:* (a) ‘Lift your leg up; stop me pushing it down’ (L1,2), (b) ‘Bend your knee; don’t let me straighten it’ (L5, S1,2), (c) (Knee still bent) ‘Push out straight against my hand’ (L3,4), (d) ‘Bend your foot down; push my hand away’ (S1), (e) ‘Cock up your foot; point your toes at the ceiling. Stop me pushing your foot down’ (L4,5). † 11 Check the knee (L3,4) and ankle (S1,2) jerks‡ and by forced dorsiflexion with the leg held in slight knee flexion. Check for ankle clonus (and patellar clonus if there may be pyramidal disease).

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