PACES MRCP UK - Where MRCPians Meet Since 2006

MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES. PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP. I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.

Thursday, March 09, 2006

"History Taking"

MRCP-PACES 30th November 2005

Station 2:
History Taking:
Letter from GP; 33 years old Malay lady presented with complaint of shortness of breath of three weeks duration associated with fever, cough and pleuritic chest pain. Chest x-ray reviewed a left-sided pleural effusion. Kindly see her for further management.

I started by taking a usual history regarding the history of presenting illness, with questions targeting more on the differential diagnosis of pleural effusion. Nothing much in the past medical history, no allergy, only child, no significant family history. A secretary in a law firm, cigarette smoker, regular alcohol once a week, has a fiance but no sexual relationship. Only concern was patient has shortness of breath and was unable to climb stair case to her 2nd floor apartment (no lift). Surprisingly, she did not have any other social problem or concern. Examiners asked the usual questions like, differential diagnosis of pleural effusion, investigation and general magagement.

This case was quite relatively straight forward. Luckily, patient was quite cooperative and there wasn't much concern from her. Questions asked were quite direct. The only thing I feel was, probably I could have asked about some differential diagnosis of shortness of breath too. The case might not just be pleural effusion as diagnosed by the GP. Perhaps, one should think broadly.

Outcome: 3/3



At 3/12/2006 10:12:00 PM, Blogger Axonopathic said...

I must say 'well done' for doing this in a relatively stressful period of time in life:)

That further convinces me on the notion that cases in PACES are meant to test our daily skills and practises, contrary to the common belief that it is designed to fool us into traps.

At 6/30/2007 02:16:00 PM, Anonymous Anonymous said...

Keep up the good work.


At 1/18/2008 04:56:00 PM, Blogger surrayya said...

what was the diagnosis


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