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.

Sunday, May 28, 2006

Retinitis Pigmentosa

One of the common case in eye station. Be sure that you can recognise this classic case i.e. widespread scattering of black pigment in a pattern resembling bone corpucles.
Don't forget to check for optic atrophy! The examiner will definitely ask you about the optic disc.
Then, proceed to check for visual field looking for tunnel vision.

Remember these few systemic disorders associated with RP.
1. Laurence-Moon-Bardet-Biedl syndrome
** Autosomal recessive
** Polydactyly ( or check for amputation scar over the hands)
2. Refsum's disease
** Autosomal recessive
3. Hereditary ataxias
4. Familial neuropathies
5. Neuronal lipidoses
6. Kearns-Sayre syndrome

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At 4/03/2008 08:16:00 PM, Anonymous Anonymous said...

In refsums disease - look for bilateral hearing aids. A friend of mine did PACES, couldn't see a thing in the fundus but the girl had bilateral hearing aids. He said the diagnosis was refsums and got a 4.

At 4/03/2008 11:39:00 PM, Blogger Axonopathic said...

Thanks for the great tip! :)

At 6/05/2009 04:02:00 AM, Anonymous Anonymous said...

Usher's syndrome is also another condition with retinitis pigmentosa + bilateral hearing aids


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