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 07, 2006

Station 5: Psoriasis

I came across this patient while I was running my cardio follow-up clinic. He had stable CAD on optimised medical treatment. I quickly noticed the following:

This patient has psoriasis without joint involvement.

There is pitting of the fingernails and thickening of the nail plates. Onycholysis is noted in some of the fingers. However, there is no yellowish discolouration of the nails and there is no joint involvement. There are patches of silvery scaly, salmon-pink and well-circumscribed circular plaques noted at the elbows, knees and dorsal aspects of the fingers. The scalp is spared and there is no lesion elsewhere.

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At 5/07/2006 09:06:00 AM, Blogger eMRCPian said...

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At 5/07/2006 09:45:00 PM, Blogger eMRCPian said...

Psoriasis is important for PACES. One of my senior always says "If skin is the least you know about medicine, then please remember psoriasis for PACES. "

At 6/02/2007 07:33:00 AM, Blogger Hospital Slave said...

If you are allowed to ask questions, do ask about drugs which can aggravate psoriasis.
In view of the history of IHD in this patient, he is most likely on beta-blocker which can worsen the plaques.


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