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.


Wednesday, May 30, 2007

Romberg's test



The 1st part of the video clip clearly demonstrates positive Romberg's test. The patient is losing his balance upon closing his eyes. Please take note that the test is considered positive only when patient is about to fall. So, please guard the patient when perfoming this test.


The 2nd part shows Stamping gait - broad based, foot stamping on the floor.

When is the lesion?
-It is seen in propioceptive disorders. The lesion is in the peripheral nerve or posterior column.

What is the lesion?
1.Peripheral neuropathy - DM,Alcoholism, Vit B12 deficiency etc
2.Tabes dorsalis
3.Subacute combined degeneration of the spinal cord (SACD)
4.Friedreich's ataxia

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3 Comments:

At 7/01/2008 02:13:00 PM, Blogger DrFrappucino said...

Just found this blog of yours. I must say a truly excellent job u've done here.

Kudos to you sir!

 
At 7/01/2008 04:01:00 PM, Blogger Axonopathic said...

Thanks drfrappucino (must admit, quite a tongue-twister, LOL!).

Just doing our part to promote academia :)

 
At 11/25/2008 10:32:00 PM, Anonymous Anonymous said...

GREAT site...I only found ito today and my exam is tomorrow. Bur quite good.
T Dookie (Trinidad)

 

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