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.
High steppage gait occurs due to foot drop where dorsiflexion of the foot cannot occur. The knee is flexed and raised to allow the foot to clear the ground. It occurs in L4, 5 root lesions, common peroneal lesions, peripheral neuropathy. Occasionally it may be due to lesions in the motor cortex.
This patient has right foot drop due to a common peroneal nerve lesion.
Video contributed by Wuchereria
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