Contents

Foreword

Preface

Authors

Acknowledgements

List of Abbreviations

The PACES Examination

Top Tips for PACES Success: An Examiner Speaks

1Station 1: Respiratory

Hints for the Respiratory Station

Bronchiectasis

Chronic Obstructive Pulmonary Disease

Consolidation

Cystic Fibrosis

Fibrotic Lung Disease

Lung Cancer

Old Tuberculosis

Pleural Effusion

Patient with Previous Lung Surgery

Respiratory Station Summary

2Station 1: Abdominal

Hints for the Abdominal Station

Abdominal Case with a Normal Abdomen

Chronic Liver Disease

Generalised Lymphadenopathy

Hepatosplenomegaly

Multiple Abdominal Scars

Palpable Kidneys

Renal Replacement Therapy

Splenomegaly

Abdominal Station Summary

3Station 2: History Taking

Hints for the History-Taking Station

Patient with an Abnormal Blood Result

Patient with Back Pain

Patient Who Has Collapsed

Patient with a Cough

Patient with Diarrhoea

Patient with Jaundice

Patient with Joint Pains

Patient with Left Arm Weakness

Patient with Visual Disturbance

Patient with Weight Loss

History-Taking Station Summary

4Station 3: Neurology

Hints for the Neurology Station

Cerebellar Syndrome

Hemiparesis

Myotonic Dystrophy

Ocular Palsies

Parkinson’ s Disease

Peripheral Neuropathy

Mononeuropathies

Motor Neurone Disease

Multiple Sclerosis

Spastic Paraparesis

Visual Field Defects

Neurology Station Summary

5Station 3: Cardiology

Hints for the Cardiology Station

Aortic Stenosis

Aortic Regurgitation

Eisenmenger’ s Syndrome

Hypertrophic Cardiomyopathy

Mitral Stenosis

Mitral Regurgitation

Mitral Valve Prolapse

Mixed Aortic Valve Disease

Mixed Mitral Valve Disease

Prosthetic Heart Valves

Tricuspid Regurgitation

Ventricular Septal Defect

Cardiology Station Summary

6Station 4: Ethics and Communication Skills

Hints for the Ethics and Communication Skills Station

Breaking Bad News

Care in the Deteriorating Patient

Driving Regulations

Initiating a New Therapy

Long-Term Condition

Medical Error

Mental Capacity

New Diagnosis

Organ Transplantation

Ethics and Communication Skills Station Summary

7Station 5: Brief Clinical Encounters

Hints for the Brief Clinical Encounters Station

Ankylosing Spondylitis

Anticoagulation

Diabetic Retinopathy

Facial Nerve Palsy

Falls

Headache (Idiopathic Intracranial Hypertension)

Hyperthyroidism

Neck Lump

Osteoporosis

Proximal Myopathy

Psoriasis

Rheumatoid Arthritis with Carpal Tunnel Syndrome

Systemic Sclerosis

Third Nerve Palsy or Patient Presenting with Diplopia

Brief Clinical Encounters Station Summary

Afterword: Hawks and Doves

Index