PasTest Note 2011
After every PACES exam diet we collect the cases our candidates experienced in their exams, and try and include them where we can in our PACES Courses in London and Manchester, and also in PacesCases, our online revision resource for the PACES exam.
Please note that cases differ widely from one exam centre to the next, and always remember that PACES patient cases can exhibit no signs at all.
The following cases appeared in the 2011(1) PACES exam diet. Cases were submitted by 86 respondents - the number of times the case appeared is denoted after the case in brackets. Cases appear in alphabetical order.
Acoustic neuroma
Acromegaly (2)
Addison's disease
Alveolitis (extrinsic)
Alveolitis (fibrosing)
Abdomen (normal) (2)
Amaurosis fugax
Anaemia
Anaphylactoid reaction
Ankylosing spondylitis (7)
Aortic regurgitation (3)
Aortic stenosis (11)
Arthritis (reactive) (2)
Arthritis (rheumatoid)
Ascites (3)
Asthma (2)
Atrial fibrillation (4)
Baker's cyst
Boerhave syndrome
Bronchectasis (10)
Carotid hypersensitivity
Cavernous sinus thrombosis
Cerebello Pontine angle tumour
Charcot Marie Tooth (2)
Cirrhosis
Coeliac disease
Collapse (2)
Craniotomy (2)
Crohn's abdomen (2)
COPD (8)
Cystic fibrosis
Deep vein thrombosis (2)
Diabetic foot
Diabetic retinopathy (4)
Diplopia (bilateral)
Dumping syndrome
Dyskinesia
Dystrophy (Fascio-scapulo humeral)
Dystrophy (Muscular) (2)
Dystrophy (Myotonic) (5)
Friederich's ataxia
Giant cell arteritis
Goitre
Gout
Grave's eye disease
Guillain-Barre syndrome
Gynaecomastia
Haemochromatosis (3)
Headache
Hemianopia (5)
Hepatitis (autoimmune) (2)
Hepatosplenomegaly (9)
Hypertension
Hyperthyroidism (3)
Hypocalcaemia
Hernia (diaphragmatic)
Liver disease (2)
Liver transplant (4)
Lobectomy (2)
Lung cancer
Lung disease (3)
Lupus hands
Lymphoedema (2)
Marfan's syndrome (2)
Mellory Weiss tear
Mitral prolapse (2)
Mitral regurgitation (7)
Mitral stenosis (2)
Mitral valve disease (3)
Multiple sclerosis (3)
Myasthaenia gravis
Neuropathy (diabetic) (2)
Neuropathy (peripheral) (7)
Neuropathy (sensory motor)
Normal abdomen (3)
Normal chest
Ophthalmoplegia (2)
Parkinson's disease (10)
Peg tube post vagotomy
Pleural effusion (6)
Pneumectomy
Polycystic kidney (6)
Psoriasis
Psoriatic arthropathy (3)
Pulmonary embolism (3)
Pulmonary fibrosis (23)
Pulmonary hypertension (2)
Pulmonary stenosis
Renal transplant (11)
Retinitis pigmentosa (2)
Rheumatoid hands (2)
Scleroderma (2)
Sleep apnoea (3)
Sjorgrens syndrome
Solar keratosis
Spastic paraparesis
Splenomegaly (11)
Systemic sclerosis (4)
Systolic murmur (2)
TIA (2)
Thyroid (4)
Thyroid (eye disease) (3)
Thyroid (hypothyroidism) (2)
Thyrotoxicosis post-partum (3)
Trunkal ataxia
Upper homonomous quadrantanopia
Valve replacement (9)
Vasovagal syncope
History
Breathlessness (2)
Polymyalgia Rheumatica
Warfarin patient presents with P/R bleed
Acute hot swollen joint
MRSA colonisation
Cholestatic jaundice
Diarrhoea and weight loss (3)
Addison's disease (2)
Wagener's granulomatosis (2)
Weight loss and fatigue
Polymyosites
SLE (2)
Collapse (3)
Palpitations (2)
Chest pain
Headache
Oesophageal rupture
Malabsorption
Jaundice post-travel to Africa (2)
Gastroparesis
Renal failure
Diabetic gastropathy
Occupational asthma
Jaundice
Irritable bowel syndrome (2)
Communication Skills
Breaking bad news: astrocytoma of frontal lobe
Breaking bad news: results to HIV positive patient (4)
Promiscuous man and IVDU presents with PCP consent for HIV
Breaking bad news: colorectal cancer Duke's A
Breaking bad news: no definitive diagnosis but suspected pancreatic cancer
Breaking bad news: malignant effusion in a young female
Delayed diagnosis (4)
Breaking bad news: to relatives
Breaking bad news: MS diagnosis
Breaking bad news: Informing the partner of a patient that her husband had a primary brain tumour
Daughter who doesn't want to take her mother home while the mother is competent and wishes to go home (2)
Breaking bad news: End stage renal failure
Breaking bad news: Lung cancer
Counselling: HIV
Counselling: diagnosis of haemachromatosis and alcohol use
Speak to son who doesn't want his father's care escalated to ITU
Breaking bad news: Patient with oesophageal cancer - palliative care only
Explain diagnosis of dilated cardiomyopathy and explain medications
Explain prognosis and implications of meningococcal meningitis to patient's wife
Explain diagnosis of renal failure requiring renal replacement therapy
Ethics of patient with TB wanting to travel
Counselling: chronic COPD patient put on aminophylline infusion, and has a first seizure. HGV driver.
Family member thinks GP has missed diagnosis of myeloma
Warfarin therapy for patient with dilated cardiomyopathy and permanent atrial fibrillation
Breaking bad news: Bad news of SAH to wife of 42 year old and approach discussion of organ donation
Breaking bad news: Mesothelioma
Lost FNA specimen
Explain an iatrogenic empyema post chest drain for pneumothorax and the need for a further chest drain
Angry woman upset as her father had a stroke and hadn't been admitted to the stroke ward as there were no beds, had developed pressure sores with MRSA and poor hygiene on the ward
Breaking bad news: patient with dilated cardiomyopathy and permanent AF
TO DOWNLOAD
http://up.media1fire.com/taxuahuef1hg
After every PACES exam diet we collect the cases our candidates experienced in their exams, and try and include them where we can in our PACES Courses in London and Manchester, and also in PacesCases, our online revision resource for the PACES exam.
Please note that cases differ widely from one exam centre to the next, and always remember that PACES patient cases can exhibit no signs at all.
The following cases appeared in the 2011(1) PACES exam diet. Cases were submitted by 86 respondents - the number of times the case appeared is denoted after the case in brackets. Cases appear in alphabetical order.
Acoustic neuroma
Acromegaly (2)
Addison's disease
Alveolitis (extrinsic)
Alveolitis (fibrosing)
Abdomen (normal) (2)
Amaurosis fugax
Anaemia
Anaphylactoid reaction
Ankylosing spondylitis (7)
Aortic regurgitation (3)
Aortic stenosis (11)
Arthritis (reactive) (2)
Arthritis (rheumatoid)
Ascites (3)
Asthma (2)
Atrial fibrillation (4)
Baker's cyst
Boerhave syndrome
Bronchectasis (10)
Carotid hypersensitivity
Cavernous sinus thrombosis
Cerebello Pontine angle tumour
Charcot Marie Tooth (2)
Cirrhosis
Coeliac disease
Collapse (2)
Craniotomy (2)
Crohn's abdomen (2)
COPD (8)
Cystic fibrosis
Deep vein thrombosis (2)
Diabetic foot
Diabetic retinopathy (4)
Diplopia (bilateral)
Dumping syndrome
Dyskinesia
Dystrophy (Fascio-scapulo humeral)
Dystrophy (Muscular) (2)
Dystrophy (Myotonic) (5)
Friederich's ataxia
Giant cell arteritis
Goitre
Gout
Grave's eye disease
Guillain-Barre syndrome
Gynaecomastia
Haemochromatosis (3)
Headache
Hemianopia (5)
Hepatitis (autoimmune) (2)
Hepatosplenomegaly (9)
Hypertension
Hyperthyroidism (3)
Hypocalcaemia
Hernia (diaphragmatic)
Liver disease (2)
Liver transplant (4)
Lobectomy (2)
Lung cancer
Lung disease (3)
Lupus hands
Lymphoedema (2)
Marfan's syndrome (2)
Mellory Weiss tear
Mitral prolapse (2)
Mitral regurgitation (7)
Mitral stenosis (2)
Mitral valve disease (3)
Multiple sclerosis (3)
Myasthaenia gravis
Neuropathy (diabetic) (2)
Neuropathy (peripheral) (7)
Neuropathy (sensory motor)
Normal abdomen (3)
Normal chest
Ophthalmoplegia (2)
Parkinson's disease (10)
Peg tube post vagotomy
Pleural effusion (6)
Pneumectomy
Polycystic kidney (6)
Psoriasis
Psoriatic arthropathy (3)
Pulmonary embolism (3)
Pulmonary fibrosis (23)
Pulmonary hypertension (2)
Pulmonary stenosis
Renal transplant (11)
Retinitis pigmentosa (2)
Rheumatoid hands (2)
Scleroderma (2)
Sleep apnoea (3)
Sjorgrens syndrome
Solar keratosis
Spastic paraparesis
Splenomegaly (11)
Systemic sclerosis (4)
Systolic murmur (2)
TIA (2)
Thyroid (4)
Thyroid (eye disease) (3)
Thyroid (hypothyroidism) (2)
Thyrotoxicosis post-partum (3)
Trunkal ataxia
Upper homonomous quadrantanopia
Valve replacement (9)
Vasovagal syncope
History
Breathlessness (2)
Polymyalgia Rheumatica
Warfarin patient presents with P/R bleed
Acute hot swollen joint
MRSA colonisation
Cholestatic jaundice
Diarrhoea and weight loss (3)
Addison's disease (2)
Wagener's granulomatosis (2)
Weight loss and fatigue
Polymyosites
SLE (2)
Collapse (3)
Palpitations (2)
Chest pain
Headache
Oesophageal rupture
Malabsorption
Jaundice post-travel to Africa (2)
Gastroparesis
Renal failure
Diabetic gastropathy
Occupational asthma
Jaundice
Irritable bowel syndrome (2)
Communication Skills
Breaking bad news: astrocytoma of frontal lobe
Breaking bad news: results to HIV positive patient (4)
Promiscuous man and IVDU presents with PCP consent for HIV
Breaking bad news: colorectal cancer Duke's A
Breaking bad news: no definitive diagnosis but suspected pancreatic cancer
Breaking bad news: malignant effusion in a young female
Delayed diagnosis (4)
Breaking bad news: to relatives
Breaking bad news: MS diagnosis
Breaking bad news: Informing the partner of a patient that her husband had a primary brain tumour
Daughter who doesn't want to take her mother home while the mother is competent and wishes to go home (2)
Breaking bad news: End stage renal failure
Breaking bad news: Lung cancer
Counselling: HIV
Counselling: diagnosis of haemachromatosis and alcohol use
Speak to son who doesn't want his father's care escalated to ITU
Breaking bad news: Patient with oesophageal cancer - palliative care only
Explain diagnosis of dilated cardiomyopathy and explain medications
Explain prognosis and implications of meningococcal meningitis to patient's wife
Explain diagnosis of renal failure requiring renal replacement therapy
Ethics of patient with TB wanting to travel
Counselling: chronic COPD patient put on aminophylline infusion, and has a first seizure. HGV driver.
Family member thinks GP has missed diagnosis of myeloma
Warfarin therapy for patient with dilated cardiomyopathy and permanent atrial fibrillation
Breaking bad news: Bad news of SAH to wife of 42 year old and approach discussion of organ donation
Breaking bad news: Mesothelioma
Lost FNA specimen
Explain an iatrogenic empyema post chest drain for pneumothorax and the need for a further chest drain
Angry woman upset as her father had a stroke and hadn't been admitted to the stroke ward as there were no beds, had developed pressure sores with MRSA and poor hygiene on the ward
Breaking bad news: patient with dilated cardiomyopathy and permanent AF
TO DOWNLOAD
http://up.media1fire.com/taxuahuef1hg
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