spineCases5.16Rheumatoid hands and rheumatoid arthritis5.17Ankylosing spondylitis and spondyloarthropathies5.18Systemic lupus erythematosus5.19Scleroderma5.20Crystal arthropathy5.21Osteoarthritis5.22Paget's disease5.23Marfan's syndrome5.24Ehlers-Danlos syndrome5.25Osteogenesis imperfectaEYESExamination of the eyesCases5.26Diabetic retinopathy5.27Hypertensive retinopathy5.28Swollen optic disc and papilloedema5.29Optic atrophy5.30Chorioretinitis5.31Retinitis pigmentosa5.32Central retinal vein occlusion5.33Central retinal artery occlusion5.34Retinal detachment and vitreous haemorrhage5.35Drusen and age-related macula degeneration (asteroids)5.36Angioid streaks5.37Myelinated nerve fibres5.38Glaucoma5.39Cataracts5.40Uveitis and red eyeENDOCRINE SYSTEMExamination of the thyroidCases5.41Hyperthyroidism and Grave's disease5.42Hypothyroidism5.43Goitre and neck lumps5.44Acromegaly5.45Hypopituitarism5.46Cushing's syndrome5.47Hypoadrenalism and Addison's disease5.48Hirsutism and polycystic ovarian syndrome5.49Hypogonadism and gynaecomastia5.50PseudohypoparathyroidismAPPENDIX 100 tips for passing PACESINDEX
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INTRODUCTIONSTATION 1 RESPIRATORY AND ABDOMINAL SYSTEMRESPIRATORY SYSTEMExamination of the respiratory systemCases1.1Chronic obstructive pulmonary disease1.2Consolidation 1.3Dullness at the lung base 1.4Pneumonia1.5Lung cancer 1.6Pancoast's syndrome1.7Superior vena cava obstruction 1.8Collapse/pneumonectomy/lobectomy1.9Bronchiectasis 1.10Cystic fibrosis 1.11Kartagener's syndrome1.12Tuberculosis1.13Idiopathic pulmonary fibrosis and diffuse parenchymal lung disease 1.14Rheumatoid lung 1.15Extrinsic allergic alveolitis 1.16Asbestos-related lung diseaseand pneumoconiosis1.17Pulmonary sarcoidosis1.18Pulmonary hypertension1.19Cor pulmonale1.20Pulmonary embolism1.21Pleural effusion1.22Pleural rub1.23Pneumothorax1.24Obstructive sleep apnoea-hypopnoea syndrome1.25Lung transplantABDOMINAL SYSTEMExamination of the abdominal systemCases1.26Chronic liver disease1.27Jaundice1.28Ascites1.29Alcoholic liver disease1.30Viral hepatitis1.31Autoimmune hepatitis 1.32Primary biliary cirrhosis 1.33Hereditary haemochromatosis1.34Wilson's disease1.35Hepatomegaly1.36Splenomegaly1.37Hepatosplenomegaly1.38Felty's syndrome1.39Abdominal mass1.40Crohn's disease1.41Ulcerative colitis 1.42Carcinoid syndrome 1.43Enteric and urinary stomas1.44Chronic myeloid leukaemia1.45Polycythaemia vera, myeloproliferative disorders and myelodysplasia 1.46Chronic lymphocytic leukaemia 1.47Lymphadenopathy and lymphoma1.48Polycystic kidney disease1.49Nephrotic syndrome 1.50Renal transplantSTATION 2: HISTORY-TAKING SKILLSIntroduction to history-taking skillsClinical reasoningThe traditional medical history modelIncorporating the patient's perspective - ideas, concerns and expectationsHistory-taking skills - the communication skills that make history-taking effectiveThe traditional model and communication skills - putting these two togetherCasesRespiratory problems2.1Breathlessness2.2AsthmaAbdominal problems2.3Dyspepsia2.4Dysphagia2.5Abdominal pain2.6Altered bowel habitCardiovascular problems2.7Prevention of cardiovascular disease and weight gain2.8Chest pain and angina2.9Acute coronary syndrome2.10Heart failure 2.11Palpitations2.12Atrial fibrillation 2.13Dyslipidaemia2.14HypertensionNeurological problems2.15Headache 2.16Transient ischaemic attack2.17Weakness and wasting2.18 TMultiple sclerosis2.19 TremorLocomotor problems2.20Back pain 2.21Joint painEye problems2.22Visual lossEndocrine problems 2.23Type 1 diabetes mellitus2.24Type 2 diabetes mellitusRenal and metabolic problems2.25Acute renal failure2.26Chronic kidney disease and renal replacement therapy2.27Glomerulonephritis2.28Systemic vasculitis2.29Hypercalcaemia 2.30Hyponatraemia2.31 Poisoning and metabolic disturbance Haematological problems2.32Anaemia2.33Sickle cell disease and thalassaemia2.34Purpura2.35Haemophilia2.36Deep vein thrombosis 2.37Thrombophilic tendency2.38MyelomaInfectious disease 2.39Human immunodeficiency virus infection Other general internal medicine and elderly care problems 2.40Falls and rehabilitation 2.41Syncope 2.42Seizures 2.43Acute confusion2.44Mild cognitive impairment and dementia 2.45Incontinence2.46Raised inflammatory markers2.47Polymyalgia and giant cell arteritis2.48Pyrexia and sepsis2.49Weight loss2.50TirednessSTATION 3: CARDIOVASCULAR SYSTEM AND NERVOUS SYSTEMCARDIOVASCULAR SYSTEMExamination of the cardiovascular systemCases3.1Mitral stenosis3.2Mitral regurgitation3.3Aortic stenosis3.4Aortic regurgitation3.5Tricuspid regurgitation and Ebstein's anomaly 3.6Other right-sided heart murmurs3.7Mixed valve disease3.8Mitral valve prolapse3.9Prosthetic valves3.10Permanent pacemaker 3.11Infective endocarditis3.12Congenital heart disease3.13Cyanotic heart disease 3.14Hypertrophic (obstructive) cardiomyopathy3.15Pericardial rub and pericardial diseaseNERVOUS SYSTEMExamination of the nervous system- Overview of the organisation of the nervous system and how to examine it- Cranial nerves- Higher cortical function and specific lobes- Speech and language- Power and sensation- Upper limbs - Lower limbs - GaitCases3.16Visual field defects 3.17Ocular nerve lesions3.18Internuclear ophthalmoplegia 3.19Nystagmus3.20Ptosis3.21Large pupil3.22Small pupil3.23Horner's syndrome3.24Cerebellopontine angle syndrome 3.25Facial nerve palsy 3.26Bulbar palsy3.27Anterior circulation stroke syndromes3.28Dysphasia and dysarthria3.29Pseudobulbar palsy3.30Agnosias and apraxias3.31Posterior circulation stroke syndromes 3.32Parkinson's disease 3.33Cerebellar disease3.34Spastic paraparesis and Brown Sequard syndrome3.35Syringomyelia 3.36Absent ankle jerks and extensor plantars3.37Motor neurone disease3.38Cervical myeloradiculopathy3.39Cauda equina syndrome 3.40Carpal tunnel syndrome (median nerve lesion) 3.41Ulnar nerve lesion 3.42Radial nerve lesion 3.43Wasting of the small (intrinsic) muscles of the hand3.44Common peroneal nerve lesion3.45Peripheral neuropathy3.46Charcot-Marie-Tooth disease and hereditary neuropathies3.47Guillain-Barre syndrome3.48Myasthenia gravis3.49Myotonic dystrophySTATION 4: COMMUNICATION SKILLS AND ETHICSCOMMUNICATION SKILLS AND ETHICSIntroduction to communication skills and ethicsCasesDiscussing clinical management4.1Explaining a diagnosis4.2Explaining an investigation4.3Discussing a treatment4.4Discussing management, prognosis and possible complications in a patient with multiple problems4.5Discussing diagnostic uncertainty 4.6Discussing risk and treatment effect4.7Negotiating a management plan for a chronic disease/long-term condition4.8Encouraging concordance with treatment and preventionCommunication in special circumstances4.9Cross-cultural communication4.10Communicating with angry patients or relatives4.11Communicating with upset and distressed relatives4.12Discharge against medical advice 4.13Delayed discharge Breaking bad news4.14Cancer - potentially curable4.15Cancer - likely incurable4.16Cancer - patient not fit for active treatment4.17Chronic disease 4.18Discussing an acutely terminal situation with relativesConfidentiality, consent and capacity4.19Legal points in confidentiality4.20Breaching confidentiality when a third party may be at risk4.21Breaching confidentiality in the public interest4.22Confidentiality when talking with relatives and other third parties4.23Consent for investigation or treatment4.24Consent and capacity4.25Refusal to consent4.26Deliberate self-harmEnd of life issues4.27Resuscitation-status decision-making discussion with patient4.28Resuscitation status decision-making discussion with relative4.29Appropriateness of intensive therapy unit transfer4.30Withholding and withdrawing life-prolonging treatments - Artificial hydration and nutrition4.31Withholding and withdrawing life-prolonging treatments - antibiotics and drugs4.32Percutaneous endoscopic gastrostromy feeding 4.33Palliative care4.34Advance directives/decisions 4.35Persistent vegetative state4.36Brainstem death4.37 Discussing live organ donation4.38Requesting an autopsy (post-mortem)Clinical Governance4.39Critical incident4.40Managing a complaint and the question of negligence4.41Fitness to practice - poor peformance in a colleague4.42Fitness to practice - misconduct in a colleague4.43Fitness to practice - health problems in a colleague4.44Recruitment to a randomised controlled trialOther communication, ethical and legal scenarios4.45Genetic testing4.46HIV testing4.47Needlestick injury 4.48Medical opinion on fitness for anaesthesia4.49Fitness to drive4.50Industrial injury benefitsSTATION 5: SKIN, LOCOMOTOR SYSTEM, EYES, ENDOCRINE SYSTEMSKINExamination of the skinCases5.1Psoriasis5.2Dermatitis5.3Lichen planus5.4Blistering skin condititions 5.5Facial rash5.6Scleroderma, vitiligo and autoimmune skin disease 5.7Oral lesions5.8Nail lesions 5.9Shin lesions 5.10Neurofibromatosis5.11Tuberose sclerosis5.12Neoplastic skin lesions5.13Skin vasculitis5.14Xanthomata and xanthelasmata5.15Skin and soft tissue infectionLOCOMOTOR SYSTEMExamination of the jointsExamination of the hands and armsExamination of the legsExamination of the
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Clinical medicine -- Examinations -- Study guides.
Clinical medicine -- Examinations.
Physical diagnosis -- Examinations -- Study guides.