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CSA Scenarios for the MRCGP, fourth edition

CSA Scenarios for the MRCGP, fourth edition

Thomas Das

(2018)

Additional Information

Book Details

Abstract

This latest edition has been comprehensively updated to include new information on the latest clinical evidence, national guidelines, and from the recent medical literature:

•         all existing cases have been revised

•         new cases have been added to cover pre-diabetes and premature ejaculation

•         psoriasis, sore throat, thyroid disease and the PSA test are covered in even more detail

The first three editions have helped thousands of candidates through the CSA exam in the last nine years. The original approach has therefore been retained so the book continues to offer readers a concise ‘need-to-know’ guide to passing the CSA, with the emphasis on successfully completing a case in the allotted ten minutes using a structured consultation framework that works.

The aim of the book is to leave exam candidates with more time to concentrate on passing the CSA exam itself.


Table of Contents

Section Title Page Action Price
Hlaf-Title i
Title iii
Copyright iv
Contents v
Preface to the fourth edition xi
Preface to the first edition xii
Acknowledgements xiii
Abbreviations xv
How to use this book xvii
Section 1: An approach to the CSA 1
How to pass the CSA – full marks in 10 minutes 3
Basic consultation structure 4
Consultation structure – summary 8
Interpersonal skills 10
What if your mind goes blank? 12
Section 2: Special GP cases 15
Telephone consultation 17
Home visit 19
Breaking bad news 21
The angry patient and complaints 24
Patient refusing emergency management 26
Mental Capacity Act 27
Patients under 16 28
Domestic violence 30
Palliative care 31
Hearing impairment 34
Learning disability 35
Consultations with more than one person 37
Patient who is a healthcare professional 39
Section 3: Typical cases 41
Cardiovascular lifestyle advice 43
Aspirin, antiplatelets and prevention of cardiovascular disease 44
Hypertension 45
Hypercholesterolaemia 48
Chest pain 51
Angina 53
Palpitations 56
Intermittent claudication 58
Varicose veins 59
Smoking cessation 61
Cough 64
COPD 67
Asthma 72
Obesity 77
Drugs and surgery for obesity 80
Dyspepsia 81
Irritable bowel syndrome 83
Rectal bleeding 86
Constipation in adults 88
Diarrhoea 89
Pruritus ani 91
Anaemia 92
Liver disease 95
Inguinal hernia 96
Coeliac disease 97
Diabetic review 99
Type 2 diabetes mellitus 101
Pre-diabetes 105
Gestational diabetes 106
Goitre 108
Thyroid disease 110
Tired all the time 111
Chronic fatigue syndrome 113
Gynaecomastia 115
Osteoporosis 117
Carpal tunnel syndrome 120
Joint pain – a general approach 122
Low back pain and sciatica 124
Knee pain 128
Shoulder pain 130
Polymyalgia rheumatica 131
Neck pain 132
Rheumatoid arthritis 133
Osteoarthritis 135
Gout 137
Tennis elbow 138
Raynaud’s phenomenon 140
Dupuytren’s contracture 142
Headache 145
Migraine 147
Transient ischaemic attack 149
Head injury 151
Collapse and seizures 153
Falls 155
Parkinson’s disease 157
Dementia 159
Fungal skin infections 161
Acne 163
Eczema 165
Psoriasis 167
Ear pain 171
Tinnitus 172
Dental pain 174
Labyrinthitis/vestibular neuronitis 175
Snoring 177
Sore throat and tonsillitis 178
Painful and red eye 181
Prostate cancer 183
Prostate-specific antigen 184
Haematuria 185
Erectile dysfunction 188
Premature ejaculation 190
Benign prostatic hyperplasia 191
Urinary incontinence 193
Testicular pain 195
Lower urinary tract symptoms (LUTS) in men 196
Chlamydia 199
Chronic kidney disease 203
Management of CKD in primary care 205
Menorrhagia 207
Amenorrhoea/oligomenorrhoea 209
Premenstrual syndrome 211
Polycystic ovary syndrome 212
Hirsutism 214
Combined oral contraceptive pill 216
Emergency contraception 218
Termination of pregnancy request 220
Subfertility 222
Screening 224
Diagnosing menopause 225
Starting hormone replacement therapy 226
Antenatal counselling 228
Common issues during pregnancy 230
Summary of NICE Guidelines (2017) on antenatal screening 231
Booking visit 233
Subsequent antenatal visits 235
Paediatrics – general approach 237
ADHD 238
Nocturnal enuresis 240
Constipation in children 243
Diarrhoea and vomiting in child under five 245
Eczema in children 247
When to suspect child maltreatment 250
Depression 255
Anxiety 261
Psychiatric risk assessment 263
Recent non-accidental overdose 265
Alcoholism 267
Insomnia and sleep disorders 270
Eating disorders 272
Opiate addiction 274
Cannabis abuse 276
Post-traumatic stress disorder 278
Appendix 1 – Influenza vaccination 281
Appendix 2 – History taking 283
Appendix 3 – Suggested phrases during a consultation 287
Summary of consultation structure 290