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Feedback: CASC January 2014

Feedback: CASC January 2014   26 members have voted

  1. 1. How many stations do you think you definitely passed?

    • 1-4 stations - I don't want to be a psychiatrist anyway
      1
    • 5-8 stations - When's the next exam?
      2
    • 9-10 stations - Worried that I've messed it up
      8
    • 11-12 stations - Could have done better, hopefully will pass
      11
    • 13-14 stations - Minor concerns, looking good
      3
    • 15-16 stations - Definitely passed
      1
  2. 2. What did you think about the tasks examined?

    • Nothing unexpected turned up
      2
    • There were a few twists to the usual stations
      14
    • There were a few brand new stations
      9
    • Most stations were new in some way
      1
    • I didn't expect any of these stations
      0

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222 posts in this topic

Please post your feedback about the exam and vote in the polls.

Information on all aspects of each station is welcome, including the candidate's instructions and the role of the actors/examiners.

Good luck on results day! :)

Note: To discuss how to approach individual stations in detail, please start a new topic for each station - don't discuss them in this thread which is for posting descriptions of stations only. By following this instruction you'll help future exam candidates!

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Morning

1. Panic disorder history. Link discussion with mom

2. Mse, risk assessment from guy who broke into lady's house. Link discussion with CRS team.

3. Anorexia- background factors. Link discussion with student nurse about aetiology and psychological treatments.

4. ADHD - hx from mom. Link discuss with father

Hi Aly what about simple?

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More difficult to remember exactly ( as usually, stations from a friend)

1. Cognitive testing in vascular dementia

2. MSE guy in A&E who came to turn himself in as police after him

3. Postnatal psychosis

4. Korsachov cognitive and physical exam

5. Hx and aetiology for alcoholic halucinosis

6. Collateral hx- dementia or MCI?

7. OCD discuss medication

8. Braking bad news meningioma

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When the ste cognitive exam, does it mean MMSE , lobe testing or both. Or something else?

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i think it includes MMSE, including clock drawing when you check praxis by intersecting pentagons, short term, long term, semantic memory, forward and backward digit span...

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21.1.14

LINKED STATIONS

1.STALKING -MSE +RISK ASSESSMEMT- transferred to hospital from police custody.

guy who broke into his girlfriends apartment today. He was harassing her 6 months when she got an injunction order against him.

He has known her since 20 ago years from college.

On MSE - persecutory delusions that GF is stealing money from his account, broke into her flat to look for evidence.

Also delusions that she is poisoning his food by entering into her flat. + the food tastes different. He did not give her the key. Cannot explain how she got the key.

Rest - MSE nil

Has been stalking her, knows her phone no n where her family lives.

Has not harmed her, no plans to harm her but planing to confront her and "" sort out everything for good" as fed up with the whole stealing business now. Same thing for family - might do something to them, gaurded.

Not living together ... Knows she loves him but she has not confirmed this either by text/ cards/ gifts or face to face.

Forensic/ D n A/ relation ship hx/ meds / PMH - nil

PPH - previous contact with services / does not remember the diagnosis or symptoms -put on meds - did not take them.

Link B - speak to crisis team nurse - for further management.

Very straightforward - explain MSE n risks n she agreed for admission.

Edited by Psychdr
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Meningioma is usually benign and rarely malignant , were there any secondaries mentioned in scenario

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CASC - 21.1.2014-TUESDAY

 

 

LINKED

 

 

1. LINK A-STALKING -MSE +RISK ASSESSMEMT- transferred to hospital from police custody.

 

LINK B - speak to crisis team nurse - for further management.

 

 

2. LINK A- ANOREXIA NERVOSA- family and personal history to look for triggers for current relapse ( DO    NOT TAKE HISTORY TO ESTABLISH AN)

 

LINK B- discussion with student nurse about aetiology and psychological treatments. 

 

 

3. LINK A – history to establish diagnosis – (?Panic disorder)

 

LINK B -. discussion with mom. ( to explain the disorder)

 

 

4. LINK A - ADHD - hx from mom.

 

    LINK –B- discuss with father

 

 

 

SINGLE

 

 

1. OCD discuss pharmacological management.

 

2. Cognitive testing in vascular dementia.

 

3. MSE guy in A&E who came to turn himself in as police after him

 

4. Postnatal depression/psychosis

 

5. Korsakoff -cognitive and physical exam

 

6. Hx and aetiology for alcoholic halucinosis

 

7. Collateral hx- confusion

 

8. CT scan of the head – shows growth – discuss with old lady’s daughter.

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21.1.14
LINKED
2. ADHD - history from mom - pretty straight forward - mum gave a great hx with examples when I asked open questions for each domain.
Inattention / hyperactivity/ impulsivity
Establish - ODP + diagnostic criteria - pervasive/ functional impairment/ before 7 years of age/ more than normal as compared to other kids.

LINK B
Spk to father -explain management
(Father 'was a very nice actor n was asking the right questions with prompts, unlike some you get who are rude n have no clue)
Pretty straight forward -  spk about psycho education for school n parents / liaise with school n SENCO for statement of needs, extra support etc-
2. behaviour techniques - school n parents
3. Parenting classes
4.Support groups
5. Medication - methylphenidate - rationale, mech, monitoring, side effects, benefits

He asked 2 ques

1.other medication for ADHD

2.risk to unborn baby - mum is pregnant

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WILL POST THE DETAILS OF DAY 1 STATIONS IN FURTHER POSTS.

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Hi , any news about morning station

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21.1.14

 

LINKED

3.ANOREXIA NERVOSA

LINK A- FAMILY AND PERSONAL HISTORY ( DO NOT TAKE HISTORY TO ESTABLISH AN)

had AN as a teenager, complete recovery ( though she could not tell me what input/treatmet she had received .. probably not in the script she has been given or she has read it well)  better in between. she is 20 or 23 now... good education, did higher degree in media studies, good job, relationship broke down recently. recently ? relapsing, skipping meals but weight normal

FHX- two aunts had AN

PERSONAL HISTORY -teased by peers at school for obesity, low confidence, had glandular fever lasting a month, lost lot of weight, mother complimented her and brought new dresses for her, felt very good, father always busy but gave her lot of time toher whilst she was ill.

 

LINK B - Spk to a very eager n enthsiastic student nurse

 2 tasks -

1. explain aetiology. prognosis, risk of it returning, current triggors why she cd be relapsing

2. explain psychotherapy for AN...  (I made a major mess of this as cd not remember specifis...so please read up CBt specifis for each disorder)

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21.1.14

 

LINKED

4.? PANIC DISORDER ... take Hx to each diagnosis.... nothing in the history at all ( or maybe I have missed something important) except

1. 4 attacks of extreme anxiety lasting 3 hrs each over last 6 weeks, okay in between the attacks, has both physical and psychological symptoms ( which she descibes very dramatically and with los of enthusiasm ...you cant miss it even if u wanted to)

2. family hx of angina and MI

3. slight problem with finances... job does not pay that much to meet the bills.... ( did not look overtly worried bout it)

 

MSE / checked for all comorbidities - MOOD/PSYCHOSIS/GAD/OCD/PTSD/AGORA-SOCIAL/ HYPOCHONDRIASIS- ALL NIL

 

MEDs/PMH/PPH/D&A - NIL

SOCIAL/PERSONAL/FORENSIC-NIL

FAMILY HX - positive for angina/MI

pERSONALITY TRAITS -NIL

RELATIONSHIPS -NIL

LOTS OF FRIEND+ had some hobbies, outgoing extrovert

 

LINK B- did not understand very well what they wanted in this station ( looked like explaining hyperventilation syndrome and the physiology) Mother was horrible ... kept on repeating why daughter has this problem.... tried to explain the aetiology, mum was unaware of the financial worries daughter was having and said..'' Oh i didnt know that, she hads not told me anything''

was not very keen to know bout hyperventilation syndrome and the physiology ...which I was so keen to rattle off...so I am wonderding I have missed picking up on her major concern and not addressed it)

was also interrupting every few minutes withb -- so do you mean my daughter is mad.

 

Yes ...so not happy with this station at all...if someone gets this ...please give a feedback.

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Any news about Wednesday morning station?

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Frontal lobe/ sexual side effect of fluxotine / anorexia the same. Of yesterday

Resistant depression

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What about simple stations?

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No news yet

Anyone know about resistant depression?

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I have prepared as a single station , did it come as a paired station

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I have prepared as a single station , did it come as a paired station

Yes it's paired link u r talking to the pt again after 6 month. Because she planning to get pregnant

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Plz guys any details about today's station

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