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Feedback MRCPsych CASC Examination Jan 2017

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Hello everybody! For years this website has been an amazing help for many candidates. We can do that other doctors can find help and answers to their questions.

Today starts the CASC exam Jan 2017.

Please leave your comments and experience with the stations that you had. Thank you!

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Postnatal with psychosis

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Singles

Lithium explain

MSE psychosis

Dementia corroborative Hx

SSRI explanation

Cognitive examination (no more information)

Thyroid examination

Angry mother son on Clozapine

Agoraphobiam- desensitization explanation

 

I f we do not feed our CASC Examination Forum in the long term it is going to disappear. Contributions please!

 

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Thanks for sharing 

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I was told in the MMSE station patient had loss of vision in one eye so we need to check if he can read.

The angry mother station was not Clozapine one but  she was upset as her son got diagnosed with Schizophrenia and she found it out from the nurses.The lizards station from September 2016 CASC.

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Cognitive examination was for parietal lobe 

Ssri one was about a mother who's son was started on fluoxetine and it had a risk of increasing suicidal thoughts and behavior 

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Thanks for clarification.Yes it makes more sense now.

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What was the exact scenario for cognitive examination.

was patient in denial for his physical impairment or did he agree that he is blind?

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A daughter brought 70 y.o. gentleman to your clinic. He had a stroke 12 months ago and his memory has deteriorated. Perform a cognitive assessment to confirm his vascular dementia.

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Thanks but how do we know that it's parietal lobe based on the information in this scenario?

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But it might have been because of Dementia?

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The question is do Cognitive examination to confirm vascular dementia and in order to do that we need to do MMSE.

And if have time to do a few other lobes 

specially Parietal lobe.

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Can someone please explain about lithium  and mirtazepine station in detail.

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Single stations 

Wandering old man , do
cognitive ,( basically Mmse)

Lithium augmentation, expalin rational

ECG ,on quetiapine,  heart block , explain , management

Man with anxiety , being treated by his GP , found to have high GGT , establish pattern of drinking and risk assessment, link anxiety with drinking.

Agoraphobia explain desensitization

Anorexia collateral history from mother

Man 24 yrs with depression, asked for emergency appointment with you then showed up 5 hours later in the ER requesting to see his notes , try to find out what is going on. (he was found to be hypomanic)

PTSD ( same old scenario)

Edited by Sabnazain
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I think in wandering old man station we do frontal lobe examination, is that correct?

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Heart block!

I almost had one myself!

Can somebody explain it and management in simple terms please!

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Can anyone please post today's stations. Thanks

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Please can you share single stations also

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