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Gurpal

Feedback: CASC March/April 2009

117 posts in this topic

Please post your feedback about the exam. Information on the candidate's instructions and the role of the actors/examiners is much appreciated!

Good luck on results day!

;)

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Information on the candidate's instructions and the role of the actors/examiners is much appreciated!

candidates instructions is fairly reasonable.. how can one know what the role of actors and their instructions are ?

that would have to be inside information, wouldnt it ?

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Hi, Sagir! It looks like you cannot sleep... Anticipation anxiety?

I am looking forward for all the information available but one has to be patient. They just start registering now... 8-)

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Hi, Sagir! It looks like you cannot sleep... Anticipation anxiety?

nah.. never had one of those.. slept late cos i had a 2 hour nap in the evening.. as it is i sleep late usually.. so nothing unusual for me :)

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Hi, Sagir! It looks like you cannot sleep... Anticipation anxiety?

I am looking forward for all the information available but one has to be patient. They just start registering now... 8-)

Isn't the first exam tomorrow....?

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yeah it is.. and i am one of the first one :)

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Good luck! I'll be waiting for your posts! I am due for Thursday... ;)

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go on people! What's with you guys?! Last time (autumn) we would hear from you by now.

Somebody must have called somebody with an access to the internet...

Don't be selfish, share! ::)

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[highlight]go on people! What's with you guys?! Last time (autumn) we would hear from you by now.

Somebody must have called somebody with an access to the internet...

Don't be selfish, share[/highlight]! #

DONT BE TENSE BUDDY , JUST PREPARE WHAT U GOT TO PREAPRE AND STAY CALM.............ALL THE BEST......

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paired stations

============

1

elderly man brought to a+e by wife after found exposin self to neighbour. neighbour wont press charges if pt agrees to see doctor

task: hx and focus on aetiological factors. not risk assmnt

link: spk to wife and address concerns and take collateral hx. do not discuss mgt.

2

16yr boy referred by gp who suspects psychosis. take hx and assess him. not full development hx. due to give gcse's

link: talk to consultant and discuss mgt

3

man in a+e brought by wife, past hx of assault on previous partner - after that in hospital and on meds for last 3 yrs. take hx and assess risk

link: have discussed with consultant who advised admission under mha if needed. discuss mgt with partner and assume pt has given consent

4

40yr old man, depressed, 20mg fluoxetine for 6wks, partial improvement but wants to stop meds. cpn wants u to see for sexual side effects.

link: talk to wife, address concerns, discuss mgt.

single stations

===========

1

lady mid-20's, with hx depression for 5 years, was on fluoxetine 20mg which was inc to 40 but no improvement and changed to venla 150. reports signif wt gain. discuss mgt options but bear in mind wt gain / side effects.

2

24yr old woman, works at horse race stable, referred by gp, was previously seeing a therapist privately but found it unhelpful. take hx to assess for bullimia and prognostic factors.

3

25yr old male, scz, adm under mha, for past 5wks, now wants to go on escorted leave with sister. assess suicidal risk.

4

elderly man 65 yrs old, dx depression, treated with 2 different antidep - no response. cons suggest ect, task is to explain ect and get consent.

5

young woman, stressed at work, gp referred. assess for ocd

6

young man in A+e, brought by police after he 'handed himself over to them' bcos 'he was sick and tired of hiding from them'. assess for psyhopathology

7

elderly man brought to hospital by daughter for confusion. has had a stroke in past resulting in loss of vision and one sided paralysis. do cognitive assessment. mmse

8

talk to mother of 21yr old male with scz. has had 2 episodes in last 3 yrs. responded to olanzapine. discuss with mother and explain scz and medication and address concerns.

===relapse due to non-compliance

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go on people! What's with you guys?! Last time (autumn) we would hear from you by now.

Somebody must have called somebody with an access to the internet...

Don't be selfish, share! ::)

well, i think that was cos the College ppl gave specific instructions not to take any exam material or part thereof outside the exam centre..  i think what they implied was that candidates shouldnt share exam details on the forum or anywere else.. but then he added that he knows we couldnt help sharing information..

ahh. the relief i feel now.. so goood !!!

good luck to all of you guys.. and remember in the station with the indecent exposure, it asks for aetlogical history.. i goofed up big time and went completely blank.. the trick might be to ask history to rule out differentials.. so ask for cognitive changes, strokes medical illneses, etc etc.. thats the feeling i have.. not sure if it is the right thing to do.. maybe the WM can help on that..

in the station with the 16 yr old, the consultant asks 'what else, what else' i completely forgot about mentioning Early Intervention Services.. the boy is 16 yr old so most CAMHS might not take him.. and CMHTs wont touch him at all.. i only remembered after i came out.. esp since the '16 yr old' thing struck me.. any info the College gives is for a reason !

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paired stations

============

single stations

===========

1

[highlight]lady mid-20's, with hx depression for 5 years, was on fluoxetine 20mg which was inc to 40 but no improvement and changed to venla 150. reports signif wt gain. discuss mgt options but bear in mind wt gain / side effects.

[/highlight]

2

[highlight]24yr old woman, works at horse race stable, referred by gp, was previously seeing a therapist privately but found it unhelpful. take hx to assess for bullimia and prognostic factors.

[/highlight]

7

elderly man brought to hospital by daughter for confusion. [highlight]has had a stroke in past resulting in loss of vision and one sided paralysis[/highlight]. do cognitive assessment. mmse

Wt gain with fluoxetine/venlafaxine seems quite uncommon.

could there be other issues?.

What are the prognostic factors for bulimia?

Blindness and one sided paralysis would preclude some bits of the MMSE no?

comments people!

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HI folkes

So its up and out. Gosh Indecent exposure (Might be indecent porposal)

I think one should start by asking the person why he exposed,...did some one asked you to do or you did it yourself(..Hallucination??). and ask about the circumsatnces.If psychotic then go on that line.

If an impression that he cant remember,patchy infos ......confusion,dementia line

Ask relationship with wife, any problems in physical relationship????

On any medication, medical porblems.

any further ideas

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paired stations

============

1

elderly man brought to a+e by wife after found exposin self to neighbour. neighbour wont press charges if pt agrees to see doctor

task: hx and focus on aetiological factors. not risk assmnt

link: spk to wife and address concerns and take collateral hx. do not discuss mgt.

2

16yr boy referred by gp who suspects psychosis. take hx and assess him. not full development hx. due to give gcse's

link: talk to consultant and discuss mgt

3

man in a+e brought by wife, past hx of assault on previous partner - after that in hospital and on meds for last 3 yrs. take hx and assess risk

link: have discussed with consultant who advised admission under mha if needed. discuss mgt with partner and assume pt has given consent

4

40yr old man, depressed, 20mg fluoxetine for 6wks, partial improvement but wants to stop meds. cpn wants u to see for sexual side effects.

link: talk to wife, address concerns, discuss mgt.

single stations

===========

1

lady mid-20's, with hx depression for 5 years, was on fluoxetine 20mg which was inc to 40 but no improvement and changed to venla 150. reports signif wt gain. discuss mgt options but bear in mind wt gain / side effects.

2

24yr old woman, works at horse race stable, referred by gp, was previously seeing a therapist privately but found it unhelpful. take hx to assess for bullimia and prognostic factors.

3

25yr old male, scz, adm under mha, for past 5wks, now wants to go on escorted leave with sister. assess suicidal risk.

4

elderly man 65 yrs old, dx depression, treated with 2 different antidep - no response. cons suggest ect, task is to explain ect and get consent.

5

young woman, stressed at work, gp referred. assess for ocd

6

young man in A+e, brought by police after he 'handed himself over to them' bcos 'he was sick and tired of hiding from them'. assess for psyhopathology

7

elderly man brought to hospital by daughter for confusion. has had a stroke in past resulting in loss of vision and one sided paralysis. do cognitive assessment. mmse

8

talk to mother of 21yr old male with scz. has had 2 episodes in last 3 yrs. responded to olanzapine. discuss with mother and explain scz and medication and address concerns.

===relapse due to non-compliance

Thanks a lot. May God truly bless you and may you pass this exam

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Wt gain with fluoxetine/venlafaxine seems quite uncommon.

could there be other issues?.

What are the prognostic factors for bulimia?

Blindness and one sided paralysis would preclude some bits of the MMSE no?

comments people!

well, the task was to sugest management options for the first one.. so u have to be careful when u explain about lithium and valproate..

prognostic factors for BN could be previous history, anorexia in the past, family history, previous failures at therapy.. changing goal posts with regards to ideal weight.. these are some that i cooked up all of a sudden in the exam..

surprising about blindness and paralysis.. the elderly man was moving all of his limbs.. and he cold see with both eyes !!!! :o :o :o :o

so i dont know what the relevance of the info was..

biggest gaffe of the stations >> man with morbid jealousy.. info in that station was that partner brought him to A&E cos she was worried about her own safety esp as he had assaulted his previous partner.. u go into the next station and the partner goes 'i love him so much, we are so good together, why will he hhurt me' :o :o :o :o :o :o :o

i mean come on, atleast give us a standardised set of information !!!!

at least now i wont be surprised if i fail that station, i know what went wrong :lol: :lol:

I think one should start by asking the person why he exposed,...did some one asked you to do or you did it yourself(..Hallucination??). and ask about the circumsatnces.

all u meet with is silence and denial of everything...

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cool thanks sagi!

what a relief no?

well take a well earned break!

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what a relief no?

indeed !!! there is no price for Awesome feeling of relief ;)

the break is already planned.. got the whole week off now :)

goin to london meet with friends and aunt and just have fun.. good food.. put on weight etc etc :)

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Thanks Sagir, well done!

We all lose some points of IQ when inside...

At least we know that the physical examination is out.

And not so many neurotic problems as last time. ;)

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Were the examiners marking in front of you guys ?

I hope not. I had complained to the College about this. I had written to the College that since mark sheets contained only 'areas of concern' , the examiners should be instructed not to mark in front of us.

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i think its time to start shouting bachaaaaaaaaaaaaaaooooooooooooooooooooooooooo................................

where is my buddy mp3

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Sagir,

Many thanks!

skyline

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Sagir, be so kind and reveal what you have learned from the wife of this elderly 'exhibitionist'???

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