csa cases workbook - scion publishing · 2017. 3. 1. · case 12.1 305 12 cardiovascular health...

Information on how to run a mock exam is given on pp. 17–20 of the book.

The person taking the role of the doctor in your mock exam should print out

the following ‘Information for the doctor’ sheets before the exam.

The people playing the patient and observer should follow the instructions

in the book.

Mock exam using cases from

CSA CASES WORKBOOK

Second Edition

ELLEN WELCH, IRINA ZACHARCENKOVA AND JENNIFER LYALL

MRCGP

CSA CASESFORTHE

Second Edition

ELLEN WELCH, IRINA ZACHARCENKOVA AND JENNIFER LYALL

CSACASES WORKBOOKFOR THE

2CSA CASES W

ORKBOOKFOR THE M

RCGP Second Edition

• A unique workbook designed to be used by GP revision groups practising for the CSA examination – written by three GPs who recently passed the CSA.

• The ring-bound pack now features over 20 new cases aligned to the RCGP curriculum areas and latest guidelines.

• The design makes the practice consultations as exam-like as possible – allows each member of the revision group to act as ‘doctor’, ‘patient’ or ‘observer’ and to take out just the pages they need ahead of the next revision session.

• Detailed guidance on how to run your own mock exam using 13 exam cases included.

• Along with easy to use marking schemes, the cases also now include smartphone links to guide readers to useful resources.

To help further with revision, each curriculum area is split up into:• possible cases – lists the cases most likely to

come up in the CSA (including emergency and ‘special’ cases)

• revision notes – fully updated with the latest NICE and SIGN guidelines, along with other helpful references and websites, to help direct your revision

• material for the patient – resources that you could usefully guide the patient towards in the consultation (including after you have passed!)

• practice explanations – topics, tests and procedures that you should be able to describe to the patient in a couple of minutes

• practice examinations – procedures you should be able to undertake confidently

Praise for the first edition: the bestselling MRCGP book on Amazon!

“… this workbook was by FAR the MOST useful and most representative of the degree of difficulty of the actual cases in the CSA… If you are going to get 1 book of cases to work for the CSA – get this one!! ”

“Simply an excellent book, it was the most useful revision tool out of all revision aids we used in our CSA revision group – the cases are very similar to the level in the CSA exam. (Be aware of some of the other CSA books which were sometimes way too complicated/unrealistic for a 10 min consult).”

“Great CSA cases which I think were the closest to the real thing having now passed it. Love how it breaks it down into curriculum coverage allowing me to focus on weaker areas when I felt it was needed.”

“I found this book to be a very useful study aid in preparation for the MRCGP. It includes many useful hints and tips, in particular a good explanation of what the examiners are looking for in each cases, breaking down the points system into the relevant domains.”

“Refreshing approach found in this CSA textbook, as seen through the eyes of recent GP trainees who passed the exam. Very well set out in line with the RCGP curriculum providing useful information from the first page to the last.”

“The personalised tone and sensible insider tips (e.g. “we found it useful to...”; “we felt...”) are invaluable, allowing the book to provide much more than just another study guide. I recommend it to GP trainees preparing for CSA.”

“Unlike some study guides which can be overwhelming with information, this book gives you the real need to know information, multiple cases for practice (which is after all the only way to prepare) and excellent signposting to relevant guidelines for identified PUNS/DENS along the way.”

“It is clear this is a heavily researched and polished resource. The authors have tailored its format with great skill to give concise, practical and high yield preparation for the CSA. One of the must have preparation texts for a CSA group.”

9 781911 510017

ISBN 978-1-911-510-01-7

www.scionpublishing.com

Your revision group needs just a single copy of CSA Cases Workbook rather than multiple copies of any other book, and no photocopying needed either!

WELCH,

ZACHARCENKOVA & LYALL

A Revision Plan 19

Table 2.2 – Case details for mock exam (our suggested cases in brackets)

Case number

Location Name of actor Name of observer Name and number of first candidate

1 (1.1)

2 (2.1)

3 (3.2)

4 (4.1)

5 (5.2)

6 (6.2)

7 (8.4)

8 (10.1)

9 (12.1)

10 (20.4)

11 (21.5)

12 (13.3)

13 (22.4)

02 Cases Workbook Ch02 2nd edn.indd 19 09/01/2017 07:15

Mock case no. Handbook case no. page no.

1 1.1 1

2 2.1 2

3 3.2 3

4 4.1 4

5 5.2 5

6 6.2 6

7 8.4 7

8 10.1 8

9 12.1 9

10 20.4 10

11 21.5 11

12 13.3 12

13 22.4 13

Contents ii

Case 1.1 31

1Healthy people: prom

oting health and preventing disease

Case 1.1 Information for the doctor

In this case you are a doctor in surgery

Name: Shiree Kilburn

Age: 22

Past medical history: nil

Current medication: nil

Notes


Mock Case 1 1

Case 2.1 63

Genetics in primary care

2


In this case you are a doctor in surgery.

Name: Sabine Morneau

Age: 28

Past medical history: Takes the COCPLast consult: Contraception check – happy on COCP, not interested in LARCs, BP 110/70

Current medication: COCP

Notes


Mock Case 2 2

Case 3.2 89

Care of acutely ill people3


You are a salaried GP in your morning surgery. The patient’s husband is calling on her behalf.

Name: Marivelda de la Cruz

Age: 50

Past medical history: none

Current medication: nil

Notes


Mock Case 3 3

Case 4.1 111

Care of children and young people4



Name: Emma Brown

Age: 2 years old

Past medical history: NVD with no complications.No SCBU admissions.

Current medication: Nil

Notes


Mock Case 4 4

Case 5.2 149

Care of older adults5


In this case you are a doctor in an afternoon clinic.

Name: Shona Riley

Age: 73

Past medical history: Osteoporosis

Current medication: Alendronic acid 70mg weekly, Accrete D3 1 tablet bd

Results: DEXA scan (6 months ago)BMD T-score: -2.8 osteoporosisNormal renal function, bone profile, TFTs, FBC and inflammatory markers

Notes


Mock Case 5 5

Case 6.2 177

Wom

en’s health6



Name: Jessica White

Age: 36

Past medical history: None

Current medication: None

Notes


Mock Case 6 6

Sexual health8

Case 8.4 245



Name: Vincent Rees

Age: 43

Past medical history: Asthma

Current medication: Salbutamol

Notes


Mock Case 7 7

Case 10.1 273

Care of people with mental health problem

s and intellectual disability10/11



Name: Craig Childs

Age: 27

Past medical history: Hodgkin’s lymphoma (completed chemotherapy and radiation therapy 5 years ago and remains disease-free)

Current medication:

Notes


Mock Case 8 8

Case 12.1 305

12Cardiovascular health



Name: Dr Prakash Shah

Age: 67

Past medical history: nil of note

Last consultation: 2 days ago influenza vaccine given by nurse, BP 130/80, pulse noted to be irregular, appointment made for ECG then GP review.

Notes


Mock Case 9 9

Case 20.4 527

Care of people with musculoskeletal problem

s20


In this case you are a GP registrar in a routine morning surgery.

Name: Pasquale Saramago

Age: 39

Past medical history: None

Current medication: None

Notes


Mock Case 10 10

Case 21.5 569

Care of people with skin problems

21

Case 21.5 Information for the doctorIn this case you are a doctor in the extended hours evening clinic.

Name: Chloe Winter

Age: 26

Past medical history: Asthma. Appendicectomy age 15

Current medication: Beclometasone inhaler (Clenil 100) one puff bd; salbutamol inhaler prn

Notes


Mock Case 11 11

Case 13.3 349

Digestive health13



Name: Gareth Johnson

Age: 48

Past medical history: GoutHypercholesterolaemia

Social history: Smoker 15/day

Current medication: Atorvastatin 10 mg on

Notes


Mock Case 12 12

Case 22.4 603

Special cases22

Case 22.4 Information for the doctorYou are a locum GP doing an afternoon clinic.

Name: Pritiya Mahadik

Age: 53

Past medical history: Osteoarthritis left hipRecent consultation 2 weeks ago: urinary incontinence – urge, no prolapse, no stress incontinence, urinalysis negative. Would like treatment, try oxybutynin 5 mg & report 2/52

Current medication: Paracetamol 1 g qdsOxycontin 5 mg bd

Notes


Mock Case 13 13

csa cases workbook - scion publishing · 2017. 3. 1. · case 12.1 305 12 cardiovascular health...

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