Wednesday, 21 October 2009

records of PACES experience

I thought it might be a good idea if doctors who attend the PACES exam give a brief account of their experience and cases.It would great help for others who are preparing.
I know it might be difficult to visit this site after you finish your exam,however if you think this is a good idea, please click on comment below and tell us.

304 comments:

  1. I had the following in my exam last week:
    cvs:AR
    abd:CLD
    CNS:CMT
    RS:brochiectsis
    Hx:diarrhea and Wt loss in young patient
    communication:speak to mother who's daughter was admitted with fit due ectacy(disclusure of confidantialty)
    station 5 (1):RA with sogren's syndrome
    station 5 (2):facial palsy due to mastoid abcess

    good luck

    ReplyDelete
  2. cvs:AR
    abd:splenomegaly
    CNS:CMT
    RS:Pleural effusion
    Hx:abnormal LFT
    communication:speak to daughter who's mother admitted with stroke.
    station 5 (1):RA on MTX c/o SOB
    station 5 (2):DM c/o visual problem

    ReplyDelete
  3. thank you for sharing your experience.
    good luck.

    ReplyDelete
  4. cvs:mvr hair was covering z scar !
    abd :CLD TRANSVERSE SCAR BL UMLICUS
    CNS: CERVICAL TRAUMA MOTOR NORM. REFLEX INCREASED
    +SCAR LATERAL NECK
    HX:OBUSTRCTIVE SLEEP APNOEA
    CS :COELIAC DISEASE
    STAT.5 THROTOXICOSIS
    STAT.5 DVT
    RESP.:RT FIBROSIS +COLAPSE
    CENTRE KWAIT

    ReplyDelete
    Replies
    1. abd: abdominal scar liver tranplantation?
      cvs: z scar in chest ?

      Delete
  5. in git it was hepatosplenomegaly in young boy who had arthritis,it was amyloidosis.
    resp;apical collapse with consolidation.
    cns.spastic paraparesis
    cvs.vsd with defibrillator.
    history.adissons disease
    communication.self discharge.
    in station 5:
    i had a case of HHT,complaining of hemoptysis and a family history of epixtaxis.
    second case was of old man with collapse?TIA

    ReplyDelete
  6. station 5:
    Patient with known rehumatoid arthritis
    Has been on a long bus journey
    Presents with a painful swollen calf
    diagnosis ruptured Baker's cyst

    Diabetic patient on insulin
    attends clinic with history of easy bruising and bleeding
    few bruises on body and around injection sites
    caused by clopidrogel and aspirin

    ReplyDelete
  7. station 5:
    I have a case of a male sent by the smoking clinic nurse with gritty eye
    I thought of Sojgren syndrome, after looking for acquity, field , looked for RA and asked for symptoms of Joints and dryness of mouth which was not there
    I don’t know why though I know it but Grave’s did not come to my mind so did not check thyroid, pretibial myxedema
    There was no exophthalmus
    I failed this sub station badly which made me fail the whole test
    The other case was diabetic male with leg pain
    examined for PVD, for neuropathy , findings stocking sensory loss , absent DTR, weak pulses and changes of PVD
    Asked patient about his DM control
    advised for check HA1c, fasting lipid profile, Doppler and Diabetes Education referral

    ReplyDelete
  8. station 5:
    28-year-old man with recent DVT on warfarin started 3 weeks ago. He had an argument with his girlfriend, which prompted him to overdose on his warfarin tablets. He presented to the clinic with a severe headache.

    ReplyDelete
  9. had the exam couple of days ago in Perth:
    abd:liver transpland due to PBC
    Res:?fibrosis/bronchiectasis
    CNS:? prepheral neuropathy (not sure)
    CVS:mixed aortic valve disease
    CS:speak to doughter who's father had stroke
    HX:frontal lobe tumour
    5 1:fall due to visual impairment
    5 2:thyroid

    good luck

    ReplyDelete
  10. exam in Bolton:
    RS:lung fibrosis
    abd:renal transplant
    CVS:MR
    CNS:CMT

    Hx:Wegner's granulomatosis
    CS:dementia,expain diagnosis and futher management

    stat 5 1:psiratic arthropathy
    stat 5 2:opthalmoplagia?? cause

    ReplyDelete
  11. igot in my paces
    cvs-avr--RS=copd-----abd=k.transplant
    stat 5 1-psoriatic arthritis and subacute thyroditis
    stat 2-hx addison sta 4 pt come to see result of ct scan after having generlized TC fit and there is anabnormalaty u have to explain the result and avise MRI

    ReplyDelete
  12. I got abd. hypercholestrolaemia AD .
    CVS mvr resp. lung fibrosis
    cns rt hand weak carpel tunnel syndrome(scar present).
    comm.dignosed hodgkin lymphoma explain it ,treatment hickman line,pt social worker in
    nursery(risk of infection).wife wants children
    histroy rt side weakness TIA migraine in 42 female

    ReplyDelete
  13. If anybody has taken PACES in Perth,scotland can you please kindly tell me what were the stations in Perth this year Diet1 and Previous year.

    Thanks you
    reekprice@yahoo.com

    ReplyDelete
  14. Stn 1:chest- neurofibromatosis and yellow nail-bronchiectesis.ABd-hepatomegaly and ascites
    Stn 2:hx of mesothelioma
    Stn 3:Neuro-lower limb ???. Cardio-MR(MVP)
    Stn4:Reassuring IBS patient
    Stn 5:DM maculopathy,Constipation wt loss in Acromegalic pt.
    More Stn5:Acute confusion need to do MMSE,Optic atrophy in MS,Pt with Low platelets and splenectomy,Itching in PBC

    ReplyDelete
  15. exam in london:
    abd:multple scars and stoma bag
    res:lung fibrosis
    cvs:??
    CNS:myotonic dustrophy
    5 1:stroke while driving
    5 2:heacheche ?tension
    Hx:difficulty swallwing in young girl
    comm:post MI

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  16. Has anyone sat Paces at Luton Hospital?

    ReplyDelete
    Replies
    1. I am going to sit for an exam this July. What cases did you get?

      Delete
  17. This comment has been removed by a blog administrator.

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  18. exam in edinburgh
    resp. mid line sternotomy scar+rt. hypochondrium scar....features of pleural effusion on lt. side???
    abd: multiple scars all over the body +stoma bag below the umbllicus....possibly renal transplant with a urostomy bag
    cvs: sternotomy scar....repalced(tissue graft?) / repaired aortic valve in a young male
    cns:myotonic dystrophy
    hx: hiv neuropathy
    counselling: renal replacement therapy
    st 5a: thyroid
    st5b:
    lawrence moon biedel with diabetes. on fundoscopy...retinitis pigmentosa+ background retinopathy. also completely blind in one eye..cause???

    ReplyDelete
  19. i think it should be hocm with defibrilator than vsd.

    ReplyDelete
  20. i had a pt with rt pneumonectomy,apkd on capd and cld with gynecomastia and dupuytrens contracture,hocm with af,hereditary spastic paraplegia,hx taking with ch pancreatitis, driver not telling his alcohol consumption,comunication was a tb pt with afb + dont lik to stay in hosp,station 5a,thyrotoxicosis and infertility,5b von hipel landau synd pt with headache and renal transplant after renal cel carcinoma.

    ReplyDelete
  21. any body taking exam in cardif in june july 2011 . GWENT HOSPITAL

    ReplyDelete
  22. any one did exam in royal hallapshire sheffield?
    exam in 4 days, please help! thanks loads

    ReplyDelete
  23. great blog..think the operator should find a way to expand this space + link to facebook.
    theres amazing potential to get more feedback and make this a superb learning and feedback site...
    keep it up and we should all keep posting our experince in PACES...
    thank you all :)

    ReplyDelete
  24. did my exams in sheffield-royal hallamshire june 2011..
    cardio-aortic valve replacement ankle swelling
    resp-pul fibrosis
    gi- hepatomegaly , cachexia , jaundice ?ca
    ethics -peg feeding for dementia lady , daughter wants it..
    neuro- weird case , complex opthalmoplegia
    history - nephrotic syndrome
    station 5 - diabetic with localised swelling right lat malleolus ??charcot-i have no idea!
    station 5 b- hx off patient with diabetes and decrease vision , hx , exam , opthalmology- ran out of time for fundoscopy and couldnt see anything!

    FAIL..in station 5.!

    ReplyDelete
  25. please post paces cases in edinburgh 2011 , western general!?

    ReplyDelete
  26. I GOT APKD IN ABDOMEN WITH FISTULA LEFT HAND
    AVR IN CVS
    PLEURAL EFFUSION?OLD CACHECTIC MAN PALE IN RESP.
    SPASTIC PARAPARESIS IN CNS (LEG EXAMINATION)
    STATION 5 A) PXM.MYOPATHY SECONDARY TO OSTEOMALACIA B)CHOREOATHETOSIS SECONDARY TO BASAL STROKE FOUR MONTHS BEFORE
    COMUNICATION SKILL: YOUND TYPE I DM ON INSULIN WITH NEEDLE PHOBIA ...RELUCTANT TO TAKE INSULIN
    HISTORY: POLYENDOCRINE FAILURE ...TYPE ON DM WITH HYPOTHYROIDIM AND ADDISONS DISEASE ..
    WHO ???? CAN PASS WITH SUCH KIND OF DIFFICULT CASE ...DEFINATELY NEARLY NO ONE,,,,BEST OF LUCK AGAINST FAILING HABITS OF MRCP ORGANISERS

    ReplyDelete
  27. Anyone has experience taking exam at Victoria infirmary glasgow?

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  28. anyone been to the edinburgh course for paces? what cases were seen? what cases have people had at western general edinburgh?

    ReplyDelete
  29. Respi - Pulm fibrosis with marked clubbing
    Abdo - multiple scars!! Transplanted kidney, tiny AV fistula hidden underneath lots of tattoos!!
    CVS - AF in a cachextic lady, no murmurs
    Neuro - ???? UL exams... marked scoliosis, wheelchair bound; asymetrical muscle wasting; power normal, areflexia, sensory loss sparing dorsal column
    Hx - chronic diarrhoea in young patient
    Comm - Poorly controlled DM
    Station 5 - 1, thyroid; 2; gouty/OA/DVT

    ReplyDelete
  30. has anybody done paces in Bolton recently??

    ReplyDelete
  31. Edinburgh
    abd- enlarged liver (cystic),f/h polycystic kidney disease
    resp- pul fibrosis- diffuse crackles
    cvs- AVR - metallic
    neuro-exam upperlib and gait-parkinsonism
    h/0- fatigue and anemia in 45/f
    comm- HTN management
    st-5-1- diabetic retinopathy in one eye other blind
    st-5-2-acromegaly treated now hypoputitarism, forget to take radiation history

    ReplyDelete
  32. Anyone Sat paces at Cardiff university hospital,? Please help me . Thank you

    ReplyDelete
  33. Anyone took paces at aberdeen infirmary hospital ?, let me know of the cases plz

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  34. anyone did exam in Barnsley recently...please let me know your experience..

    ReplyDelete
    Replies
    1. did you do your exam in barnsley? do let me know your experience

      Delete
  35. It's really great site n stimulus for those who r preparing for PACES. I m one of candidate for PACES. please guide me, it's worth to do any courses for PACES.
    Which course in uk Is woth.
    Keep it up

    ReplyDelete
    Replies
    1. pass paces/pass test/st georges

      Delete
  36. any taken exam at Aberdeen, please post your valuable experience and cases

    ReplyDelete
  37. dr rabbani (riponk55@yahoo.com)16 October 2012 at 07:51

    anyone taking in University hospital, Llandough, cardiff in november 2012?

    ReplyDelete
  38. anyone sat the exam in northern general hospital,sheffield,please post your experience

    ReplyDelete
    Replies
    1. Hey, I am doing mine there in a couple of weeks, what cases did you get??

      Delete
    2. What cases did you get in northern general hospital? Thank you

      Delete
  39. anyone done the paces in edinburgh ?

    ReplyDelete
  40. Hi has anyone done exams at Western General edinburgh this year? any tips

    ReplyDelete
  41. hi everyone done paces at western general earlier this month and thankfully passed.
    cases:
    CVS: AS

    RESP: lobectomy likely secondary due to malignancy ( no other signs of chronic disease)
    note also small central likely mediastinascopy scar.

    ABDO: ?ibd middled aged man not evidence of malmutirition not thin, positive findings midline laparotomy scar and PEG tube.

    NEURO: ? bells palsy. left sided LMN facial weakness and left sided numbess ?left ptosis

    h/x:known IDDM new issues (1) unaware of hypos (2) new diarrhea i said it was autonomic neuropathy but she was concerned it was cancer.

    communication: discussion with daughter of patient re discharge management and prognosis as mother has had a stroke. main discussion around confusion and ? able to have capacity to go home.

    station 5:
    (1) question stem: lady admitted to A&E after a simple fall and now had visual problems u are asked to review.
    on h/x taking found to have graves disease causing opthaloplegia.

    (2) question stem: diabetic man with visual problems:
    examination showed right homonymous hemianopia and i just wasnt able to visualize the retina on fundoscopy.

    good luck people feel free to ask further questions on here.

    ReplyDelete
    Replies
    1. Rt homonymous hemianopia in station 5?Couldn't it be a Rt monoocular blindness itself with a retinopathy or cataract?I was told Station 5 doesn't test your neuro,abd or resp skills :)

      Delete
    2. Then you have been told incorrectly

      Delete
  42. HI anyone did cases in royal bolton, manchester recently?

    ReplyDelete
  43. Rt homonymous hemianopia in station 5?Couldn't it be a Rt monoocular blindness itself with a retinopathy or cataract?I was told Station 5 doesn't test your neuro,abd or resp skills :)

    ReplyDelete
    Replies
    1. i just described what i found on examination i know it definitely wasnt a cataract and definitely half of each field missing both eyes. its up to you to believe or not i said what i saw and passed thankfully the station so cant have been that far off. i thought u could get any eye stuff for station 5.

      Delete
  44. Hi,anyone sat the exam in northern general hospital,sheffield,please post your experience.

    ReplyDelete
  45. i took paces in 26march2013 at bradford royal infirmary
    st4: stroke with left sided hemiparesis with bed sore and mrsa identified in swab. talk to his daughter (7)
    st5: 1, iatrogenic cushing (27)
    2, retinitis pigmentosa (lawrence moon bbs)(28)
    st1: abd: rt inguinal area scar (dd lymphoma, tb, chrons...(7)
    resp: clubbing, 70 male, rt pneumonectomy ( bronchiectasis, nsclc...)(18)
    st2: drencing nt sweat,fever,diarrhoea, 25 female,visit to kenya( tb,malaria, hiv, lymphoma, giardia) (20)
    st3: neuro: 70 male, difficulty walking, task:examine lower and also upper limbs!!!! i sucked ( weakness 4/5, hypertonia, knee exagg, ankle absent, planter extensor, pain intact, vibration lost upto groin, rt sided coordination disturbance. i sucked!!!!cannot see gait and upper limb ( said scd, syringomyelia, b12 def, friedrichs) (7)
    cardio: avr (19)

    to my utter surprise i passed!!! (133)
    riponk55@yahoo.com

    ReplyDelete
  46. plz anyone can tell about cases in aberdeen royal infirmary. ill be highly thankful for the help.

    ReplyDelete
    Replies
    1. when was your exam?

      Delete
    2. i have it in june. havent given yet. do u have any idea of cases there

      Delete
  47. anyone knows cases in aberdeen royal infirmary

    ReplyDelete
  48. I wonder if the whole preparation of the exam is worth it...see www.mrcpexam.com

    ReplyDelete
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    ReplyDelete
  50. has anyone appeared paces in bedford, glasgow royal or walsall manor, please suggest the cases

    ReplyDelete
  51. Hi every one I had my exam in Dundee I got in hx acute pancreatitis mvr ms lobecomy liver transplant RA an retinitis pigmentosa in station 5

    ReplyDelete
  52. l got lobectomy in resp
    splenomegaly in abd(brucellosis)
    avr in cardiology
    peripheral neurophathy in cns
    ca lung with back pain in history
    renal cell carcinoma+dcm (break bad news and want to travel in communication
    in 5 pilot with attack of anaphlaxis
    rt arthritis with gritty eyes

    ReplyDelete
  53. I had it in Edinburgh CSEC ..
    Abd. epigastric mass for differential..
    Chest. Bronchiectasis.? Pul. fibrosis?
    Cns . spastic paraparesis
    cvs AS
    HX.. Lithium toxicity ( speak to daughter whose father admitted confused with tremor)
    Comm. Patient with dessiminated bowel cancer, his sister asking for injection to let him die in peace ..

    ReplyDelete
  54. Hi

    Does anyone know of any PACES cases at Walsall Manor Hospital?

    Thank you in advance

    ReplyDelete
    Replies
    1. Hello
      What cases did you have at walsall manor hospital ?
      Thank you

      Delete
  55. did anybody do paces at isle of wight?could you advise

    ReplyDelete
  56. does anybody have any idea about bournmouth or isle of wight or south hospitals?please help

    ReplyDelete
  57. collection of few cases from friends
    abdo-
    Splenomegaly secy to multiple myeloma. questions relating to lymphoproliferative and myeloproliferative disorders.
    transplant with thoracotomy- how do you correlate both ??
    CLD secy to alcohol excess
    cld secy to haemochromatosis
    normal abdomen ?? but not sure
    morbidly obese patient with multiple scars. nil palpable ?? was very difficult to palpate
    adult polycystic kidney disease
    nodular hepatomegaly with jaundice
    splenomegaly with palpebral congestion ?polycythemia


    respiratory-
    ILD
    lung transplant ? only finding clamshell incision with few scars
    dullness right lung base
    cystic fibrosis
    thoracotomies ,, both left and right

    cvs

    AS with AR and MR, dominant AR, Rheumatic heart disease
    unusual sternotomy incision till umbilicus, avr with pansystolic murmur
    MVP - very difficult found out in results
    MVR in failure
    AS
    ASD with tricuspid atresia with multiple scars- could not identify but given full marks for mentioning findings and few differentials

    CNS-
    conus medullaris
    cervical myelopathy
    benign essential tremors
    huntington chorea
    parkinsonism with left sided cva
    6th cranial nerve palsy
    3rd nerve palsy
    cerebellar syndrome
    hemiplegia
    facioscapulo humeral dystrophy
    polio with deformed left leg

    station 5
    af , red herring - hx of Multiple sclerosis
    preop assessment of a knee replacement. px on etanercept
    hypothyroid wit graves eye signs and thyroidectomy
    arthritis ? inflammatory/ enteropathic/reactive
    arthritis ? mixed psoriasis and rheumatoid
    IBD with diarrhoea
    lymphoedema
    bronchiectasis ?ca lung/ILD
    osas - do not forget to examine adenoids and tonsils / atleast mention
    tkr with haematemesis , on warfarin , inr 2.1
    dysphagia with cervical lymphadenopathy
    mallory weiss tear
    headache in a young patient with known hx of migraine and fhx of intracranial tumour




    ReplyDelete
    Replies
    1. Hi
      Many thanks to the kind Anon who has provided such pointers.

      Just to clarify, if you happen to know the answers:

      1)Splenomegaly secondary to myeloma - Was the diagnosis apparent on questioning or were there clinical pointers?

      2) transplant with thoracotomy - What sort of transplant was it?

      3) ASD with tricuspid atresia with multiple scars - What were the findings?

      4)arthritis ? mixed psoriasis and rheumatoid - Is mixed psoriatic arthropathy and rheumatoid arthritis a viable entity?

      Delete
    2. hi,

      1. diagnosis was not apparent at all. only answering the questions could lead you to the cause. probly they were not worried about the cause. differentials was imp
      2. sorry, i should have mentioned , renal transplant with thoracotomy scar. ? dun know how to correlate.
      3.patient had a pacemaker, pansystolic murmur, and thoracotomy scar with multiple small scars. ? just mentioned as congenital heart disease repair..
      4. I am not sure, it was difficult to explain distal phalangeal joints along with proximal involvement. may be rheumatoid like psoriatic arthritis.

      few were from friends..sorry, cant explain exactly.

      Delete
  58. Has anyone just had their exam at Glasgow royal infirmary? What cases did you get?

    Many thanks

    ReplyDelete
  59. Isle of Wight oct 2013 abdo-haemachromatosis chest scleroderma and ild, cvs mitral regurgitation neuro???? Maybe peripheral neuropathy st 5 svt and parkinsons hx-asthma comms- possible liver mets on ultrasound

    ReplyDelete
  60. Had my exams in Aberdeen royal infirmary in july

    st 1 abdo: chr liver disease. Respi: copd

    st 2 hx: pt had rt arm weakness 3 wk not improving and some visual impairment. Concern could be brain tumour

    st 3 cns: marfan with avr. Cns: myotonic dystrophy

    st 4 comm: speak to pt brother. Pt has advance gastric ca underwent chemo now came in gi bleed. Ogds showed ulcer. Pt transfused and stable. Brother doesn't want any further intervention if pt deteriorate but pt wants active resuscitation

    st 5: osa and gerds presenting as nocturnal cough

    ReplyDelete
  61. Hi,

    I had my paces in Glasgow royal infirmary. Got-
    Resp- pulmonary fibrosis in pt with systemic sclerosis
    Abdo- chronic liver disease and hepatomegaly
    History- abdo pain and vomiting following paracetamol overdose
    Cardio- aortic stenosis
    Neuro- think cavernous sinus pathology
    Comm- breaking bad news possible metastatic liver ca in young patient
    Station 5- graves and diabetic retinopathy

    ReplyDelete
  62. Thanks very useful site for PACES preparation.I need a PACES study partner in UK.
    Any one giving exam in 2014?, Please email me on ukdoc123@yahoo.com.

    ReplyDelete
  63. has anyone had their exam in glasgow royal infirmary hospital ? could you please share your experience ?

    ReplyDelete
  64. Any one had exam in Ayr???

    ReplyDelete
  65. abdomen: early cml
    respiratory : urti
    cv: aortic stenosis
    cns: cerebellar ataxia
    history: palpitation
    comminication :hodgkin bad news

    ReplyDelete
  66. Hi , thanks for your efforts , I have PACES inCastle Hill Hospital
    Please if anyone has experience paces in the same hospital before and hi recommendation ,,, I see the courses are too expenses for my condition , is there cheaper useful courses in London?

    ReplyDelete
    Replies
    1. hi , how was your exam in Castle Hill, mine is next week.
      thanks.

      Delete
  67. any idea about raigmore hospital,inverness

    ReplyDelete
  68. Has anyone had their PACES in Sheffield - Northern general hospital? If so what cases did you get?

    ReplyDelete
    Replies
    1. Hey I am doing mine in a couple off weeks at this hospital, what cases did you get??
      Thanks

      Delete
    2. Had it in March 2014 in Sheffield
      Hx: lady with diarrhoea for 3/12, known IBS with oral ulcers.
      Coms: discuss peg/ ng feeding in pt with advanced dementia and confusion
      Cvs: mAVR
      Resp: copd
      Abdo: stoma bag & midline laparotomy scar
      Neuro: peri feral neuropathy
      St 5: vision loss in Dm
      St 5: cramps and tiredness after thyroidectomy

      Delete
    3. Had it in March 2014. St 5 - DVT and congenital hydrocephalus pt with headache (fundoscopy). Abdo - PKD, Resp - Bronchiectasis, CVS valve replacement, Neuro - cranial nerve exam - complex ophthalmoplegia, History D&V in a diabetic patient, Comm skills apologising for a mistake.

      Delete
  69. Did anyone have his exam in perth royal infirmary Scotland what were the cases
    Many thanks

    ReplyDelete
  70. I am doing my at the Royal Alexandra in Paisley, anyone else had theirs there yet?

    ReplyDelete
  71. Hi. I appeared in PACES on 6th march 2014. Western general hospital edinburgh.
    Had the following cases.
    Station 5.. thyroid and retinitis pigmintosa
    AS
    Cerebellar syndrome
    Lobectomy
    Hepatospleenomegaly
    Hx of bloody diarrhea and deranged LFTs
    Communication skills. . 40 year old diagnosed with HIV and TB. Husband z a driver and travels alot. Tell her the diagnosis and discuss management.

    Goodluck

    ReplyDelete
  72. Exam on 14th March in Glasgow-Golden jubilee Hospital

    Cardio-Dextrocardia with mitral valve repair
    Resp-left thoracotomy -probably lobectomy
    Abdo-splenomegaly with anaemia-asked about myelofibrosis-investigation and management
    CNS-Left Horners with small muscle wasting
    station 5- acromegaly with headache-no visual field defect-asked about management and investigation
    Psoaritis arthritis asked about diff diagnosis
    History-joint pain, fatigue and depression-Diff diagnosis
    Communication skills- breaking bad news- speaking with husband about wife investigated for seizures-CT astrocytoma-for palliative treatment



    ReplyDelete
    Replies
    1. I have my exam at Harrogate District Hospital next week. If anyone has any experience of this hospital I'd really appreciate your advice.

      Delete
  73. Anyone who had their exams in north tees university hospital , please?
    Thank you very much in advance!

    ReplyDelete
    Replies
    1. Hi, I've got my exam there in June. What were your cases? Be great if you could give me some advice/help! Thank you!

      Delete
  74. Did anyone have their exams in South tees or in James Cook Hospital in Middlesbrough ? Thank you

    ReplyDelete
    Replies
    1. This comment has been removed by the author.

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  75. Hello. Did anyone have their exam in Macmillan Centre in Luton? What sort of cases were there? And how were the examiners? I'd really appreciate any pointers and info.
    Thanks a lot in advance!

    ReplyDelete
  76. Has anyone sat paces at the queen elizabeth hospital in gateshead, Newcastle? What cases did you get? Were the examiners nice? Thanks.

    ReplyDelete
  77. has anyone sat paces in Aberdeen mine exam is in Aberdeen on 15th july.please share ur experience and cases in aberdeen

    ReplyDelete
  78. hi! is there anyone had PACES in st george's hospital London? how are the cases?

    ReplyDelete
  79. Hi there. I had it in st George's in London where I got renal transplant and PKD, fibrosis, AS, peripheral neuropathy, SLE in hx, meningitis on comms skills: had to discuss with his wife, st5: trigeminal neuralgia and headache in a pregnant lady,

    ReplyDelete
    Replies
    1. thank you very much. I have mine in July.

      Delete
  80. Hi anyone given exam in Walsall Manor hospital can you please share your experiance and cases. Please also tell about sta5,History,communication skills and clinical cases. I will be very grateful. Thanks in advance.

    ReplyDelete
  81. Hi everyone! Has anyone sat PACES in Peterborough? It will be my third attempt. Would appreciate any information. Thank you in advance.

    ReplyDelete
  82. Hi.

    Does anybody know of any PACES cases at the Royal Bournemouth Hospital?

    Many thanks

    ReplyDelete
  83. Hi ,
    I did it in wishaw in March 14.cases are bilateral renal transplants,COPD,bitemporal heminopia,MR,history-post partum thyroiditis,comms-explaining abt MRSA to relative,stat 5- OSA and horner syndrome!! i didnt make it. I am appearing in Peterborough again.anyone has sat exam in perterborough before?

    ReplyDelete
    Replies
    1. Hi! Also doing it in Peterborough. When is your date?

      Delete
    2. june 28.how abt u?

      Delete
  84. June 29th :) Could you please email me on lovsik@gmail.com?

    Thank you

    ReplyDelete
    Replies
    1. No worries.I will email u.Best of Luck:)

      Delete
    2. Same to you. Looking forward to hear from you.

      Delete
  85. Has anyone done their paces in Barnsley. Do let me know your experience

    ReplyDelete
    Replies
    1. hi i am doing my exam in barnsley in two weeks time.
      when are you doing yours ?

      Delete
    2. I am doing around same time

      Delete
    3. Do you know anyone else who is taking it in early next week?

      Delete
    4. No. Sorry. Good luck with your exam!!!

      Delete
    5. How did it go?

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  86. Hi,
    Any one done his/her exam in Perth? Please.
    M.E.

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  87. Did anyone have their exams in South tees or in James Cook Hospital in Middlesbrough or in North Tees?thank you and good luck!

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  88. anyone having exam in aberdeen royal infirmary hospital june or july 2014 .please share ur experience n cases..or email me at drg_kaur@yahoo.co.in

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  89. 23/6/14 Western General Hospital

    Cardio - metallic heart valve replacement but with very odd scars - no midline stenotomy and two horizontal scars on the RHS of chest

    Neuro - lower limb exam in pt with peripheral neuropathy secondary to diabetes; there may have been an underlying cause of the DM which I couldn't work out given power and tone normal but absent reflexes + reduced sensation in all modalities in glove and stocking distribution

    Abdo - a LIF renal transplant with numerous scars including likely parathyroidectomy, likely parathyroid tissue implanted L forearm, RIF scar, LIF scar (transplant was underneath but was very difficult to palpate); one of the other candidates reported a tunnelled line in situ in RHS of chest

    Resp - bronchiectasis, no clubbing, predominantly LLL and L axilla; pt told me to avoid the tunnelled on the RHS of his chest (!); when asked about this by the examiners I suggested it was for easy access for IV abx which they appeared to accept

    Long 1 - absolute nightmare!
    Long standing T1DM with numerous operations to R eye eventually resulting in its removal; pt referred with 'blurred vision' L eye
    Very difficult history - numerous medical problems including CABG, coeliac, didn't know medications, wasn't on anti HTN or statins, and the chap himself was quite rambling and unfocussed
    Eventually had a look in his eye which showed scarring from photocoagulation ('Oh yeah, I've had that done on my good eye') but difficult to make out any other abnormalities in the limited time available
    This case proved a nightmare for me as I'm not great at ophthalmoscopy and the pt was very difficult to remain focussed

    Long 2 - wasn't much better
    After the first case where there was too much hx came the 2nd where there was too little
    This lady had collapse ?cause with no pre/post symptoms, no recent medications and denied all pmhx inc fhx. dhx, allergy hx, et al
    An examination didn't seem entirely indicated by auscultating her heart revealed an incredibly faint murmur over the L sternal edge
    One of the other candidates suggested HOCM but the examiners seemed to focus on epilepsy with their questions, despite the near instantaneous recovery of the pt and total lack of any previous occurrence or precipitant factors

    Comm - explain the diagnosis of coeliac disease including potential long term complications

    History - another tricky one
    Pt with hx of anxiety presenting with episode of chest tightness (likely related to anxiety), glycosuria (with no symptoms of DM), recurrent episodes of anxiety which could occur at night or without precipitant, she also had labile BP
    This was tricky as there were three presenting complaints
    The diagnosis I eventually went for was MEN 2a with a differential of hyperthyroidism and actual panic attacks, but a lot of the candidates agreed that this was a tricky case to get to the bottom of in the time available especially if you mentioned the possibility of malignancy!

    Prior to attending Western General I'd heard good things about PACES there - nice examiners, good cases, lots of renal transplants, spot diagnoses in station 5 with straight forward histories and examinations (RA, acromegaly, thyroid lump)
    What I got appeared to be the selection from hell, with the exception of the DM neuropathy but even that has a big question mark of there being a causative syndrome you were expected to pick up on...
    The lest said about the DM eye the better

    Good luck to anyone taking their exam there! I find out whether I've passed in July, ahead of my CT2 ARCP meeting... Failure would mean another six months somewhere I wish to leave.

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    1. I think the history case goes with Pheochromocytoma as a unifying diagnosis ...

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    2. Did you pass your exam?

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  90. 1. Renal xplant. Pneumothorax
    2. Lung ca hx
    3. Icd macroglossia Jewish. Fried rich ataxia
    4. Extensive gi ca. Delayed dx
    5. Neurofibromas postural hypotension. Charcot joint, DM

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  91. Hi anyone appearing in james cook uni hosptl Middlesborough? My exam is on 19 august? Can some1 plz share their experience?
    Thanx

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  92. hi my exam is on 20th Aug at james cook hospital, can someone pls chare their experience?

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  93. hi
    Does anyone has experiences of doing exam at AYR hospital mine is on october 5th 2014.

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    Replies
    1. Send me ur e mail. Mine is also on 5th.

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  94. Any one had it in Nottingham Trust Hospitals?

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  95. Hello, has anyone given their exams in Manor Walsall Hospital ? Thank you very much

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    1. station 2 anxiety pt found to have glycosura
      cvs mid line thiracotomy scar in could not hear prosthetic sound ,
      cns bilateral foot drop with pyramidal sign
      st 4 lung cancer breaking bad news
      st 5 neurofibromatosis pt with heart failiue and AF
      scleroderma with lung fibrosis
      resp-fibosing alveolitis(IPF)
      abd-bi multiple scar -lateral renal transplation

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    2. Thank you very much for your help

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  96. Has anyone sat PACES in Ninewells Hospital, Dundee? Any help is appreciated.

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  97. Has anyone took PACES from PERTH ROYAL INFIRMARY.Kindly let know types of cases.Regards

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  98. Does anyone know of any PACES cases at Walsall Manor Hospital or Russell Hall Hospital? Thank you

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  99. Any for western general hospital ?

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  100. Anyone doing it at Heavitree Hospital, exeter?

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  101. anyone got paces in rotherham?

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  102. Anyone ever taken part in PACES in Ayr?

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  103. Replies
    1. Assalamoalaikum. When is yours?

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    2. 4th oct. Please e mail me if u know about any prev experience. My e mail is alihameed@me.com

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    3. Mine is 5th October. Let's us know how you get on

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    4. Assalamoalaikum. How was your exam. And what stations did u get. Your help would be appreciated. Thanks

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  104. UNIVERSITY HOSPITAL COVENTRY experience , please?

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  105. Any one in Nottingham City Hospital Campus?

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  106. anyone in oakwell centre? dewsbury

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  107. You are people are sharing your experiences which is good but please guide us about your preparation.
    How much time we need for preparing for this exam and what books should we read?
    Also I want to know that whether joining an academy for 5 day course will help?

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  108. please can we share experience of exam in UK , my exam will be in Liverpol in October , my email alnoby90@gmail.com

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  109. Hi

    Does anyone know of any PACES cases at Walsall Manor Hospital?

    Thank you in advance

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  110. Hi anyone taking exam on 1st nov in Countess of Chester Hospital? Or has anyone did exams there? How was the selection of cases anf the examiner? Please feedback. Tq

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  111. Any one taking the exam in Coventry?

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  112. Does anyone know of any PACES cases at Walsall Manor Hospital or Russell Hall Hospital? Thank you

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  113. Exam in Dundee

    Station 1: Renal transplant in PKD (With neprectomy), Pulmonary fibrosis
    Station 2: Obstructive sleep apnea and Diabetes mellitus (PC: Tiredness, nocturia)
    Station 3: Sensory motor neuropathy, MVR + Implanted device
    Station 4: Breaking bad news; Dx of MS, Abnormal MRI
    Station 5: Goitre, SOB in Ank Spond

    Good luck

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  114. Any one had their exams in Nottingham?

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  115. Anyone taking exam in Glasgow royal infirmary? Mine is on 25th March.

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  116. Any one had the exam in raigmore hospital , Inverness ?

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  117. Hello,
    Any one knows previous paces exam cases in walsall manor hospital? Mine on29/march

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  118. People in here
    Any one intrested in studying station 2and 4 on Skype ?

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  119. Did mine in Harrogate last may or so:
    Resp: I think it was well treated asthma. I couldn't find any signs. He was a young chap and looked healthy.
    Abdo: Decompensated ALD

    Neuro: Fredrich's ataxia
    CVS: Metallic valve

    Station 5a - scleroderma
    Station 5b - Pyoderma gangrenosum (the non-healing ulcer)

    Hx- Weight loss/lethargy in a stressed out teacher with menorrhagia and a family hx of colon ca

    Comm station: Getting a man to be compliant with his meds.

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  120. :My expereince with PACEs : Raigmor Hospital , Inverness

    Resp : Pneumonectomy (20/20)
    Abdomen : APD with transplanted kidney (20/20)
    Hx: 70 male with weight loss, SOB , dysphagia , neck discomfort (Dx was Mysthenia Gravis and thymoma, I went total wrong as I was concerned about weight loss and dushagia and was thinking to rule out esophageal cancer ) (6/20 )

    Cardio : AR , I though I done well but was gicen (8/20) ??? Still dunno

    Neuro : Peripheral neuropathy , appearantly Alcohol , I insisted that this is diabetes and gave good differnetialsbut missed mentioning Alcohol ( 10/20)

    Station 4 : patient allergic to penicillin , given amoxicillin and had some reaction , daughter unhappy , talked about: incedence repoerting, complaint procedure , she was happy at the end .Examiners were very happy as I expanded to speak about Francis report, duy of candour and other NHS issues which ar ehot topics in newpapers ( they were impressed ) 16/16

    Station 5 : first case : 60 years old lady rferred with jaundice, history of hypothyroid . examination: palmar erythem and spider naevi and jaundice , examiner did not want me to examine abdomen . asked about DDX and antibodies in PBC and autoimmune hepatitis . (28/28)

    second case : 27 years old chap with Hx of arnold chiari malformation , operated on previously, receuurent admission for raised intracranial pressure , admitted with headache and blurred vision after running . they wanted me to do opthalmoscopy , right eye dilated pupil and looks like optic atrophy , discussion wnet around DDX and role of neurosurgeons , i said VP shunting , they were happy . ( 24/28 )

    Passed first attempt , I still cant beleive it .

    Advice for all : look confident , smile to people , dress well , put nice perfume , some show bussiness will be pretty much liked by examiners !

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  121. Any one had exam in Russel hall Dudley ?

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  122. Edinburgh (Western General Hospital: CSAC) - Yesterday 6/3/15
    There are 2 cycles going on each time so some people had different cases.

    Stn 1 - Abdo: Hepatomegaly and scars. Didn't know relation of scar to hepatomegaly.
    Stn 1 Resp : ILD due to ankylosing spondylitis

    Stn 2: IBD - patient concerned with possibility of ca

    Stn 3 cardio: MR and CABG

    Stn 3 Neuro: Myotonic dystrophy

    Stn 4: Medication compliance (Examiner was a real dick)

    Stn 5: a: Retinitis Pigmentosa
    Stn 5 b: Systemic sclerosis and SOB

    Absolute disaster.
    Examiners apart from stn 4 were decent and helpful
    Felt like putting a complaint in about him

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  123. Exam 17/02/15 Victoria Infirmary, Glasgow

    Station 4 (ethics) - patient admitted in fast AF, started on beta blocker and warfarin and INR therapeutic and planned for discharge but the day before someone had noticed his blood pressure was raised and a doctor had started him on Amlodipine and the following day he was noted to be in sinus brady and was on telemetry - asked to explain the medication error to the patient. Asked questions re medication error and clinical governance.

    Station 5 - first one was a lady with psoriatic arthritis on MTX injections weekly presenting with 3/52 history of productive cough and low grade pyrexia. On examination she had nail changes, plaques on her ears and scalp (which I missed) and auscultation of chest revealed Rt basal creps. Advised the patient that I was going to treat her as neut sepsis until blood results available. They asked about differentials for upper lobe changes - eventually got TB
    2 - elderly lady admitted after a minor RTA - couldn't remember the event but was orientated in T/P/P at the time. Didn't notice at the time that she had acromegaly. Examined brief near going along the lines of first seizure. No witnesses available. Advised her not to drive home and inform the DVLA. Feedback said the case was Amnesia! She also apparently had an ESM.

    Resp - Rt lung transplant, tracheostomy scar, deviated trachea.

    Abd - ALD, hepatomegaly, gynaecomastia

    Neuro - Ischaemic contractures Lt hand. I didn't get that as a differential but on examination the patient had PD, mechanical valve and ulnar claw hand. Managed to get 20/20 for this station

    Cardio - MS and previous valve replacement (tissue apparently). Lead examiner gave me full marks but the second examiner said I didn't pick up the obvious diastolic murmur. Asked questions regarding CHADSVASC2 for AF. Explained that for valvular AF, warfarin is the only licensed anticoagulant

    History - restless legs syndrome. Middle aged lady with a background of T2DM on dialysis and EPO injections. Presented with abnormal movements of the legs mainly at night affecting her sleep. Worried about it being epilepsy. I assured the patient that it was unlikely to be epilepsy and more likely restless legs which is a clinical diagnosis but would like to do a PNS examination of her lower limbs checking for polyneuropathy secondary to diabetes. Got the management wrong - said quinine (which is for night cramps) instead of pramipixole. Another candidate told me that EPO can cause seizures but I didn't mention it and still managed to get 18/20

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    Replies
    1. Psoriatic arthritis on MTX injections weekly ?? I gues this i Anti TNF likely Humera(rituximab) giving the reactivation of TB

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  124. Has anyone done their exam in North Tees Hospital?

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    1. I am due to sit in June. Any advice?

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  125. Any ony done in exam in Walsall manor hospital

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  126. mrcp candidate9 March 2015 at 05:33

    Really appreciate all the feedback candidates r uploading here. Really helps us in channelling our study.

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  127. Chances of passing PACES will increase if :
    1- you are in big teaching hospital , rather than DGH ( big teaching hospital= t cycles in one time )
    2- You take the exam later on the day , e.g afternoon , when the examinares had already failed morning batch and now decided to relax and pass people
    3-If you are nice looking lady with short skirt !

    just an opnion !

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  128. 14th March Russel Hall
    CVS metallic mitral valve with ?AS

    Neuro Myasthenia Gravis

    Resp chap ascited raised JVP ? Cor pulmonale

    Abd colostomy IBD

    Comm- delayed diagnosis of phaeochromocytoma ?gp negligient

    History tremor,slow movements Parkinson

    St 5 Acromegaly -sweating,headache,Thyroid
    eye dis diplopia

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  129. I need study partner who is going to take PACES on June 2015 in uk

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    Replies
    1. i am with you
      nadergenedy1@gmail.com

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    2. Did u apply for 2015 diet??

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    3. I am too
      dr_mohamedelsayed@yahoo.com

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    4. This comment has been removed by the author.

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  130. Any experiences from St George's Hosp, London ? Thanks !

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    Replies
    1. when are you having your exam?

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  131. Has anyone just had their exam south end university hospital

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  132. Does anyone know what the Colchester General Hospital cases are like? Thank you!

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  133. Has anyone had their exams in North Cambridgeshire hospital? Thank you

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    1. hello, I will have mine in diet 2. Can we talk about this?

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  134. Anyone sat paces in university of north tees? Be grateful for any advice/previous stations!

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  135. Has anyone just had their exam south end university hospital - or feb please reply
    Thank you

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  136. Hi, i am sitting for Paces in June at Golden Jubilee Hospital in Glasgow
    Any reviews about the examiners and passing percentage?
    Any one sitting in JUNE >?

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  137. Hello, did any have their exams in Queen Elizabeth , King's Lynn Hospital ? Thank you

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  138. This comment has been removed by the author.

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  139. Anyone sat paces in south end university hospital
    please reply please.

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  140. is any one available to practice from june 7 to 25 in UK near Barnet?

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  141. Hi what are the cases in paces maadi cairo paces?thanks hope a reply

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  142. Hi
    MRCP PACES course around 40% discount !!! Hammersmith hospital in London offers a generous discount for PACES training course for a group of five. http://www.hammersmithmedicine.com/faqs.asp Any one interested.. send a private message to my email id: (m r a hman sheriff [at] gmail.com] (remove space and replace [at]) .. If we are lucky enough to for a group of five, we could get a discount price.

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  143. Anyone had/doing thier exam at Llandough, cardiff?

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  144. hi. anyone with experience of sitting for PACES in boston auckland, edinburgh?

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  145. hi. anyone with experience of sitting for PACES in boston auckland, edinburgh?

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