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.
I had the following in my exam last week:
ReplyDeletecvs: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
cvs:AR
ReplyDeleteabd: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
thank you for sharing your experience.
ReplyDeletegood luck.
cvs:mvr hair was covering z scar !
ReplyDeleteabd :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
abd: abdominal scar liver tranplantation?
Deletecvs: z scar in chest ?
in git it was hepatosplenomegaly in young boy who had arthritis,it was amyloidosis.
ReplyDeleteresp;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
station 5:
ReplyDeletePatient 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
station 5:
ReplyDeleteI 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
station 5:
ReplyDelete28-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.
had the exam couple of days ago in Perth:
ReplyDeleteabd: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
exam in Bolton:
ReplyDeleteRS: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
igot in my paces
ReplyDeletecvs-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
I got abd. hypercholestrolaemia AD .
ReplyDeleteCVS 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
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.
ReplyDeleteThanks you
reekprice@yahoo.com
Stn 1:chest- neurofibromatosis and yellow nail-bronchiectesis.ABd-hepatomegaly and ascites
ReplyDeleteStn 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
exam in london:
ReplyDeleteabd: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
Has anyone sat Paces at Luton Hospital?
ReplyDeleteI am going to sit for an exam this July. What cases did you get?
DeleteThis comment has been removed by a blog administrator.
ReplyDeleteexam in edinburgh
ReplyDeleteresp. 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???
i think it should be hocm with defibrilator than vsd.
ReplyDeletei 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.
ReplyDeleteany body taking exam in cardif in june july 2011 . GWENT HOSPITAL
ReplyDeleteany one did exam in royal hallapshire sheffield?
ReplyDeleteexam in 4 days, please help! thanks loads
great blog..think the operator should find a way to expand this space + link to facebook.
ReplyDeletetheres 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 :)
did my exams in sheffield-royal hallamshire june 2011..
ReplyDeletecardio-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.!
please post paces cases in edinburgh 2011 , western general!?
ReplyDeleteI GOT APKD IN ABDOMEN WITH FISTULA LEFT HAND
ReplyDeleteAVR 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
Anyone has experience taking exam at Victoria infirmary glasgow?
ReplyDeleteanyone been to the edinburgh course for paces? what cases were seen? what cases have people had at western general edinburgh?
ReplyDeleteRespi - Pulm fibrosis with marked clubbing
ReplyDeleteAbdo - 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
has anybody done paces in Bolton recently??
ReplyDeleteEdinburgh
ReplyDeleteabd- 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
Anyone Sat paces at Cardiff university hospital,? Please help me . Thank you
ReplyDeleteAnyone took paces at aberdeen infirmary hospital ?, let me know of the cases plz
ReplyDeleteanyone did exam in Barnsley recently...please let me know your experience..
ReplyDeletedid you do your exam in barnsley? do let me know your experience
DeleteIt'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.
ReplyDeleteWhich course in uk Is woth.
Keep it up
pass paces/pass test/st georges
Deleteany taken exam at Aberdeen, please post your valuable experience and cases
ReplyDeleteanyone taking in University hospital, Llandough, cardiff in november 2012?
ReplyDeleteanyone sat the exam in northern general hospital,sheffield,please post your experience
ReplyDeleteHey, I am doing mine there in a couple of weeks, what cases did you get??
DeleteWhat cases did you get in northern general hospital? Thank you
Deleteanyone done the paces in edinburgh ?
ReplyDeleteHi has anyone done exams at Western General edinburgh this year? any tips
ReplyDeletehi everyone done paces at western general earlier this month and thankfully passed.
ReplyDeletecases:
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.
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 :)
DeleteThen you have been told incorrectly
DeleteHI anyone did cases in royal bolton, manchester recently?
ReplyDeleteRt 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 :)
ReplyDeletei 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.
DeleteHi,anyone sat the exam in northern general hospital,sheffield,please post your experience.
ReplyDeletei took paces in 26march2013 at bradford royal infirmary
ReplyDeletest4: 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
plz anyone can tell about cases in aberdeen royal infirmary. ill be highly thankful for the help.
ReplyDeletewhen was your exam?
Deletei have it in june. havent given yet. do u have any idea of cases there
Deleteanyone knows cases in aberdeen royal infirmary
ReplyDeleteI wonder if the whole preparation of the exam is worth it...see www.mrcpexam.com
ReplyDeleteHello, i think that i saw you visited my site thus i came to “return the favor”.
ReplyDeleteI'm attempting to find things to improve my web site!I suppose its ok to use a few of your ideas!!
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has anyone appeared paces in bedford, glasgow royal or walsall manor, please suggest the cases
ReplyDeleteHi 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
ReplyDeletel got lobectomy in resp
ReplyDeletesplenomegaly 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
I had it in Edinburgh CSEC ..
ReplyDeleteAbd. 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 ..
Hi
ReplyDeleteDoes anyone know of any PACES cases at Walsall Manor Hospital?
Thank you in advance
Hello
DeleteWhat cases did you have at walsall manor hospital ?
Thank you
did anybody do paces at isle of wight?could you advise
ReplyDeletedoes anybody have any idea about bournmouth or isle of wight or south hospitals?please help
ReplyDeletecollection of few cases from friends
ReplyDeleteabdo-
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
Hi
DeleteMany 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?
hi,
Delete1. 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.
Has anyone just had their exam at Glasgow royal infirmary? What cases did you get?
ReplyDeleteMany thanks
osas
ReplyDeleteIsle 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
ReplyDeleteHad my exams in Aberdeen royal infirmary in july
ReplyDeletest 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
Hi,
ReplyDeleteI 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
thank you very much
DeleteThanks very useful site for PACES preparation.I need a PACES study partner in UK.
ReplyDeleteAny one giving exam in 2014?, Please email me on ukdoc123@yahoo.com.
has anyone had their exam in glasgow royal infirmary hospital ? could you please share your experience ?
ReplyDeleteAny one had exam in Ayr???
ReplyDeleteabdomen: early cml
ReplyDeleterespiratory : urti
cv: aortic stenosis
cns: cerebellar ataxia
history: palpitation
comminication :hodgkin bad news
Hi , thanks for your efforts , I have PACES inCastle Hill Hospital
ReplyDeletePlease 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?
hi , how was your exam in Castle Hill, mine is next week.
Deletethanks.
any idea about raigmore hospital,inverness
ReplyDeleteHas anyone had their PACES in Sheffield - Northern general hospital? If so what cases did you get?
ReplyDeleteHey I am doing mine in a couple off weeks at this hospital, what cases did you get??
DeleteThanks
Had it in March 2014 in Sheffield
DeleteHx: 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
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.
DeleteDid anyone have his exam in perth royal infirmary Scotland what were the cases
ReplyDeleteMany thanks
I am doing my at the Royal Alexandra in Paisley, anyone else had theirs there yet?
ReplyDeleteHi. I appeared in PACES on 6th march 2014. Western general hospital edinburgh.
ReplyDeleteHad 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
Exam on 14th March in Glasgow-Golden jubilee Hospital
ReplyDeleteCardio-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
I have my exam at Harrogate District Hospital next week. If anyone has any experience of this hospital I'd really appreciate your advice.
DeleteAnyone who had their exams in north tees university hospital , please?
ReplyDeleteThank you very much in advance!
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!
DeleteDid anyone have their exams in South tees or in James Cook Hospital in Middlesbrough ? Thank you
ReplyDeleteThis comment has been removed by the author.
DeleteHello. 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.
ReplyDeleteThanks a lot in advance!
Has anyone sat paces at the queen elizabeth hospital in gateshead, Newcastle? What cases did you get? Were the examiners nice? Thanks.
ReplyDeletehas anyone sat paces in Aberdeen mine exam is in Aberdeen on 15th july.please share ur experience and cases in aberdeen
ReplyDeletehi! is there anyone had PACES in st george's hospital London? how are the cases?
ReplyDeleteHi 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,
ReplyDeletethank you very much. I have mine in July.
DeleteHi 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.
ReplyDeleteHi everyone! Has anyone sat PACES in Peterborough? It will be my third attempt. Would appreciate any information. Thank you in advance.
ReplyDeleteHi.
ReplyDeleteDoes anybody know of any PACES cases at the Royal Bournemouth Hospital?
Many thanks
Hi ,
ReplyDeleteI 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?
Hi! Also doing it in Peterborough. When is your date?
Deletejune 28.how abt u?
DeleteJune 29th :) Could you please email me on lovsik@gmail.com?
ReplyDeleteThank you
No worries.I will email u.Best of Luck:)
DeleteSame to you. Looking forward to hear from you.
DeleteHas anyone done their paces in Barnsley. Do let me know your experience
ReplyDeletehi i am doing my exam in barnsley in two weeks time.
Deletewhen are you doing yours ?
I am doing around same time
DeleteDo you know anyone else who is taking it in early next week?
DeleteNo. Sorry. Good luck with your exam!!!
DeleteHow did it go?
DeleteHi,
ReplyDeleteAny one done his/her exam in Perth? Please.
M.E.
Did anyone have their exams in South tees or in James Cook Hospital in Middlesbrough or in North Tees?thank you and good luck!
ReplyDeleteanyone 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
ReplyDelete23/6/14 Western General Hospital
ReplyDeleteCardio - 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.
I think the history case goes with Pheochromocytoma as a unifying diagnosis ...
DeleteDid you pass your exam?
Delete1. Renal xplant. Pneumothorax
ReplyDelete2. Lung ca hx
3. Icd macroglossia Jewish. Fried rich ataxia
4. Extensive gi ca. Delayed dx
5. Neurofibromas postural hypotension. Charcot joint, DM
Hi anyone appearing in james cook uni hosptl Middlesborough? My exam is on 19 august? Can some1 plz share their experience?
ReplyDeleteThanx
hi my exam is on 20th Aug at james cook hospital, can someone pls chare their experience?
ReplyDeletehi
ReplyDeleteDoes anyone has experiences of doing exam at AYR hospital mine is on october 5th 2014.
Send me ur e mail. Mine is also on 5th.
DeleteAny one had it in Nottingham Trust Hospitals?
ReplyDeleteI wil have it there?
DeleteHello, has anyone given their exams in Manor Walsall Hospital ? Thank you very much
ReplyDeletestation 2 anxiety pt found to have glycosura
Deletecvs 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
Thank you very much for your help
DeleteHas anyone sat PACES in Ninewells Hospital, Dundee? Any help is appreciated.
ReplyDeleteHas anyone took PACES from PERTH ROYAL INFIRMARY.Kindly let know types of cases.Regards
ReplyDeleteDoes anyone know of any PACES cases at Walsall Manor Hospital or Russell Hall Hospital? Thank you
ReplyDeleteAny for western general hospital ?
ReplyDeleteAnyone doing it at Heavitree Hospital, exeter?
ReplyDeleteanyone got paces in rotherham?
ReplyDeleteAnyone ever taken part in PACES in Ayr?
ReplyDeleteanyone taken exam in AYR?
ReplyDeleteAssalamoalaikum. When is yours?
Deletemine is start of october
Delete4th oct. Please e mail me if u know about any prev experience. My e mail is alihameed@me.com
DeleteMine is 5th October. Let's us know how you get on
DeleteAssalamoalaikum. How was your exam. And what stations did u get. Your help would be appreciated. Thanks
DeleteUNIVERSITY HOSPITAL COVENTRY experience , please?
ReplyDeleteAny one in Nottingham City Hospital Campus?
ReplyDeleteanyone in oakwell centre? dewsbury
ReplyDeleteYou are people are sharing your experiences which is good but please guide us about your preparation.
ReplyDeleteHow 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?
please can we share experience of exam in UK , my exam will be in Liverpol in October , my email alnoby90@gmail.com
ReplyDeleteHi
ReplyDeleteDoes anyone know of any PACES cases at Walsall Manor Hospital?
Thank you in advance
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
ReplyDeleteAny one taking the exam in Coventry?
ReplyDeleteDoes anyone know of any PACES cases at Walsall Manor Hospital or Russell Hall Hospital? Thank you
ReplyDeleteExam in Dundee
ReplyDeleteStation 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
Any one had their exams in Nottingham?
ReplyDeleteAnyone taking exam in Glasgow royal infirmary? Mine is on 25th March.
ReplyDeleteAny one had the exam in raigmore hospital , Inverness ?
ReplyDeleteHello,
ReplyDeleteAny one knows previous paces exam cases in walsall manor hospital? Mine on29/march
People in here
ReplyDeleteAny one intrested in studying station 2and 4 on Skype ?
Did mine in Harrogate last may or so:
ReplyDeleteResp: 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.
:My expereince with PACEs : Raigmor Hospital , Inverness
ReplyDeleteResp : 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 !
Any one had exam in Russel hall Dudley ?
ReplyDeleteEdinburgh (Western General Hospital: CSAC) - Yesterday 6/3/15
ReplyDeleteThere 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
Exam 17/02/15 Victoria Infirmary, Glasgow
ReplyDeleteStation 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
Psoriatic arthritis on MTX injections weekly ?? I gues this i Anti TNF likely Humera(rituximab) giving the reactivation of TB
DeleteHas anyone done their exam in North Tees Hospital?
ReplyDeleteI am due to sit in June. Any advice?
DeleteAny ony done in exam in Walsall manor hospital
ReplyDeleteReally appreciate all the feedback candidates r uploading here. Really helps us in channelling our study.
ReplyDeleteChances of passing PACES will increase if :
ReplyDelete1- 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 !
14th March Russel Hall
ReplyDeleteCVS 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
I need study partner who is going to take PACES on June 2015 in uk
ReplyDeletei am with you
Deletenadergenedy1@gmail.com
Did u apply for 2015 diet??
DeleteI am too
Deletedr_mohamedelsayed@yahoo.com
This comment has been removed by the author.
DeleteAny experiences from St George's Hosp, London ? Thanks !
ReplyDeletewhen are you having your exam?
DeleteHas anyone just had their exam south end university hospital
ReplyDeleteDoes anyone know what the Colchester General Hospital cases are like? Thank you!
ReplyDeleteHas anyone had their exams in North Cambridgeshire hospital? Thank you
ReplyDeletehello, I will have mine in diet 2. Can we talk about this?
DeleteThis comment has been removed by the author.
DeleteAnyone sat paces in university of north tees? Be grateful for any advice/previous stations!
ReplyDeleteThis comment has been removed by the author.
DeleteHas anyone just had their exam south end university hospital - or feb please reply
ReplyDeleteThank you
Hi, i am sitting for Paces in June at Golden Jubilee Hospital in Glasgow
ReplyDeleteAny reviews about the examiners and passing percentage?
Any one sitting in JUNE >?
Hello, did any have their exams in Queen Elizabeth , King's Lynn Hospital ? Thank you
ReplyDeleteThis comment has been removed by the author.
ReplyDeleteAnyone sat paces in south end university hospital
ReplyDeleteplease reply please.
is any one available to practice from june 7 to 25 in UK near Barnet?
ReplyDeleteHi what are the cases in paces maadi cairo paces?thanks hope a reply
ReplyDeleteHi
ReplyDeleteMRCP 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.
Anyone had/doing thier exam at Llandough, cardiff?
ReplyDeletehi. anyone with experience of sitting for PACES in boston auckland, edinburgh?
ReplyDeletetypo error...Bishop auckland
ReplyDeletehi. anyone with experience of sitting for PACES in boston auckland, edinburgh?
ReplyDelete