Shibley Rahman MA MB BChir PhD (Cantab) MRCP (UK) LLB (Hons)
British Lung Foundation London (UK)
Avinash Sharma MBBS MRCP (UK)
Consultant Physician Luton and Dunstable NHS Foundation Trust Luton, UK
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Revision Notes for MRCP 2 PACES
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the authors and the publisher.
First Edition: 2010
9788184488937
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
4PREFACE
The authors had two principal aims in writing this text: namely, (i) to explain the ethos and format of the examination, and (ii) to provide a core body of information useful for the examination. Whilst this examination is demanding, it is still essentially simply an assessment of basic competence required for higher specialist training. The Royal College of Physicians believe that have developed an examination, which they intend to be fair and to be an appropriate test of postgraduate knowledge in Doctors preparing for higher specialist training and since 2001 the examination has been running very successfully. The academic aims of the MRCP(UK) examination are stated clearly:
- To test a wide range of up-to-date medical knowledge so that physicians in training are encouraged to develop their full clinical and professional potential;
- To maintain and improve the practice of clinical medicine;
- To provide a sound basis for continuing medical education.
Much of this book has been derived from authors; own experiences regarding the examination, and where possible sample instructions have been given for individual cases in the real examination. However, the content of the book closely follows the syllabus as published in the MRCP Clinical Guidelines. The authors to their knowledge have been aware of all of these cases having appeared in the Membership clinical examination at least once.
Management issues/guidance/protocols are all subject to change with time, and therefore the reader is advised to supplement his/her reading with other sources, for example, from the Royal College of Physicians or the National Institute of Clinical Excellence.
Whilst the delivery of the examination is possibly subject to change with modernisation of the medical curriculum, the content of the higher specialist training is unlikely to change in the imminent future. Please consult the www.mrcpuk.org website for current schedules. The marksheets are available in the Clinical Guidelines and on the website.
Much of this book has been derived from a synthesis of teaching and examining for the examination nationally in the UK, although the standards in international centres are exactly the same as in the UK.5
The authors wish to emphasise that whilst there is much factual material in this book, this examination is essentially a test of clinical skills, and candidates with much general medical clinical experience pass and those who do not have this experience fail.
As in all good movies, any reference to a real person in the fictitious scenarios contained in this book is purely coincidental. Good luck!
Shibley Rahman
Avinash Sharma
6ACKNOWLEDGEMENTS