MRCPsych : passing the CASC exam

1 General adult psychiatry David Okai 1 Stations 1 Answers 4 Bipolar disorder 4 Bipolar management 5 Mood history 7 Atypical depression 9 First-onset psychosis 10 Discussion with relative 12 Hoarding 14 Hoarding management 16 Post-traumatic stress disorder (PTSD) 18 Treatment-resistant schizophrenia 20 Folie à deux 22 2 Old age psychiatry Justin Sauer 25 Stations 25 Answers 28 Depression – treatment resistance 28 ECT 30 Memory loss 33 Frontal/temporal/parietal lobes 36 Wandering 39 Testamentary capacity 42 Cognitive assessment 44 Behavioural and psychological symptoms of dementia (BPSD) 47 3 Neuropsychiatry Derek Tracy 50 Stations 50 Answers 53 Assessment of a head injury 53 Assessment of a head injury 55 Assessment of non-epileptic seizures 57 Assessment of non-epileptic seizures 59 Unusual behaviour in PD 61 Unusual behaviour in PD 63 Assessment of tics 66 Movement disorder in schizophrenia 69 Medically unexplained symptoms 71 Low mood in MS 744 Child and adolescent psychiatry Armin Raznahan and Dennis Ougrin 77 Stations 77 Answers 80 School refusal 80 Explaining a diagnosis 82 Mood disturbance 85 Explaining treatment and prognosis 88 Self-harm 91 Engaging a parent 95 Learning disability 97 Autism spectrum disorder 100 Medically unexplained symptoms 103 Attention deficit hyperactivity disorder 106 5 Learning disability psychiatry Justin Sauer 111 Stations 111 Answers 113 Down’s syndrome 113 Down’s syndrome 115 Behavioural disturbance 117 Fragile X syndrome 119 6 Liaison psychiatry Jayati Das-Munshi 122 Stations 122 Answers 125 Psychiatric lupus 125 Psychiatric lupus 126 Risk and consent to treatment 128 Risk and consent to treatment 130 Dissociative (conversion) disorder 131 Dissociative (conversion) disorder 133 Alcohol problems on a surgical ward 135 Management of alcohol problems on a surgical ward 137 Acute confusional state 140 Anxiety and HIV 141 7 Forensic psychiatry Marc Lyall 143 Stations 143 Answers 146 Risk assessment in a police station 146 Risk assessment and advice on management 147 Duty to warn 149 Duty to warn 150 Prison assessment 152 Prison assessment 154 Fire-setting 155 Dissocial personality disorder 157 Delusional jealousy 159 Abnormal sexual behaviour 1618 Psychotherapy Dinesh Sinha 163 Stations 163 Answers 166 Psychotherapeutic techniques in patient management 166 Assessment for psychodynamic psychotherapy 167 CBT first session 169 CBT follow-up session 171 Overdose in A&E 172 Borderline personality disorder 173 PTSD – treatment options 175 Psychodynamic psychotherapy 177 Managing anger 178 Psychodynamic interpretation 180 9 Personality Justin Sauer 182 Stations 182 Answers 184 Borderline personality disorder (BPD) 184 BPD management 186 Paranoid personality 189 Personality assessment 191 10 Perinatal psychiatry Justin Sauer 194 Stations 194 Answers 196 Postnatal depression 196 Discussion with partner 198 Puerperal psychosis 200 Management plan 204 Bipolar disorder and pregnancy 206 Baby blues 209 11 Addictions Virupakshi Jalihal 212 Stations 212 Answers 215 Opioid dependence 215 Discussion with probation officer 216 Physical examination of drug intoxication/withdrawal state 218 Discussion with the consultant 220 Cannabis and schizophrenia: discussion with family 221 Cannabis and schizophrenia 222 Alcohol dependence history 223 Alcohol dependence management 226 Benzodiazepine (BZD) misuse 228 Motivational interviewing (MI) 230 Substance misuse management in pregnancy 232 12 Anxiety Justin Sauer 235 Stations 235 Answers 236Generalized anxiety disorder 236 Generalized anxiety disorder – aetiology 238 Specific phobia 240 OCD 242 13 Eating disorders Justin Sauer 246 Stations 246 Answers 247 History of anorexia nervosa 247 AN on the medical ward 249 Dietary and weight history (AN) 251 Bulimia nervosa 254 14 Physical examination Sangita Agarwal 257 Stations 257 Answers 260 Alcohol examination 260 Eating disorder 262 Extrapyramidal side effects (EPSE) 264 Thyroid dysfunction 267 Lower limbs 270 Upper limbs 272 Cranial nerves 274 Cardiovascular 276 Eye examination 278 BLS 280 15 Investigations and procedures Russell Foster 283 Stations 283 Answers 288 Advising an intravenous drug user (IVDU) on injection technique 288 Abnormal blood results in an alcoholic patient 292 Physical examination and laboratory investigation of eating disorders 294 Basic ECG interpretation 297 Initiation and monitoring of clozapine 300 Interpreting thyroid function tests 302 Interpretation of lithium levels 304 Interpretation of laboratory results (metabolic syndrome) 306 Diagnosis and management of neuroleptic malignant syndrome 309 Diagnosis and management of serotonin syndrome 312 16 Miscellaneous Justin Sauer 315 Stations 315 Answers 317 Gender reassignment 317 Grief reaction 319 SSRIs and sexual dysfunction 321 Body dysmorphic disorder 323 Seasonal affective disorder