How to Pass the CSA Exam : for GP Trainees and MRCGP CSA Candidates (Multiple-component retail product, part(s) enclose)

Acknowledgements v

Foreword vi

Introduction ix

1 The CSA Exam 1

What is it what are the examiners looking for and what can you expect on the day?

2 Consultation Skills for the CSA 15

A practical guide to consultation skills for the CSA exam

3 Physical Examination for the CSA 35

Brief tips on physical examination in the CSA

4 Common Themes Affecting CSA Performance 40

The pitfalls and how to avoid them

5 Complex Cases in the CSA 47

Tips on some of the more challenging types of CSA case

6 How to Use the CSA Practice Cases 54

A guide to using the practice cases and the DVD and a blueprint mapping cases to the RCGP curriculum

7 CSA Practice Cases 61

Cases (A)

1. Antenatal booking appointment 62

2. Polycystic ovarian syndrome (PCOS)  67

3. Chest pain (musculoskeletal)  71

4. Gout  74

5. New onset hypertension 78

6. Type 2 diabetes 82

7. Child protection 86

8. Drug withdrawal 90

9. Paediatric eczema 94

10. Renal colic  98

11. Upper respiratory tract infection  102

12. Palliative care  107

13. Acute stress  110

Cases (B)

1. Irritable bowel syndrome  115

2. Lower back pain (postdelivery)  119

3. Sexually transmitted disease (STD) and hypertension 123

4. Confidentiality and angry patient  127

5. Hearing loss 131

6. Erectile dysfunction and prescribing  135

7. Knee pain/weight loss/eating habits 140

8. Insomnia 144

9. Paternity testing 148

10. Multiple sclerosis 152

11. Nocturnal enuresis (telephone consultation) 157

12. Pulmonary embolism post-Caesarean section (home visit) 162

13. Allergic rhinitis 166

Cases (C)

1. Headache 171

2. Elder abuse (home visit) 176

3. Problem gambling 180

4. Prostate specific antigen (PSA) test 184

5. Female genital mutilation (FGM) 188

6. COPD exacerbation 192

7. Blood test results HIV positive 197

8. Breast lump (learning disability) 201

9. Request for sick note 205

10. Sickle cell (adolescent) 209

11. Diabetes (telephone consultation) 214

12. Asthma (teenager) 218

13. Acute red eye  222

Index 225