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2009



SPMM Course
Simple CASC Tasks & Feedback forms
Simple CASC stations and relevant scoring forms are included in this document to
enable group practice ahead of the MRCPsych exams.




SPMM Course
CASC

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www.spmmpsychiatrycourse.co.uk




2 SPMM Course

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SIMPLE CASC TASKS A D FEEDBACK FORMS PAGE UMBER
1. PTSD- History taking 3
2. Grief reaction- history taking 5
3. Breaking bad news 7
4. Bulimia nervosa- history taking 9
5. Assess cognitive errors 11
6. Panic disorder and hyperventilation syndrome- explanation 13
7. CBT-Counselling 15
8. Psychodynamic…

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HISTORY TAKING-NEUROSIS

INSTRUCTION TO THE CANDIDATE:

Mrs. Howard is a 37-year-old schoolteacher referred
by GP who was involved in a serious road accident 6
months ago. The patient initially saw her GP because
of difficulty in coping with her job.

a. Obtain history to arrive at a diagnosis
b.…

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POST TRAUMATIC STRESS DISORDER-HISTORY TAKI G

ame of the candidate:

A- Good pass B-Borderline pass C-Borderline fail D-Fail

Areas of Questioning style- use of appropriate mix of open & A B C D
Concern- closed qns, Listening & responding appropriately to
1 interviewee, communication

Management of interview including empathic…

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HISTORY TAKI G

Instruction to candidate:

The GP has referred Mrs. White, 35-year-old woman
whose husband died seven months ago. She is not
coping well following the death of her husband.

Take an appropriate history to assess whether this is
normal bereavement reaction or determine if she has
features…

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GRIEF REACTION-HISTORY TAKING

ame of the candidate:
A- Good pass B-Borderline pass C-Borderline fail D-Fail

Areas of Questioning style- use of appropriate mix of open & closed
Concern- qns, Listening & responding appropriately to interviewee A B C D
1
Management of interview including empathic responses,
2 Fluency of…

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BREAKI D BAD EWS

I STRUCTIO TO ACTORS


Mr. Green is a 64-year-old gentleman
admitted to the psychiatric unit 3 days ago
with a working diagnosis of Paranoid
psychosis with sudden change to his
personality and behaviour. He complained of
severe headaches and collapsed once on the
ward with…

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BREAKI G BAD EWS

ame of the candidate:
A- Good pass B-Borderline pass C-Borderline fail D-Fail

Areas of Ice breaking non-medical comments
Concern Begin with introductions and context A B C D
1
Establish what is already known
2 Set the scene; give a warning shot A B C…

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EATI G DISORDER-HISTORY TAKI G

Instruction to candidate:

You are asked to see Ms. Rose, a 21-year-old medical
secretary who has insulin dependent diabetes
mellitus.

The GP was concerned about her diabetic control and
the patient admitted to omitting insulin in order to
lose weight.

a. Elicit history to…

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