2nd Edition
Get Through MRCPsych CASC
Get Through MRCPsych CASC, Second Edition is intended for psychiatric trainees sitting the CASC component of the MRCPsych exam. Written by authors with recent exam experience and long-term expertise in the field, the text provides over 100 stations closely matched to the subjects that appear in the actual exam, along with informative diagrams, concise synopses, and guidelines for how to target your revision to enable recall of the most relevant information. *Gives a detailed appraisal of how to approach over 100 stations for the CASC component of the examination *Shares the guidance of experts in Psychiatry and Medical Education *Builds on a successful first edition with tips on pitfalls
Preface
Author biographies
Topic I. General adult psychiatry
Station 1. Obsessive-compulsive disorder
Station 2. Psychosis
Station 3. Outpatient MSE review
Station 4. Mania with psychotic symptoms
Station 5. Hypomania
Station 6. Delirium tremens
Station 7. Anxiety disorders (panic disorder with agoraphobia)
Station 8. Anxiety disorders (social phobia)
Station 9. Mental state examination (home leave)
Station 10. Depression with psychotic features
Station 11. Depression with psychotic features
Station 12. Delusion of love/erotomania
Station 13. Adult ADHD
Station 14. Panic disorder
Station 15. Hyperprolactinemia explanation
Station 16. Explain clozapine treatment
Station 17. Explain lithium augmentation
Station 18. Explain electroconvulsive therapy
Station 19. Explain schizophrenia
Station 20. Explain psychosocial interventions for schizophrenia
Station 21. Explain bipolar affective disorder
Station 22. Lithium usage during pregnancy
Station 23. Treatment-resistant depression
Station 24. Obsessive-compulsive disorder (history taking)
Station 25. Obsessive-compulsive disorder (patient management)
Station 26. Post-traumatic stress disorder
Station 27. MMSE
Station 28. Frontal lobe assessment
Station 29. Suicide risk assessment (history taking)
Station 30. Suicide risk assessment (patient management)
Station 31. Grief reaction
Station 32. Body dysmorphic disorder
Station 33. Sleep disorders—insomnia
Station 34. Capacity assessment (informed consent for procedure)
Station 35. Capacity assessment for social care needs
Station 36. Breaking bad news
Station 37. Explain neuroleptic malignant syndrome
Station 38. Urine drug test
Station 39. Dealing with angry relatives— clozapine case
Topic II. Geriatric psychiatry
Station 40. Geriatric psychosis
Station 41. Old-age psychosis (patient management)
Station 42. Behavioural and psychological symptoms in dementia (history taking)
Station 43. Behavioural and psychological symptoms in dementia (patient management/ explanation)
Station 44. Genetics in Alzheimer’s dementia—counselling
Station 45. History taking—dementia
Station 46. Anti-dementia drugs
Station 47. Lewy body dementia (history taking)
Station 48. Lewy body dementia (patient management)
Station 49. Fronto-temporal dementia (history taking)
Station 50. Cognitive assessment
Station 51. Mild cognitive impairment (patient management)
Station 52. Delirium (patient management)
Station 53. Elderly mania (history taking)
Station 54. Elderly mania (patient management)
Topic III. Child psychiatry
Station 55. ADHD history taking
Station 56. ADHD (patient management)
Station 57. Conduct disorder (history taking)
Station 58. Autism (history taking)
Station 59. Early-onset psychosis (history taking)
Station 60. Early-onset psychosis (patient management)
Station 61. Childhood sexual abuse (patient management)
Station 62. Bullying and overdose
Station 63. Enuresis
Station 64. Elective mutism
Topic IV. Learning disabilities
Station 65. Learning disability with challenging behaviour (history taking)
Station 66. Dementia in Down’s syndrome (history taking)
Station 67. Depression in learning disability
Station 68. Temporal lobe epilepsy
Station 69. Learning disability—sterilization
Station 70. Learning disability—abuse
Topic V. Addictions and substance misuse
Station 71. Alcohol dependence (history taking)
Station 72. Alcohol dependence—discussion (patient management)
Station 73. Effects of alcohol on mood (history taking)
Station 74. Social and legal implications of alcohol (history taking)
Station 75. Opioid dependence (history taking)
Station 76. Substance misuse in pregnancy (history taking)
Station 77. Substance misuse in pregnancy (patient management)
Topic VI. Psychotherapies
Station 78. Psychotherapy—cognitive behavioural therapy
Station 79. Psychotherapy—cognitive errors (history taking)
Station 80. Psychotherapy—cognitive errors (patient management)
Station 81. Agoraphobia—systematic desensitization
Station 82. OCD—exposure and response prevention
Station 83. Panic disorder and hyperventilation (patient management)
Station 84. Interpersonal therapy (patient management)
Station 85. Termination of therapy and transference reaction
Station 86. Defence mechanisms
Topic VII. Eating disorders
Station 87. Eating disorders (prognostic factors)
Station 88. Eating disorders (history taking)
Station 89. Eating disorders (patient management)
Station 90. Bulimia nervosa (history taking and prognostic factors)
Station 91. Re-feeding syndrome and use of Mental Health Act (patient management)
Station 92. Re-feeding syndrome (patient management)
Topic VIII. Personality disorder
Station 93. Borderline personality disorder (history taking)
Topic IX. Women’s mental health and perinatal psychiatry
Station 94. Postnatal depression (history taking)
Station 95. Postnatal psychosis (history taking)
Station 96. Postnatal psychosis (patient management)
Topic X. Consultation-liaison psychiatry
Station 97. Delirium tremens (discussion with consultant)
Station 98. Conversion disorder (history taking)
Station 99. Conversion disorder (discussion of management plans)
Station 100. Health anxiety disorder (history taking)
Station 101. Health anxiety disorder (management)
Station 102. Somatoform pain disorder (history taking)
Station 103. Traumatic brain injury (history taking)
Station 104. Post–myocardial infarction depression (history taking)
Station 105. Post–myocardial infarction depression (patient management)
Station 106. Antidepressant-induced sexual dysfunction (history taking)
Topic XI. Forensic psychiatry
Station 107. Assault in ward (paired station A)
Station 108. Assault in ward (patient management)
Station 109. Fire-setting behaviour—assessment
Station 110. Morbid jealousy (history taking)
Station 111. Morbid jealousy (patient management)
Station 112. Erotomania and stalking behaviour (history taking)
Station 113. Erotomania and stalking (patient management)
Station 114. Violence risk assessment (MSE evaluation)
Station 115. Violence risk assessment (discussion and management)
Station 116. Sexual offence assessment
Station 117. Fitness to plead assessment
Station 118. Exhibitionism (history taking)
Station 119. Exhibitionism (patient management)
Station 120. Examination for extrapyramidal side effects
Station 121. Examination of the thyroid gland
Station 122. Neurological examination—upper limbs
Station 123. Neurological examination—lower limbs
Station 124. Neurological examination— examination of cranial nerves
Station 125. Examination of the cardiovascular system
Station 126. Examination of the cerebellar system
Station 127. Fundoscopy
Station 128. Reading ECG
Biography
Assistant Professor Melvyn Zhang Weibin (MBBS (Singapore), DCP (Ireland), MRCPsych (United Kingdom), FAMS (Singapore). Affiliations: Assistant Professor, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore & National Addictions Management Service, Institute of Mental Health, Singapore.
Assistant Professor Melvyn Zhang currently work as Assistant Professor and Consultant Psychiatry at the Lee Kong Chian School of Medicine, Nanyang Technological University and the National Addictions Management Service, Institute of Mental Health, Singapore. Assistant Professor Melvyn Zhang graduated with his basic medical degree from the National University of Singapore in 2011. He obtained his Diploma in Clinical Psychiatry from the Royal of Physicians and Surgeons, Ireland in 2014. He obtained his membership with the Royal College of Psychiatrists in 2014. In 2016, he completed his residency training in psychiatry in Singapore, and joined the National Addictions Management Service at the Institute of Mental Health. In 2016, he also obtained his fellowship with the Academy of Medicine, Singapore. His clinical interests are in the treatment of individuals with addictive disorders, and his special interest is in treating adolescent with Internet gaming disorder. Assistant Professor Melvyn Zhang has published over 120 papers in peer reviewed papers (H-index 37). In 2017, he successfully obtained the Ministry of Health (Singapore)’s Research Training Fellowship and the National Healthcare Group (NHG) Clinician Scientist Fellowship to pursue his PhD. He is also currently serving on the editorial boards of the British Journal of Psychiatry (BJPsych), Journal of Internet Medical Research (JMIR) Mental Health and Technology and Healthcare. He is also very involved in medical education and has been teaching medical students from the National University of Singapore and the Lee Kong Chian School of Medicine, Nanyang Technological University.
Assistant Professor Cyrus Ho Su Hui (MBBS (S’pore), Dip (Cl Psy) (RCP&S, Ire), MRCPsych (UK), Grad Dip Acupuncture (S’pore), MSc (Research) (S’pore), MSc (Applied Neuroscience) (UK), PhD (S’pore), FAMS (Psy) (S’pore), IFAPA (USA)).
Assistant Professor Cyrus Ho is a general adult and consultation liaison psychiatrist managing psychiatric conditions across the age continuum from adolescence to old age, with special interest interfacing between medicine and psychiatry, complex mood disorders, and neuropsychiatry. After graduating with a Bachelor of Medicine and Bachelor of Surgery (MBBS) from the National University of Singapore (NUS), Dr Ho obtained a Diploma in Clinical Psychiatry from Ireland. He was conferred memberships to the Royal College of Psychiatrists from the United Kingdom and College of Psychiatrists of Ireland. He is a Fellow of the Singapore Academy of Medicine, and he received the International Fellowship to the American Psychiatric Association. With a keen interest in neuroscience, he earned a Master of Science in Research from NUS for his research work on neuroimaging in depressed and chronic pain patients. He was further awarded Distinction in the Master of Science in Applied Neuroscience from King’s College London. His PhD dissertation was on integrating multimodal biomarkers to aid the diagnosis and treatment of major depressive disorder. Under the MOH Health Manpower Development Plan (HMDP) award, he underwent further training in neuropsychiatry with Montreal Neurological Hospital in Canada and Royal Melbourne Neuropsychiatry Unit in Australia. Being an avid researcher, Dr Ho has extensively published more than 300 academic papers in international peer-reviewed journals, including The Lancet, Annals of Internal Medicine, Autoimmunity Reviews, EBioMedicine and, Brain, Behavior and Immunity. He frequently delivers presentations in international psychiatry conferences, including notable ones such as the American Psychiatric Association (APA) Annual Meeting and the European Congress of Psychiatry. Dr Ho is a passionate educator involved in teaching both students and residents alike. He currently serves as the NUS Psychiatry Undergraduate Education Director. His dedication in education is exemplified by various teaching awards, such as the Dean’s Award for Teaching Excellence in 2015, 2016, 2018, 2020, and 2021, and Junior Doctor Teaching Award in 2015. He co-authored four postgraduate guidebooks for residents published by Taylor and Francis, and an undergraduate textbook titled "Mastering Psychiatry", which is a popular reference book used by local medical students.
Professor Roger Ho: MBBS (Hong Kong), MD (Hong Kong), DPM (Ireland), GDip in Psychotherapy (S’pore), MMed (Psych) (S’pore), FRCPsych (UK), DCP (Ireland), FRCP (Canada), FRCP (Edinburgh), FAMS (Psych)
Professor Ho currently works as Professor and Senior Consultant Psychiatrist at the Department of Psychological Medicine, National University of Singapore (NUS) and National University Hospital (NUH). He is the Research Director coordinating research studies for the department. He is also the Principal Investigator and Director of the functional near infrared spectroscopy (fNIRS) lab at the Institute for Health Innovation and Technology (iHealthtech, NUS). Professor Ho joined the Department of Psychological Medicine, NUH in July 2002 as a medical officer. Professor Ho did his Psychiatry residency and fellowship training at the Department of Psychological Medicine, NUH and rose through the academic and clinical ranks in NUS and NUH. Professor Ho obtained his basic medical degree (MBBS) from the University of Hong Kong. He received the Master of Medicine (MMED) in Psychiatry from the National University of Singapore. He received his higher research degree, Doctor of Medicine by research (MD) from the University of Hong Kong. He is a Fellow of the Royal College of Psychiatrists (UK). Royal College of Physicians (Canada), Royal College of Physicians (Edinburgh) and Academy of Medicine (Singapore). Professor Ho has clinical and research interests in applying functional near infrared spectroscopy (fNIRS) in diagnosing psychiatric disorders including attention deficit and hyperactivity disorder (ADHD), borderline personality disorder, major depressive disorder and dementia. He conducted research to improve the accuracy of psychiatric diagnosis by machine learning. He has translated his research findings into clinical implementations at NUS iHealthtech. Prof Ho is involved in multiple research endeavours, which primarily aim to study the interface between psychiatry and medicine. His earlier research involves elucidating psychiatric symptoms associated with medical disorders include systemic lupus erythematosus, diabetes and eczema as well as medical complications of depression and buprenorphine misuse. His research extended to the laboratory and studied of effects of antidepressants on the immune system in animals. During the COVID-19 pandemic, he conducted global mental health research to study the psychological impact of the pandemic in different countries. Professor Ho has published over 500 papers in peer reviewed journals (H-index > 77). In 2021, he was identified by Clarivate Analytics (Web of Science) as one of the Most Highly Cited and Influential Researchers in the world. Prof Ho is extensively involved in medical education. He disseminated psychiatric knowledge through publications of academic books with global influence. An example is the co-authorship and publication of a postgraduate textbook, Revision Notes in Psychiatry (3rd edition), CRC Press and this book has been one of the most commonly used reference texts since 1998 by psychiatric trainees in Commonwealth countries. Professor Ho has received numerous awards throughout his academic career including the NUS Annal Teaching Excellence Award in 2012 and Special Recognition Award (2016 – 2020). He has supervised many medical students through the Undergraduate Research Opportunity programme (UROP) and be main/co-supervisor for more than 20 MSc/PhD candidates. He is a regular PhD Qualifying Examination and oral defence examiner for other departments and faculties at NUS.
Professor Basant K. Puri: MA, PhD, MB, BChir, MSc, MMath, FRCPsych, FRMS, FRSB.
Professor Puri is based at C.A.R., Cambridge and the University of Winchester, UK. He has authored or co-authored several books, including Drugs in Psychiatry, Textbook of Psychiatry and Clinical Neuropsychiatry and Neuroscience Fundamentals.
