pace your MRCP-PACES

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

Photo from pace your MRCP

Photo from Dr Tanzeel Bukhari

👉 IMPORTANT 812👈 GCA is a granulomatous arteritis affecting the medium and large sized vessels. pace your MRCP-PACES

👉 IMPORTANT 811👈 Serum amylase is excreted renally so in CKD it can be falsely high. pace your MRCP-PACES

👉 IMPORTANT 810👈 Gall stones does not cause chronic pancreatitis however thet can be in incidental finding during the investigations. pace your MRCP-PACES

Photo from Dr Tanzeel Bukhari

*🟢 ONLINE COURSE NO. 65* – ADMISSIONS OPEN! *📅 05 January – 23 January 2026* 🎯 PACES MRCP (UK) & MRCPI Clinical Examination 🚨 Highly affordable course fee ✅ 15-Day Intensive Online Course ✅ Covers ALL 7 PACES skills in detail (same structured approach as our weekly free sessions) ✅ Practice & discussion of 90+ high-yield exam cases, including recent exam patterns:  • 45 Clinical Consultation cases  • 45 Communication cases ✅ Personalised feedback to identify and improve weak areas ✅ Ideal for beginners and upcoming exam candidates 🎓 Limited Slots Available: 🔹 Active Participation – First come, first served 🔹 Listener slots also available 📩 Join Us Today! *📱 WhatsApp: +92 334 603 6496* *📧 Email: drtanzeelbukhari@gmail.com* 🚀 Join. Learn. Practise. Succeed. 🍀 Good luck with your PACES journey!

*⚠️ Exam Technique Mistake – Ignoring Patient Comfort and Dignity During Examination* (by pace your MRCP – Dr Tanzeel Bukhari) A frequent but under-recognised PACES mistake is focusing on signs while neglecting patient comfort and dignity. *🔴 What candidates do wrong:* Over-expose the patient unnecessarily Fail to adjust pillows or bed position Continue examining despite visible discomfort Do not check pain before palpation Forget to re-cover the patient after the exam This creates an impression of being unsafe, rushed, and task-focused rather than patient-centred. *✅ What examiners expect:* Clear explanation before each step Adequate exposure only when needed Continuous attention to comfort Re-covering the patient promptly *🩺 Good PACES phrases:* “Please let me know if anything is uncomfortable.” “I’ll expose just this area briefly, then cover you again.” *⭐️ Why this loses marks:* Patient comfort and dignity are part of professionalism scoring Discomfort distracts from findings Appears unsafe and unempathetic *💡 PACES Tip:* Examiners score how you examine as much as what you examine. A comfortable patient = a higher-scoring candidate.

*Patient Explanation Skill – Explaining Anaemia to a Patient* (by pace your MRCP – Dr Tanzeel Bukhari) *🧠 Scenario:* A patient has been told their blood tests show anaemia and is worried. They ask: “Doctor, what does this mean? Is it serious?” *✅ How to Explain* *1️⃣ Start with reassurance* “I want to reassure you first — anaemia is common, and in many cases it’s treatable once we find the cause.” *2️⃣ Explain simply what anaemia is* “Anaemia means your blood has less haemoglobin, which carries oxygen around the body. That’s why people can feel tired, breathless, or dizzy.” *3️⃣ Explain possible causes (without overwhelming)* “There are several reasons this can happen, such as: Iron deficiency Chronic inflammation or infection Kidney problems Blood loss We’ll identify the exact cause with further tests.” *4️⃣ Outline the next steps clearly* Additional blood tests (iron levels, kidney function, inflammation markers) Treating the underlying cause Supplements or treatment if needed *5️⃣ Address common fears* “This does not automatically mean cancer or anything serious, and we will guide you step by step.” *6️⃣ Safety-net and partnership* “If you develop chest pain, worsening breathlessness, or black stools, please seek urgent medical help.” “We’ll review your results together and make a clear plan.” *7️⃣ Check understanding* “Does that explanation make sense? Is there anything you’re particularly worried about?” *💡 PACES Tip:* Examiners look for reassurance + clear explanation + plan + safety-netting, not medical jargon.

*🗣 Communication Scenario – Explaining a Normal Test Result but Ongoing Symptoms* (by pace your MRCP – Dr Tanzeel Bukhari) *🧠 Scenario:* A patient presents with ongoing chest discomfort and breathlessness. Initial investigations (ECG, troponins, chest X-ray) are normal. The patient is worried and asks: “Doctor, if my tests are normal, why do I still feel unwell?” *✅ How to Communicate* *1️⃣ Acknowledge and validate concerns* “I can understand why this is worrying for you — symptoms matter, even when tests are normal.” *2️⃣ Explain what ‘normal tests’ mean* “These results rule out serious immediate problems like a heart attack or lung collapse, which is reassuring.” *3️⃣ Avoid dismissing symptoms* “However, normal tests do not mean your symptoms are imagined or unimportant.” *4️⃣ Offer possible explanations (simple, non-alarming)* “Symptoms can be caused by muscle strain, anxiety, reflux, or inflammation — many of which don’t show up on initial tests.” *5️⃣ Give a clear plan* Symptom control Safety-netting advice Follow-up or further tests if symptoms persist or worsen *6️⃣ Safety-net clearly* “If you develop severe chest pain, collapse, or worsening breathlessness, you should seek urgent medical help.” *7️⃣ Check understanding and invite questions* “Does that explanation make sense? What worries you most right now?” *💡 PACES Tip* : Never say “everything is normal” and stop.

👉 IMPORTANT 809👈 Always suspect cystic fibrosis in a young patient presenting with chronic pancreatitis. pace your MRCP-PACES

👉 IMPORTANT 808👈 In southern India Cassava consumption can be a cause of chronic pancreatitis so ask about eating habits. pace your MRCP-PACES

👉 IMPORTANT 807👈 In western world approximately 80 % of the cases of acute pancreatitis are due to alcohol misuse. pace your MRCP-PACES

👉 IMPORTANT 806👈 Serum amylase concentrations have no prognostic value in acute pancreatitis. pace your MRCP-PACES