This new edition has been comprehensively updated to include new information on the latest clinical evidence, national guidelines, and from the recent medical literature: * all existing cases have been revised * many new cases have been added, including telephone consultation, home visit, dealing with a patient with a hearing impairment, and a consultation with more than one person * the key national guidelines have been summarised within the appropriate case. The first two editions have helped thousands of candidates through the CSA exam in the last 6 years. The original approach has therefore been retained so the book continues to offer readers a concise 'need-to-know' guide to passing the CSA, with the emphasis on successfully completing a case in the allotted ten minutes using a structured consultation framework that works. The aim of the book is to leave exam candidates with more time to concentrate on passing the CSA exam itself.