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.