Templates

Question 1

History Station

Answer 1

Presenting Complaint (ODPI)
- Onset, Duration, Progression, Impact

Past Psychiatric History

Past Medical History

Drug History
- Allergies, Regular medication

Family History

Biological:
- Appetite, sleep, energy

Psychological / MSE / Differentials
- Mood, Psychosis

Social History
- Living situation, Occupation, Relationships, Alcohol & substance use

Risk Assessment
- Self: SH, suicide, self- neglect
- Others: Violence, neglect, safeguarding, children

https://www.rcpsych.ac.uk/docs/default-source/training/examinations/exams-casc-history-marksheet.pdf?sfvrsn=799913fa_2

Question 2

Management Station

Answer 2

Formulation of Problem

Significant Findings

Risk Assessment
- Self: SH, suicide, self- neglect
- Others: Violence, neglect, safeguarding, children

Best Practice Management Plan
- Biological: Physical health, r/o organic causes, bloods, ECG, medication, monitoring
- Psychological: Education, therapy
- Social: Finance, occupation, housing, local support groups

https://www.rcpsych.ac.uk/docs/default-source/training/examinations/exams-casc-management-marksheet.pdf?sfvrsn=9ca5f46e_2

Question 3

Examination Station

Answer 3

Abnormal Findings
- Explorations of signs and symptoms
- Impact

Diagnosis / Formulation

Physical Health

Risk Assessment
- Self: SH, suicide, self- neglect
- Others: Violence, neglect, safeguarding, children

https://www.rcpsych.ac.uk/docs/default-source/training/examinations/exams-casc-examination-marksheet.pdf?sfvrsn=bf10442c_2

Question 4

Mental State Examination

Answer 4

Appearance & Behaviour

Speech

Mood

Thought Form

Thought Content

Perception
- Hallucinations - 5 modalities
- Delusions - Persecutory, Grandiose, Guilt.
- Ideas of reference, Thought I/W/B, passivity phenomena

Insight

IQ

Question 5

Risk Assessment

Answer 5

Self
Others
Safeguarding
Neglect
Vulnerability

Question 6

Explaining a Condition

Answer 6

Description

Epidemiology

Diagnostic Criteria

Causes

Best Practice Management Plan
- Biological: Physical health, r/o organic causes, bloods, ECG, medication, monitoring
- Psychological: Education, therapy, CMHT
- Social: Finance, occupation, housing, local support groups, carer group, crisis plan

Prognosis

Extra Info

Question 7

Explaining a Procedure

Answer 7

What is it
What is it for
Procedure
- Before
- During
- After
Risks
Benefits

Question 8

Explaining a Medication

Answer 8

ATHLETICS

Action
Timeline (e.g. once daily)
How to take
Length of Treatment
Effects - time before
Tests
Important Side effects
Complications/ Contraindications
Supplementary advice

Question 9

Breaking Bad News

Answer 9

SPIKES

Situation
Perception
Invitation
Knowledge
Empathy / Emotions
Strategy / Summarise