Sample marksheets

1. Respiratory
2. Abdominal
3. History Taking
4. Cardiovascular
5. Neurological
6. Communication and Ethics
7. BCC1
8. BCC2
AXXC 20/7/09 13:41 Page 1

RESP
ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM
MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION ONE - Respiratory System Examination
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Examiner number
number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
EX Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Physical

T
Examination
Correct Incorrect techniques
(A)

IN
Thorough Omits significant or important tests
Fluent Unsystematic
Systematic Hesitant and lacking in confidence

D
Professional technique of palpation, Unprofessional

E
percussion and auscultation of the chest

Identifying
Physical
Identifies correct physical signs
US Misses important physical signs

E
Signs
(B) Does not find signs that are not present Finds signs that are not present

B
O
Differential

T
Diagnosis
Constructs a sensible differential diagnosis, Poor differential diagnosis
(D) including the correct diagnosis

T
Fails to consider the correct diagnosis

O
Clinical

N
Judgement
Selects a sensible and appropriate Unfamiliar with correct management plan
(E) management plan
Selects inappropriate management

Maintaining
Patient Causes patient physical or emotional
Treats patient respectfully and sensitively discomfort
Welfare (G) and ensures comfort, safety and dignity
Jeopardises patient safety

© DRS Data Services Limited/U87860709/AXXC

OHIK 20/7/09 13:49 Page 1

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A M
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© DRS Data Services Limited/U87870709/OHIK

IFMU 20/7/09 13:58 Page 1

ABDO
ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM
MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION ONE - Abdominal System Examination
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Examiner number
number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

X
Please record your judgement for this candidate's performance on each of the clinical skills noted Counselling

E
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments. recommended

COMMENTS

E
Clinical skill Satisfactory Borderline Unsatisfactory
Physical

H
Examination

T
Correct Incorrect techniques
(A)
Thorough Omits significant or important tests

IN
Fluent Unsystematic
Systematic Hesitant and lacking in confidence
Professional technique of palpation and Unprofessional

E
percussion for masses, organomegaly and
ascites

Identifying
Physical
Identifies correct physical signs
U S Misses important physical signs

R
Signs
(B) Does not find signs that are not present Finds signs that are not present

Differential
Diagnosis
F O
T
Constructs a sensible differential Poor differential diagnosis
(D) diagnosis, including the correct diagnosis
Fails to consider the correct diagnosis

Clinical
Judgement
(E)
N O
Selects a sensible and appropriate
management plan
Unfamiliar with correct management plan
Selects inappropriate management

Maintaining
Patient
Treats patient respectfully and sensitively Causes patient physical or emotional
Welfare and ensures comfort, safety and dignity discomfort
(G)
Jeopardises patient safety

© DRS Data Services Limited/U87880709/IFMU

OHIK 20/7/09 13:49 Page 1

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Please indicate which skills the comments apply to.

A M
E X
H E
T
IN
S E
U
O R
F
O T
N

© DRS Data Services Limited/U87870709/OHIK

IIOV 20/7/09 14:16 Page 1

HISTORY
ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM
MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION TWO - History Taking Skills
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Scenario Examiner number
number number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
EX Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Clinical

T
Communication Elicits presenting complaint, systems review, Omits important areas of the history
past, family and medication history, in a
Skills thorough, systematic, fluent and
Unsystematic

IN
(C) professional manner Appears unpractised
Unprofessional
Assesses impact of symptoms on patient’s

D
occupation, lifestyle and activities of daily
living

Explains relevant clinical information in an

Accurate

S E
Omits important information
Gives inaccurate information

U
Clear Uses jargon
Structured Poorly structured

E
Comprehensive Appears unpractised

B
Fluent and Unprofessional
Professional manner

Managing
Patients’
T O
Seeks, detects, acknowledges and
attempts to address patient's concerns
Overlooks patients concerns

T
Does not check knowledge and understanding
Concerns Confirms patient’s knowledge and Poor listening
understanding

O
(F) Not empathic
Listens

N
Empathic

Differential
Diagnosis Constructs a sensible differential diagnosis, Poor differential diagnosis
including the correct diagnosis
(D) Fails to consider the correct diagnosis

Clinical
Judgement Selects a comprehensive, sensible and Unfamiliar with correct management plan
appropriate management plan
(E) Selects inappropriate management

Maintaining
Patient Treats patient respectfully and sensitively Causes patient physical or emotional
and ensures comfort, safety and dignity discomfort
Welfare (G)
Jeopardises patient safety

© DRS Data Services Limited/U87890709/IIOV

OHIK 20/7/09 13:49 Page 1

Additional comments for feedback (optional)

Please indicate which skills the comments apply to.

A M
E X
H E
T
IN
E D
U S
B E
T O
O T
N

© DRS Data Services Limited/U87870709/OHIK

AXGO 20/7/09 16:02 Page 1

CVS ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM

MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION THREE - Cardiovascular System Examination
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Examiner number
number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 J
Did you lead at this case? Yes No

A
9 9 9 9 9 9 9 9 9 9 9 9 K

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.

EX Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Physical

T
Examination
Correct Incorrect techniques
(A)
Thorough Omits significant or important tests

IN
Fluent Unsystematic
Systematic and professional technique of Hesitant and lacking in confidence

D
assessment of arterial and venous pulses
Unprofessional
and palpation and auscultation of the

E
precordium

Identifying
Physical
Identifies correct physical signs
U S Misses important physical signs

E
Signs (B)
Does not find signs that are not present Finds signs that are not present

B
O
Differential

T
Diagnosis
Constructs a sensible differential diagnosis, Poor differential diagnosis
(D) including the correct diagnosis

T
Fails to consider the correct diagnosis

Clinical
Judgement
(E)
N O
Selects a sensible and appropriate
management plan
Unfamiliar with correct management plan
Selects inappropriate management

Maintaining
Patient
Treats patient respectfully and sensitively Causes patient physical or emotional
Welfare and ensures comfort, safety and dignity discomfort
(G)
Jeopardises patient safety

© DRS Data Services Limited/U87900709/AXGO

OHIK 20/7/09 13:49 Page 1

Additional comments for feedback (optional)

Please indicate which skills the comments apply to.

A M
E X
H E
T
IN
E D
U S
B E
T O
O T
N

© DRS Data Services Limited/U87870709/OHIK

FIMM 21/7/09 9:34 Page 1

NEURO ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM

MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION THREE - Nervous System Examination
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Examiner number
number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
E X
Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Physical

T
Examination
Correct Incorrect techniques
(A)

IN
Thorough Omits significant or important tests
Fluent Unsystematic
Systematic and professional technique of Hesitant and lacking in confidence

D
assessment of tone, power, reflexes,
Unprofessional

E
sensation, coordination and cranial nerve
function as appropriate

Identifying
Physical
U S
E
Identifies correct physical signs Misses important physical signs
Signs
(B) Does not find signs that are not present Finds signs that are not present

B
Differential
Diagnosis
T O
Constructs a sensible differential diagnosis, Poor differential diagnosis

T
including the correct diagnosis
(D) Fails to consider the correct diagnosis

Clinical
Judgement
(E) N O
Selects a sensible and appropriate Unfamiliar with correct management plan
management plan
Selects inappropriate management

Maintaining
Patient
Treats patient respectfully and sensitively Causes patient physical or emotional
Welfare and ensures comfort, safety and dignity discomfort
(G)
Jeopardises patient safety

© DRS Data Services Limited/U87910709/FIMM

OHIK 20/7/09 13:49 Page 1

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T
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N

© DRS Data Services Limited/U87870709/OHIK

QSXP 20/7/09 15:51 Page 1

C+E ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM

MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION FOUR - Communication Skills
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Scenario Examiner number
number number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
E X
Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Clinical

T
Communication
Explains relevant clinical information in an Omits important information
Skills
Accurate Gives inaccurate or unclear information

IN
(C)
Clear Poorly structured
Structured Uses jargon

D
Comprehensive Appears unpractised

E
Fluent and Unprofessional

S
Professional manner

U
Managing

E
Patients’
Seeks, detects, acknowledges and attempts Overlooks patient’s or relative’s concerns
Concerns to address patient’s or relative’s concerns

B
(F) Poor listening
Listens Not empathic

O
Confirms patient’s or relative’s knowledge Does not check knowledge and understanding
and understanding

T
Empathic

T
Clinical

O
Judgement
Selects or negotiates a sensible and Selects or negotiates an inappropriate,
(E)

N
appropriate management plan for this incomplete or incorrect management plan
patient, relative or clinical situation

Can apply clinical knowledge, including Cannot apply clinical knowledge, including
knowledge of law and ethics, to this case knowledge of law and ethics, to this case

Maintaining
Patient
Treats patient respectfully and sensitively Causes patient physical or emotional
Welfare and ensures comfort, safety and dignity discomfort
(G)
Jeopardises patient safety

© DRS Data Services Limited/U87920709/QSXP

OHIK 20/7/09 13:49 Page 1

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A M
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© DRS Data Services Limited/U87870709/OHIK

YQYG 21/7/09 10:26 Page 1

BCC1 ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM

MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION FIVE - Brief Clinical Consultation One
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Scenario Examiner number
number number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
E X Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Clinical

T
Communication Elicits history relevant to the complaint and Omits important areas of the history
explains information to the patient in a
Skills Unpractised
Focused

IN
(C) Unprofessional
Fluent Poor explanation to the patient
Professional manner

D
Physical

E
Examination Correct Incorrect techniques

S
(A) Appropriate Omits significant or important tests
Practised Inappropriate focus to examination

U
Professional Hesitant and lacking in confidence
Unprofessional

Clinical
Judgement Selects sensible and appropriate
investigations and treatment
B E Selects inappropriate investigations or
treatment

O
(E)

T
Managing
Patients’ Detects, acknowledges and attempts to Overlooks patients concerns

T
address patient's concerns
Concerns Poor listening
(F) Listens

O
Not empathic
Empathic

Identifying
Physical
Signs (B)
N Identifies correct physical signs
Does not find signs that are not present
Misses important physical signs
Finds signs that are not present

Differential
Diagnosis Constructs a sensible differential diagnosis, Poor differential diagnosis
including the correct diagnosis
(D) Fails to consider the correct diagnosis

Maintaining
Patient Treats patient respectfully and sensitively Causes patient physical or emotional
and ensures comfort, safety and dignity discomfort
Welfare
(G) Jeopardises patient safety

© DRS Data Services Limited/U87930709/YQYG

OHIK 20/7/09 13:49 Page 1

Additional comments for feedback (optional)

Please indicate which skills the comments apply to.

A M
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© DRS Data Services Limited/U87870709/OHIK

AIGA 21/7/09 11:05 Page 1

BCC2 ROYAL COLLEGES OF PHYSICIANS OF THE UNITED KINGDOM

MRCP(UK) PACES EXAMINATION - CLINICAL MARKSHEET
STATION FIVE - Brief Clinical Consultation Two
CANDIDATE NAME (PLEASE PRINT) Brief description of the case:

Please use 2B pencil only.

Examination Centre number Scenario Examiner number
number number

Examiner name:
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 A
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 B
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 C
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 D
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 E Examiner signature:
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 F
6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 G

M
7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 H
8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 J

A
9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 K Did you lead at this case? Yes No

Please record your judgement for this candidate's performance on each of the clinical skills noted
below. Any award of an unsatisfactory or borderline mark MUST be accompanied by comments.
E X Counselling
recommended

E
Clinical skill Satisfactory Borderline Unsatisfactory COMMENTS

H
Clinical

T
Communication Elicits history relevant to the complaint and Omits important areas of the history.
explains information to the patient in a Unpractised
Skills
Focused

IN
(C) Unprofessional
Fluent Poor explanation to the patient
Professional manner

D
Physical

E
Examination Correct Incorrect techniques

S
(A) Appropriate Omits significant or important tests
Practised Inappropriate focus to examination

U
Professional Hesitant and lacking in confidence
Unprofessional

Clinical
Judgement Selects sensible and appropriate
investigations and treatment
B E Selects inappropriate investigations or
treatment

O
(E)

T
Managing
Patients’ Detects, acknowledges and attempts to Overlooks patients concerns

T
address patient's concerns Poor listening
Concerns
Listens
(F) Not empathic

O
Empathic

Identifying
Physical
Signs (B) N Identifies correct physical signs
Does not find signs that are not present
Misses important physical signs
Finds signs that are not present

Differential
Diagnosis Constructs a sensible differential diagnosis, Poor differential diagnosis
including the correct diagnosis Fails to consider the correct diagnosis
(D)

Maintaining
Patient Treats patient respectfully and sensitively Causes patient physical or emotional
and ensures comfort, safety and dignity discomfort
Welfare
Jeopardises patient safety
(G)

© DRS Data Services Limited/U87940709/AIGA

OHIK 20/7/09 13:49 Page 1

Additional comments for feedback (optional)

Please indicate which skills the comments apply to.

A M
E X
H E
T
IN
E D
U S
B E
T O
O T
N

© DRS Data Services Limited/U87870709/OHIK