Psych CASC / OSCE · General adult psychiatry
The ataque in the emergency department — CASC cross-cultural assessment station
FRANZCP/MRCPsych-style station: assess a culturally patterned crisis presentation without dismissing it or over-medicalising it — elicit the idiom and explanatory model, screen medically, assess mood, trauma and suicide risk, work with an interpreter and family boundaries, and negotiate a safe plan. FRANZCP W11/W03.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
A 31-year-old woman who migrated three years ago is brought to the emergency department by her sister after an episode at a family gathering: she screamed, wept, trembled, fell to the floor and was briefly unresponsive. She recovered within minutes and is now calm but tearful. She tells you it was 'un ataque de nervios', that it happens when things at home become unbearable, and that her mother had the same. She does not want to be admitted and does not want her husband told.
Candidate instructions (7 minutes)
Take a focused history using cultural formulation principles, assess risk, and explain your plan. You may not order investigations during the station; state what you would request.[2][10]
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References20Show ledgerHide ledger
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