Psych CASC / OSCE · Old age psychiatry — neurocognitive disorders
Explain vascular cognitive impairment and risk-factor plan to patient and son — CASC communication station
MRCPsych/FRANZCP-style communication station: explain VCI phenotype, secondary prevention as the main lever, modest drug evidence, safety-net for delirium/new stroke, and check understanding.
On this page
Study tools
Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the old-age/memory clinic. [1][4]
Candidate instructions. Explain vascular cognitive impairment in plain language; contrast with typical Alzheimer disease without overwhelming jargon; explain why controlling blood pressure, diabetes, smoking, and preventing further strokes is the main treatment; outline that memory tablets may give only modest benefit if used; safety-net acute confusion or new stroke symptoms; address driving/finances at a high level; check understanding with teach-back. Examiner plays the patient; a second role-player may be the son. [1][2][3]
References5ShowHide
- [1]O'Brien JT, Thomas A Vascular dementia Lancet, 2015.PMID 26595643
- [2]Williamson JD, Pajewski NM, Auchus AP, et al. Effect of Intensive vs Standard Blood Pressure Control on Probable Dementia: A Randomized Clinical Trial JAMA, 2019.PMID 30688979
- [3]Kavirajan H, Schneider LS Efficacy and adverse effects of cholinesterase inhibitors and memantine in vascular dementia: a meta-analysis of randomised controlled trials Lancet Neurol, 2007.PMID 17689146
- [4]Gorelick PB, Scuteri A, Black SE, et al. Vascular contributions to cognitive impairment and dementia: a statement for healthcare professionals from the american heart association/american stroke association Stroke, 2011.PMID 21778438
- [5]Appelbaum PS, Grisso T Assessing patients' capacities to consent to treatment N Engl J Med, 1988.PMID 3200278