This is a book for candidates preparing for the MRCP PACES examination, designed to aid in the consolidation of clinical knowledge and skills, and its application in the exam setting. Tactics to improve identification of physical signs: including technique optimisation, how not to miss key signs, tips to identify difficult signs, and how to present well;Diagnostic algorithms to interpret signs, so as to reduce cognitive overload and avoid difficulty 'piecing the signs together';50 challenging practice Consultation scenarios and 20 practice Communication stations, each with fully dialogued patient briefs;Worked answers with every practice scenario, comprising a tutorial on the approach and clinical reasoning, sample responses to the patient's concerns, and a suggested discussion with examiners;Advice on exam strategy and common pitfalls;