Can we use Leading Questions in CS History Taking? - USMLE Forums
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USMLE Step 2 CS Communication Skills Step 2 CS Communication, Spoken English Proficiency, Language and Interpersonal Skills Discussion forum. CIS and SEP components of the USMLE Step 2 CS Exam.

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Old 12-13-2013
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Question Can we use Leading Questions in CS History Taking?

I am used of saying these questions in this way,

Do have fever?
Do you feel chills?
Any headache?
Do you have any chest pain?
Any difficult with breathing?
Any problems with sleeping?
How about urination?
Any changes with your bowel?
Do you have diarrhea?
How about constipation?
Any belly pain?
Any rash?
Anything make it worse?
Anything make it better?
Any blood?
How much?

See? This is how I normally talk. Most of the time I start by "Any or Anything", and even with one word or two like "Cough?, Any blood?" Are they okay and safe to use on the exam?

Thank you.
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Subuhi (12-24-2013)

Old 12-15-2013
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Yes. That's absolutely OK. Using leading questions in the CS is a good idea because SPs are unlikely to volunteer the information unless you specifically ask for it (that's psychology, they are not real patients so their responses are restrictive rather than elaborative).

However, later on in real life when you go for practice, it's not a good idea to sound robotic and ask every little leading question, your history-taking skills should evolve to a style where you make the patient talk the relevant information without you asking leading questions.

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CS-Communication, CS-History-Taking

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