My Step 2CS tips - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CS Forum

USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam

Thread Tools Search this Thread Display Modes
Old 08-16-2014
USMLE Forums Newbie
Steps History: 1+CK+CS
Posts: 2
Threads: 5
Thanked 3 Times in 2 Posts
Reputation: 13
Default My Step 2CS tips

I studied less than 2 weeks for CS and passed with very good performance. So I would like to give you some tips. I hope it will help you

First of all, First Aid and Youtube videos about physical examination are enough for this exam. For the First Aid, read everything! (of course not the part with the hotels, flight etc ☺) And for youtube videos, I recommend the ones by this author

There are things that you will do exactly the same for each encounter.

>>Lets start with opening. Write down your speech for the opening and memorize it. An example

“Hi Mr./Ms. xxx! I am Dr. xxx, I am the attending physician today. I would like to ask you some questions and examine you…… Are you comfortable in the room? Let me put this drape on you./That’s good you are draped. …….Do you mind if I sit down and take some notes? …..Okay Mr./Ms. xxx, what brought you today?”

For the phone encounter

““Hi Mr./Ms. xxx! I am Dr. xxx, I am the attending physician today. How may I help you today?”

>>Next thing, write down what you would say when you do the counseling! An example

For smoking:

“Have you ever tried quitting smoking?

1st scenario

--Yes but I couldn’t!
--Smoking is a risk for your health. I understand that it is difficult but I am here to help you. We have a great smoking cessation center here. If you want, I would be more than happy to arrange an appointment for you.

2nd scenario

--Would you like to quit?
-- That’s good to hear. As your physician I am here to help you. We have a great smoking cessation center here. If you want, I would be more than happy to arrange an appointment for you.

3rd scenario

--Would you like to quit?
-- Smoking is a risk for your health. I understand that you don’t want to quit smoking right now. But if you ever decide, I just want you to know I am here to help you.

This is just an example. You may do your own.

And do the same for alcohol and recreational drug too. I tried to counsel everyone who drinks alcohol regardless of their CAGE!

>> For the closing part again write down a format. An example

“Thank you for answering my questions and letting me examine you today Mr./Ms. xxx. Your xxxx (the symptom) may be due to xxxxx or xxxx. In order to better understand what is going on I would like to run some test. I would like to do some blood work to see your xxxx and xxx (like hormones etc) and x-ray/MRI/CT scan an imaging test to see your xxx(kidney, liver etc) in details. Do you have any questions? Is there anything else that concerns you?
Okay Mr./Ms. xxx, lets meet when we have your results back. It was very nice to meeting you. Thank you.”

For this part you should of course change according to your diagnosis and work up. But at least know how to say!

>>For each case don’t forget to summarize. I did the summary after taking the history! And say something like

"Do you have anything else to add?" They might say something important you forgot to ask!

>> Do the counseling right away, if you leave it to the end, you will forget.

>> Spend up to 1 min at the door, and make a plan about what you will ask!

>>Always help the patient while they are lying down, standing etc. And tell them what you are doing. Like..

“I would like to listen your lungs now. Do you mind if I untie your gown?”
“Let me help you”

>>Close the lights while you are doing the fundoscopic exam.

>>For vibration use 128-Hz tuning fork and for Rinne-Weber use 512-Hz tuning fork.

>>Wait for full inspiration and expiration while you are listening the lung. Do not pull your stethoscope early!

>>For heart listen at least 4 focus and for lung 3x2 total 6.

>> If they are coughing offer tissue. If they have tissue, ask them to show you and check for blood. You can also offer water.


>>Be confident! Or at least look confident!

>>And of course PRACTICE PRACTICE AND PRACTICE!!!Do the first aid cases twice!

For now that’s all in my mind. If I remember anything else, I will add ☺ Good luck!
Reply With Quote Quick reply to this message
The above post was thanked by:
Diamondmh1985 (09-15-2015), MedicalExaminer (08-26-2014)


Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
step 2cs application doxorubicin ECFMG Forum 8 04-07-2015 01:16 AM
My experience step 2cs patonow USMLE Step 2 CS Forum 5 03-24-2014 03:06 PM
Who wants step 2CS tutor? nelw_cc USMLE Step 2 CS Forum 0 10-24-2013 04:21 PM
How I did step 2CS patonow USMLE Step 2 CS Forum 0 05-20-2013 08:39 AM
USMLE Step 1,2ck, 2cs usmle.tutor USMLE Step 2 CS Forum 0 02-24-2013 08:10 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)