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


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Old 06-21-2015
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Default fiction or reality?

Hi all, i'd like to know how the SPs are trained to react during the physical exam. Are they really sick or just acting? For example: While performing a chest auscultation i should look at their reaction or at a real valve disease? If the chief complain would be a broncopneumonia how rantoli will be eared?
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Old 06-21-2015
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According to FA, every reaction you get from the SP indicates something, I advice you to read the first section of FA it is so informative with good examples of what you might face in such cases...Good luck!
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Old 06-22-2015
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Hi Giek

You will never get a penalty when you write an additional finding down you found in the physical exam - even if the sp has a real heart murmur.

However, to 'solve' the case, I guess the reaction of the sp is more helpful than actual hidden physical findings. According to FA, it's particularly important to ask the patient about physical findings, e.g. about a nevus: new one? becoming bigger?

Good luck!

Tim
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Old 06-24-2015
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I would take all information or all acts given by the SP as serious even if it appears to be an accident, you may get extra points or they will let you know it is not a part of the case directly. IE sometimes they can sneeze in a knee pain case, so you must take things seriously no matter how they present.
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