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  #1  
Old 12-29-2011
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Arrow A simple guide to clearing Step 2 CS with flying colors

First of all I would like to thank all the contributors on this forum because we have all benefited from the guidance here. It is my duty to repay to this forum by guiding people to the best of my knowledge.
I will now explain how I cleared Step 2 CS in a simple yet effective way.

Study time=Between 2-3 weeks
Material used= Step 2 CS First Aid, CSE videos (that I found online)

I had only three weeks between my Step 2 CK and CS. And between that I even had to fly from my home country to USA. I started off by going over the introduction in FA. I took down notes of the important things that I needed to remember so I wouldnt have to refer back to the introductions. I downloaded some CSE videos that I found online, I know many people wont agree to that idea but I did not want to pay so much just for videos. The videos were helpful definitely because you remember the things the doctor asks and how she proceeds, although she sometimes takes longer than required but then you have to improvise.
After that i went over the short cases. Step 2 CK definitely made the short cases easier. Try hiding the diagnoses and tests and guessing them yourself by reading the scenario, they train you well for the actual exam.
I would watch a couple of cases from the videos and then practice the long cases from the book. You just need someone to act as a patient, I asked my mother to help. Time yourself. I put two timers one for 10 minutes, and one for 15 minutes. Keep in mind that it will always take longer for you to do everything during the actual exam.
I would go over 4-5 cases per day, watch some videos and do some short cases. After about 20 cases I didnt need to go over all the cases in detail. I just chose the ones that I wasnt familiar with. A good way is to make a pattern, PAMHUGSFOSS for the whole history and LIQORAA for pain were very helpful. Its better to make your own patterns that you will remember. But follow the patterns instead of trying to remember the questions while infront of the patient. It will save you time and prevent you from screwing up.
One question that always stayed in my mind was am I supposed to do all examinations? Ask everything? That is where you need to use your own intelligence and leave out the things that really are unimportant to ask. I left out abdominal examination in a couple of cases because I didn't have time and that wasn't necessary. But do not forget relevant important examination e.g hearing tests for someone with hearing problems.
I reviewed the short cases once again on the plane and felt I was ready. Confidence is the key. But you have to keep on your toes in the exam, you have no time to waste.
I started off every case by writing down my pattern on the given piece of page before I entered the room, and 3-4 differentials too. It took me about a minute to enter the room, but it saved me alot of time during my encounter. Your mindset should be of a doctor, think of the SP as your patient, not as an exam. They grade you like that. Tell yourself your consultant is a very angry person and he/she has given you only 15 mins to examine a patient and report back everything and you want to impress him. Do not go into unnecessary details while taking the history, while practicing before try to finish the Hx within 8 minutes. You should have started with the examination before the 5 minute remaining announcement. Ask the patient if there is anything else they want to tell you that you havent already asked, they usually point out something that you left out. Go over the examinations quickly if not related to the system. You dont really have to look for murmurs, dont waste time. Just go over the actions properly, they wont ask you if you actually heard something. CLOSURE is one of the most important things. Give it atleast 2 minutes in the end. Explain your differentials to the patient, explain relevant tests and ask them again if they have any questions. Make sure the patient is satisfied by your explanation before you leave the room. Shake hands and quickly get to your desk.
You should have practiced writing the notes while you were studying. Start from the Differentials and the Tests before you write the Hx and the examination. You've secured solid marks that way in case you run out of time in the end. Then write the Hx and examination. Go over the Hx and examination from FA after completing every case it will give you a good idea how to write it.
The exam will be over before you know it, and when you come out, you'll know you have passed. Good luck
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The above post was thanked by:
busterbee (01-01-2012), Cairo (02-12-2012), donofitaly (01-04-2012), dr_mhm (12-30-2011), drciri (12-30-2011), drnirajmavani (01-04-2012), i_m_possible (12-30-2011), insomnic (01-03-2012), Kartopia (01-02-2012), LatinGeorge (01-01-2012), mermaid (12-30-2011), rg99 (10-23-2013), samstar (01-02-2012), step_enhancer (10-24-2012), tootsie (12-31-2011), usmledr (01-03-2012)




  #2  
Old 12-30-2011
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Congrats ,,,,wishing you good luck for ur residency...
I just started FA ,have exam in about 5 weeks,,,should i first do all short cases and cse videos and then the 40 cases,,,,,,
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  #3  
Old 12-30-2011
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No you don't have to do that. Do them simultaneously. Divide your time between all 3
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  #4  
Old 01-01-2012
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sallam brother, congratulations on passing cs. i am recently done with step 1 and looking forward to step 2 (ck+cs)
i want to finish them before august so i can apply for residency this year.
i have few questions to you, i hope you can help me with them:
1- lets say if i want to take the exam in march, when do u think i should apply for cs, cuz i read somewhere that we must apply few months before to get our desired date.
2- if you have the link to cse videos that you have downloaded, can u please inbox them to me?
3-you know there is limited time for each case, so how did u use to make the patient come on track and answer your questions when he/she used to start talking about irrelevant stuff like their family?
4-how many hours per day did u use to study for cs?
5- my last question is how long did it take you to prepare for step 2 ck?

did u read mcloed's or kaplan for cs?
i'm also from baqai and i was your junior, i hope you can help!
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  #5  
Old 01-01-2012
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Alot of people have been asking me about the CSE videos. It would be best if you buy them which is the right thing to do. But yes even I didn't buy them, I found them online. I frankly don't remember exactly where I just googled them. You will have to do your own digging otherwise just buy them.
Salz yes how are you? To answer your questions;

1. If you want to take the exam in march you should have applied already. Desired dates are hard to get but dates keep opening up everyday. Apply for the exam and get the best possible date, if you're lucky you'll still be able to get the dates of your choice.
2. Already answered.
3.SPs dont talk about irrelevant stuff. Everything they tell you is important and you should look for clues in that for the diagnoses and further questions. They know you have limited time and they wont waste it.
4. Studying for CS doesn't require all that much as the other steps. 5-6 hours/ day is good enough.
5. This thread really isnt about Step 2 CK nor did I mention anything about taking step 2 CK.

Hope it helps.
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  #6  
Old 01-02-2012
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Post hi

hii everyone
can someone post me a limk for cse videos also????salz????
pls help
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  #7  
Old 01-02-2012
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Default hiii

i have a q if the ot have ruq tenderness on palpation how we can do rebound and murphy he is already in pain can u please explain that q for me
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  #8  
Old 01-03-2012
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Quote:
Originally Posted by kasem26 View Post
i have a q if the ot have ruq tenderness on palpation how we can do rebound and murphy he is already in pain can u please explain that q for me
If you touch an SP somewhere and he is in pain, do not touch him again in the same place. Tell him you're very sorry you caused him pain and will not touch the same area again. If the SP wants you to do rebound tenderness, they will not wince by you just touching them and will only show pain after you perform the maneuver.
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  #9  
Old 01-03-2012
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Default hi

can u send me the Cse video link please

thanks
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  #10  
Old 01-11-2012
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hi
congrats on your pass, and thanks for a long review
I want to use the first aid for step 1 for diagnosis and symptoms for cs cases, does tha make sense? I want to get ready for both cs and step 1 at the same time, I have already purchased csevideo and am watching and trying to match cases to first aid for step1. is this a mistake should i do one exam at a time,?

thanks you
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