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Old 05-13-2012
ashake3009's Avatar
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Help Step 2 CS Mistakes

Hi every one I am new to this forum,

I did my step 2 CS in Houston on April 27 2012 and I made a whole bunch of mistakes in my exam, I just want you people to tell me whether I am in deep waters or will I be fine.

As my history I am an IMG, graduated this January, have already taken my Step 1 score 251/87, I am now preparing for my step 2 ck and these mistakes are now giving me night mares and not allowing me to concentrate. Will I be fine??

- I missed closure in one case, it was a neuro case, I had completed the neuro exam and had gone on to examine cvs when the bell rang, I am still kicking myself why did i not go directly to the closure.
- A young pt said that she had tried Marijuana once, I did not counsel her thinking it has only been once, again I think i am a complete idiot I should have counseled her to not to use it again.
- Missed alcohol counseling in one more case, he drank alcohol only on weekends and was CAGE 0/4, I thought what the heck why to counsel him. Now I regret not doing it.
- Did not ask domestic abuse in one of the cases, I don't know if it was needed but I think I missed it.
- In cardiac exam never asked the pt to lift her breast, just heard the aortic and pulmonary area along with the carotids and the tricuspid. Don't know how i missed that.
- In one fundoscopy did not turn off the light.
- Made mistake in one summarisation where the pt had to correct me once or twice.

Please tell me what are my chances, the wait has been killing me.
Things I did in all the pts.

-introduced in the standard way
-showed empathy
-first 2 questions were non leading
-summarised in all cass
-did PAMHUGFOSSS in all the cases
-did a general exam in all the cases
-always answered the pts questions
-asked permission for exam and opening the gown
-washed my hands in all the cases.
-cleaned my stethoscope in all cases and asked pts if they were allergic to alcohol
-asked pts if my hands are too cold for them before exam
-closed the encounter in an appropriate way saying we will meet again or wiill call nurse to give you medications
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Old 05-13-2012
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If these are you only mistakes then for sure you will pass.
  • We don't need to counsel about alcohol if CAGE is zero out of four.
  • We don't need to counsel if the patient had Marijuana once.
  • Mistakes in summerization is good, because it helped you correct your data gathering and they'll give positive feedback about you for that.
  • You don't need to the lift the breast in CVS if the case was not CVS.
Your only mistake is missing the closure in one case and that's OK, you'll still pass the exam.

I will copy your mistakes to this thread here
I have these mistakes in my CS exam!
Please make sure to update that thread with your results when you get it.

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