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Old 09-14-2012
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Default regarding max diagnostic tests for work up

hi.

So it says in FA that you should have max 5 diagnostic tests in the work up... does this mean e.g. you could lists various related blood tests as one set, imaging as another etc- cause if CBC is one, TSH is two, serum glucose three, CT four etc.. then it will be hard to cover all your differentials?in first aid they list a bunch of tests on some of the minicases, and I was freaking out that i didnt remember all 8-9 for a specific abdominal complaint..

anyone who has taken the CS and can give me a proper answer?

My CS is on tuesday and it would be nice to have it clarified in advance..

any info you may provide is highly appreciated
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Old 09-16-2012
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You probably understand that speculations and assumptions are the only things that you can expect here. So my assumption is: if they did cut down the number of DDx to 3, it seems logical to limit the work up as well. FA's work-ups are VERY extensive at times, probably just for learning purposes (i.e. if you read 8-9 studies over and over, you will definetely remember at least 4-5 for the exam, which will surely be enough). Also, keep in mind, that FA was written before the new format was introduced so the work-up's cover all 5 (or even more) DDx listed in minicases.
My assumption that 4-5 tests is enough is partially based on the fact that sample PN on usmle website gives only 2 (!) tests for sore throat. CSE videos and Kaplan complex cases also usually limit their work-up to 4-5 tests.

I have not taken the test yet, but nobody seems to respond anyway, so I am hoping that my input helps. Good luck on your test.
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Old 09-16-2012
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Quote:
Originally Posted by Lotsahope View Post
You probably understand that speculations and assumptions are the only things that you can expect here. So my assumption is: if they did cut down the number of DDx to 3, it seems logical to limit the work up as well. FA's work-ups are VERY extensive at times, probably just for learning purposes (i.e. if you read 8-9 studies over and over, you will definetely remember at least 4-5 for the exam, which will surely be enough). Also, keep in mind, that FA was written before the new format was introduced so the work-up's cover all 5 (or even more) DDx listed in minicases.
My assumption that 4-5 tests is enough is partially based on the fact that sample PN on usmle website gives only 2 (!) tests for sore throat. CSE videos and Kaplan complex cases also usually limit their work-up to 4-5 tests.

I have not taken the test yet, but nobody seems to respond anyway, so I am hoping that my input helps. Good luck on your test.

i think you're right talked to a friend of mine and he meant that one shouldn't go overboard with the work up..ill hope they won't be too strict when it comes to the tests, it's limited how much you can write if you only have 3-5 tests to choose..
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