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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 04-14-2013
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Question Probing deep into the history

I want to save as much time as I can during the interview and I was wondering if asking vague questions would help me or hurt me more. For example, what you would do in this situation. If you ask a patient for example, "Do you have any medical conditions you have been diagnosed with in the past," and they say, "Yes, diabetes." You think its safe to assume that's all they have and quickly move on to the next question? Or should I probe for more like hypertension, or stroke, or kidney problems etc. (the pertinent ones of course)? Or for example if you ask a patient with asthma "Do you have any allergies, or are you allergic to anything" as opposed to asking one by one, "Are you allergic to any medicines? Any food? Anything in the environment? Certain types of soaps? Leather? Rubber?" I know that they advise you NOT to ask more than one question at a time. Just wondering..
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Old 04-14-2013
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You don't need to go into super details. Just ask "are you allergic to anything", the SP has to tell you if he/she has allergy to anything.

If the SP comes up with some significant medical condition then that for sure is part of your case, you can't ignore diabetes or hypertension or prior MI or rheumatoid arthritis ..etc

However, remember that cases are designed in a way so that they can be done in the restricted time that you have, so you will not find a patient who has coronary heart disease, obesity, diabetes, depression, hypertension, stroke, asthma .... That wouldn't be a realistic case for the limited CS encounter.

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Old 04-14-2013
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Default Yep

That makes perfect sense. Thank you!
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