Actual Physical Findings in the CS Exam Patients? - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CS Forum

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

Thread Tools Search this Thread Display Modes
Old 04-14-2013
Nino's Avatar
USMLE Forums Scout
Steps History: 1+CK+CS
Posts: 60
Threads: 9
Thanked 67 Times in 23 Posts
Reputation: 77
Hammer and Otoscope Actual Physical Findings in the CS Exam Patients?

Since these patients are actually actors--are we going to find any positive findings?
Reply With Quote Quick reply to this message

Old 04-16-2013
USMLE Forums Master
Steps History: 1+CK+CS+3
Posts: 3,263
Threads: 147
Thanked 4,956 Times in 1,563 Posts
Reputation: 5052

The Standardized Patients (SPs) in the CS exam are healthy individuals. Very rarely, they might have actual chronic conditions such as hypertension or diabetes but never with actual acute conditions.

They way you might see physical findings in the CS exam is when they "fake them".

Examples of "Faked" physical findings:
  • The SP skin is painted red for inflammation
  • The SP making harsh sounds when you auscultate (crepitations, rales)
  • The SP whistle when you auscultate (wheeze)
  • The SP responding in pain when you palpate (tenderness)
  • The SP exaggerate DTR response (hyper-reflexia)
  • The SP does not feel touch/vibration (sensory exam)
  • The SP gait is abnormal (Neuro or MSK cases)
  • The SP cannot move a joint (arthritis)
  • The SP skin has pin point red dots (petichiae or other rashes)
But you will never see actual swelling of a joint or abnormal pupillary response for example.

One my friends swore that there was a patient with cardiac murmur, but the case was not cardiac, so I told him you should have not mentioned that in your PN, just ignore it, since the patient scenario was abdominal not cardiac.

So whenever the SP tries to tell you "fake" a physical finding, you should take that as positive otherwise it's very rare to see actual physical findings.
Reply With Quote Quick reply to this message
The above post was thanked by:
DrSK (04-17-2013), Ganymede (09-10-2016), nishaa (04-17-2013)



Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
No physical findings to support our diagnosis Triquetrum USMLE Step 2 CS Forum 7 04-23-2013 08:41 PM
Physical Exam Findings in the New Patient Note chienpolska USMLE Step 2 CS Forum 9 11-17-2012 02:36 PM
Physical exam findings in Patient Note Dr_Laura USMLE Step 2 CS Forum 1 07-10-2012 03:32 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2016 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)