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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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  #1  
Old 06-19-2013
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Help skyline24 CS experience

Took my exam a couple days ago. Literally can't sleep or eat due to stress. was hoping people could help me out with some feedback.

Mistakes I remember:
-Already closed with a patient, but their challenging question required me to quickly perform a sensory test. I did not use gloves the second time.
-Performed all my cardiac exams while they were laying down...didn't untie gown but just slipped my hand under the gown (there was usually enough room). None of my patient's needed a full cardiac exam. Just auscultation.
-Forgot to put a leg rest up on some of my patients.
-Started a physical exam without wearing gloves but quickly realized after about 20 seconds into the exam and put some on.
-usually got 1 or 2 good differential dx in..but the 3rd one was always tough and i generally put some random disease.
-Forgot to check CVA tenderness and include UA/Ux.
-Forgot to ask about how a patient cooks, baths, aka takes care of themselves
-put CN intact when i only checked cn 3,4,6 and 7. i meant to put EOMI.
-one patient refused to open up about what was bothering her, despite asking several times.

What i did right:
-always knocked, greeted said patient's name, had gloves (except what i mentioned above)
-very empathetic and NURsed a whole lot.
-managed to usually get most of OLDCARTS if i could
-always got ROS, past medical, surgical, drug allergies, social, obgyn
-counseled about smoking, safe sex.
-always managed to close and answer any challenging questions.
-always managed cardiac, lungs, abdominal, DTR, pulses, heent.
-always auscultated on skin and patient was drapped.

Not worried as much for CIS or SEP but scared for ICE because i forgot to ask certain questions about their chief complaint and I rushed thru my patient note, sometimes including things that i didn't inform the patient about.

please let me know if my mistakes will cost me to be at borderline or even fail.
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  #2  
Old 06-19-2013
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dude , you will surprised when you pass.

Try to remember mistakes about what you did not ask.

also where did you do your exam.
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  #3  
Old 06-19-2013
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Quote:
Originally Posted by skyline24 View Post
Took my exam a couple days ago. Literally can't sleep or eat due to stress. was hoping people could help me out with some feedback.

Mistakes I remember:
-Already closed with a patient, but their challenging question required me to quickly perform a sensory test. I did not use gloves the second time.
-Performed all my cardiac exams while they were laying down...didn't untie gown but just slipped my hand under the gown (there was usually enough room). None of my patient's needed a full cardiac exam. Just auscultation.
-Forgot to put a leg rest up on some of my patients.
-Started a physical exam without wearing gloves but quickly realized after about 20 seconds into the exam and put some on.
-usually got 1 or 2 good differential dx in..but the 3rd one was always tough and i generally put some random disease.
-Forgot to check CVA tenderness and include UA/Ux.
-Forgot to ask about how a patient cooks, baths, aka takes care of themselves
-put CN intact when i only checked cn 3,4,6 and 7. i meant to put EOMI.
-one patient refused to open up about what was bothering her, despite asking several times.

What i did right:
-always knocked, greeted said patient's name, had gloves (except what i mentioned above)
-very empathetic and NURsed a whole lot.
-managed to usually get most of OLDCARTS if i could
-always got ROS, past medical, surgical, drug allergies, social, obgyn
-counseled about smoking, safe sex.
-always managed to close and answer any challenging questions.
-always managed cardiac, lungs, abdominal, DTR, pulses, heent.
-always auscultated on skin and patient was drapped.

Not worried as much for CIS or SEP but scared for ICE because i forgot to ask certain questions about their chief complaint and I rushed thru my patient note, sometimes including things that i didn't inform the patient about.

please let me know if my mistakes will cost me to be at borderline or even fail.

I highlighted why you will pass.
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  #4  
Old 06-19-2013
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Thank you for responding! I hope so! I don't know why I did all the cardiac exams laying down. I took my test in Atlanta!
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  #5  
Old 06-19-2013
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can anyone else please tell me if these mistakes are going to ruin my score?
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  #6  
Old 06-19-2013
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OH i just read the disclosure about cases? do i need to remove anything from my post?
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  #7  
Old 06-19-2013
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Dude, the truth is that it is impossible to tell whether you'll pass or not.. Judging by your worriness, I noticed that you are a perfectionist and the big picture of your experience was good.. So, based on that, I'm inclined to think you are wayyyy much more likely to pass than not..

Other than that, from what I've gathered during those weeks before the release of my result, reading previous posts in this forum is that I noticed some people who failed had some red flags like: not taking the exam too seriously, not having good study partners, having major problems with the language, having poor clinical knowledge, freaking out during a case or something like that, acting too robotic, not acting if the SPs were real patients, leaving sections in blank on the note etc..

I didn't see any of these aforementioned red flags on your experience.. So If I had to bet if you passed or not, I'd not hesitate in putting my money on you!! But again it's impossible to tell for sure..

Last edited by cearamor; 06-19-2013 at 09:55 AM.
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  #8  
Old 06-19-2013
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Thank you so much for replying. Yes, You are 100% right, I am extremely Type A and definitely a perfectionist. I was just scared after reading some posts of people failing and thought they had passed with flying colors. I just hope it's enough to pass even tho i made very stupid mistakes..ex: doing a cardiac exam at 0 degrees. I'l never forgive myself for that one.
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  #9  
Old 06-19-2013
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Quote:
Originally Posted by skyline24 View Post
OH i just read the disclosure about cases? do i need to remove anything from my post?

why would you want to remove anything.

check out the thread my mistakes on CS.
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  #10  
Old 06-19-2013
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Quote:
Originally Posted by skyline24 View Post
Thank you so much for replying. Yes, You are 100% right, I am extremely Type A and definitely a perfectionist. I was just scared after reading some posts of people failing and thought they had passed with flying colors. I just hope it's enough to pass even tho i made very stupid mistakes..ex: doing a cardiac exam at 0 degrees. I'l never forgive myself for that one.
LOL.. In reality, I think it's almost impossible to be perfect on this exam, even if you are an AMG, mostly because of the huge amount of stress and time constraints.. Also, there's always a huge amount of speculation about the way they're scoring us and what they clearly want from us in a specific case.. We don't know that 100%!
Also, a common reaction of someone who failed would be overlook their flaws and blame their test center/SPs or something/one other than themselves.. So, I tend to put more weight on those people or post that are more realistic rather than the posts of people that "did everything right but didn't pass" because of some sort of conspiration..
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  #11  
Old 06-19-2013
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What my researcj has told me, and I say this by the course I took, the research my husband made. is that cases are weighted towards one aspect a little bit more.

for instance in one case the SP will have more boxes on the PE, in another will have more boxes on the Empathy, one box on the counseling and etc...

case by case has a different weight.
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