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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 07-15-2013
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Unhappy My CS mistakes

Just took the exam yesterday. Gosh, what a day, and what an exam. I want to post a full experience, but I am too tired to write now. All my thoughts are currently floating in 'red bull' tarnished haze, so it will be a few days till I post my full experience/study plan for it.

I am just worried on 'some' of the mistakes I did. 'Some' is too generous a word for it. These are the ones I recall:

1. In one patient, I told him I was about to examine his feet, and I did the babinski on him, and he immediately felt ticklish and moved his foot and felt irritated. I asked him, and he says its not pain but discomfort. I apologized immediately, and 2 times later, and explained to him it may tickle a bit.

2. One patient was standing, and was not draped. When I did examine him, I didn't put the drape on till I examined his abdomen. I mean, I examined just his back, and at this time I forgot to drape him. But when I made him lie down, I draped him appropriately to examine his belly.

3. I did ophathlmoscopy in a case of headache, even though patient had photophobia, but I thought it was necessary

4. 3-4 cases, I finished just at announcement. And at that time, I just shook hands, smiled, and left.

5. 1 case, I couldn't close properly

6. One patient felt kinda insulted when I asked his activities of daily living, in a memory problem patient. But I apologized, and told him its necessary for the history.

7. Forgot to counsel on alcohol in one case

8. I felt some of my counselling/answers to challenging questions were too 'diplomatic', with no clear cut answer. I didn't say a yes or a no, but 'maybe'. The patient's seemed somewhat satisfied, but not like I expected them to be. It seemed I could have given a better answer.

9. In 2-3 cases, I wasn't sure about the diagnosis, but tried to make it as close as I can, and tried to list at least 7-8 workup in all cases

10. One patient, I messed her name 2-3 times.

Things I did right are:
Knock, Introduce myself/position, explain the plan, smiling, permission before any maneuver, tieing the gown back, washing hands, addressing patient by their last names, counsel on STD/Smoking/Marijuana/Alcohol etc,showing empathy, asking permission to take notes, trying to maintain eye contact, using a lot of facial/hand expressions, helping patient lying down or sitting, warming hands/strethoscope before touching patient, telling at least 1-2 diagnosis and a few workup in layman terms, asking if they understood the plan, using transition sentences, using confidentiality statements.

Anyone to shed some light on these? I'll be very grateful to you. I hope I pass. Now when I look back, many more mistakes are just coming to my mind and I am just scared....:sorry:
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abeer (07-15-2013), water (03-25-2014)




  #2  
Old 07-15-2013
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I cant comment on it at present, but im sure u'll do well in this one too just like your step 1 !!! dont worry !!!
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  #3  
Old 07-16-2013
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I think u definately passed....no worries....
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  #4  
Old 07-16-2013
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are these 'mistakes'..?? i dont think many of them even count as mistakes because a clinical encounter cant be 100 % perfect and that too with time limit of 15 min..you will pass with high performance i believe..
but reading your post made me realise i probably have done even worse than i thought..
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  #5  
Old 07-16-2013
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your only real mistakes are Number 5 and Number 9. you'll be fine.
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  #6  
Old 07-16-2013
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I just remembered, a few patients I tried to crack them up. I cracked jokes now and then, and shared some personal experiences. They laughed, and were kinda amused. How does these affect my performance?

Also, one of the patients after I examined her conjunctiva(she was 48 or so), I said spontaneously, "oh well, u've got pretty eyes"..she just smiled, and I was kinda dumb-struck Is that offensive and does it count as major mistake?

I am so scared of these mistakes. The anxiety got the idiot out of me
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  #7  
Old 07-18-2013
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I think you did fine, almost everything you have said is a minor thing. The only things to worry about a tiny bit is not closing properly, not saying something before you leave like "thank you Mrs.X, it was a pleasure to talk to you", and messing up names.

I think you can totally screw up on 2 cases and still be ok. But even those would have to be big screw ups.
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  #8  
Old 11-25-2013
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Default just took my CS and freaking out!

hey guys..i just took my cs exam and i keep thinking about the mistakes i made over and over again. Feeling soo depressed. I studied alot for this exam but completely blanked out during my encounters as my nerves kicked in real bad. Here are the mistakes Ive made. I am sure i made many more but this is what i was able to recall! pleaase give me an honest anwer!!

1) forgot to ask occupation and didn't get proper diagnosis

2) forgot to ask LMP and it was pertinent

3) alcoholic forgot to council on alcohol intake and messed up diagnosis

4) fine

5) fine

6) fine

7)completely blanked out on history questions didn't even ask heat/cold intolerance although it was pertinent. Didnt do a proper PE.

8)forgot to ask about illicit drugs and smoking

9) fine

10) messed up challenging ques

11) fine

12) fine


Ahh freaking out...any input will be helpful
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