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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 07-16-2013
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Unhappy Diabetic- step 2 CS

I'm a complete idiot. I just took Step 2 CS and realized that I misdiagnosed a diabetic. It was obvious in hindsight, and the SP was practically telling me to go down that route. I did not do the proper PE for him (no fundoscopy or sensory in feet), I missed the diagnosis completely, and I missed the workup also. I obviously didn't counsel him about it, as I didn't realize he had it. I completely bombed this case. Im terrified because it was such as easy case.

I also made huge errors in other cases. There was a case where I didn't have time to do the required Neuro exam, so I probably misdiagnosed the patient. I think I ended up being unsure of the diagnosis in about 3-4 cases.....
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  #2  
Old 07-16-2013
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Im pretty sure they dont count 2 cases, and I have heard of alot of people who have felt like they messed up but ended up passing the exam. when did you take your test
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  #3  
Old 07-16-2013
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what was the chief complaint that made you overlook it?
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  #4  
Old 07-18-2013
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Quote:
Originally Posted by Bobby Medicine View Post
I'm a complete idiot. I just took Step 2 CS and realized that I misdiagnosed a diabetic. It was obvious in hindsight, and the SP was practically telling me to go down that route. I did not do the proper PE for him (no fundoscopy or sensory in feet), I missed the diagnosis completely, and I missed the workup also. I obviously didn't counsel him about it, as I didn't realize he had it. I completely bombed this case. Im terrified because it was such as easy case.

I also made huge errors in other cases. There was a case where I didn't have time to do the required Neuro exam, so I probably misdiagnosed the patient. I think I ended up being unsure of the diagnosis in about 3-4 cases.....
As long as you do Cardio, Respiratory, and a focused exam for the chief complaint you should be good for the physical examination points.

When I did my CS, I did a very brief neuro exam for the MAIN symptom and never did the whole neuro exam - takes far too long. I would simply put it in the procedure/orders section afterwards. For example a patient with neurological problems I would order a full Neurological Exam, Head CT, etc

I've also heard that they discount 2 cases. In my exam I totally forgot to wash my hands/wear gloves for one case; didn't counsel for smoking and safe sex for a few cases and a few other mistakes here and there and I still did well. I'm sure you'll be fine.
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  #5  
Old 07-20-2013
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Thanks for replying. I cant really share the chief complaint without telling everyone my case. I don't want get banned. Sorry!

I am terrified about this exam!! I probably failed ICE.
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  #6  
Old 07-25-2013
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Quote:
Originally Posted by Bobby Medicine View Post
I'm a complete idiot. I just took Step 2 CS and realized that I misdiagnosed a diabetic. It was obvious in hindsight, and the SP was practically telling me to go down that route. I did not do the proper PE for him (no fundoscopy or sensory in feet), I missed the diagnosis completely, and I missed the workup also. I obviously didn't counsel him about it, as I didn't realize he had it. I completely bombed this case. Im terrified because it was such as easy case.

I also made huge errors in other cases. There was a case where I didn't have time to do the required Neuro exam, so I probably misdiagnosed the patient. I think I ended up being unsure of the diagnosis in about 3-4 cases.....
Where did u give ur CS?
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  #7  
Old 07-25-2013
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The location is irrelevant sravya. I saw you asking a couple of different people about where they took it. Why are you concerned about location?
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  #8  
Old 07-25-2013
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Originally Posted by Bobby Medicine View Post
The location is irrelevant sravya. I saw you asking a couple of different people about where they took it. Why are you concerned about location?
Philly is nearer to me.But i heard that it is not IMG friendly and it is better not to take the exam there, so i am worried about it that's why asking a couple of people.
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