April-May 2014 Step 2 CS Exam Takers Thread - Page 3 - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
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


Reply
 
Thread Tools Search this Thread Display Modes
  #201  
Old 03-29-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Ok now time running at twice the speed is enough to scare the crap out of me. I mean I already am hurrying to get all things done along with good bedside manners and typing the patient note too. I feel dizzy now
Reply With Quote Quick reply to this message
  #202  
Old 03-29-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Quote:
Originally Posted by aman_j View Post
Hey you need to relax . Everyone makes a few mistakes cause no one is perfect. Just to quote kaplan core cases"take a deep breath , smile and enter the room" cause your going to be fine
thanks a lot
i m also thinking of typing the patient note all in caps because i m a very slow typer and i think an incomplete pn is worse than the complete one typed in caps. what do you say?
Reply With Quote Quick reply to this message
  #203  
Old 03-29-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
thanks a lot
i m also thinking of typing the patient note all in caps because i m a very slow typer and i think an incomplete pn is worse than the complete one typed in caps. what do you say?
Yeah, its okay to type in caps..Doesnt matter.
Reply With Quote Quick reply to this message
 
  #204  
Old 03-29-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by drsrb View Post
yea i guess so..i was talking to a couple of friends who recently took the exam and they were like u dont know how time flies in there..its like ur in a different dimension inside the room where time runs at twice the speed...

MY friends I will send my energy although i have not left a lot to you in that different dimension room keep calm and smile. I guess smile will help you ghuys cope with stress and will keep you empathetic also

drsrb and rockstat go guys!!! and waiting for your expeciences.

what is keeping me calm is that even HOUSTON is fukll of spaces open.. in april. so i guess by the time i come to my exam date i will catch the date i want even easier.
Reply With Quote Quick reply to this message
The above post was thanked by:
drsrb (03-30-2014)
  #205  
Old 03-30-2014
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 8
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

Hi

I am taking the exam the 7 of april, couple of things from all the posts before:
- I also read about the rectal, pelvic, and genital exam with maniquies. That sometimes that could be the case. First do you know anyone that has had those enconunter? Any video suggestions?
- For those who are worried, it happened for me the same, but you can subscribe for the ECFMG to give you email alerts on the cities and dates that you are looking for. I found the date I wanted like that.
- I am using FA and Usmleworld (which I do not really recommend)
- I am timing my notes time and I am always short in time, any suggestions?
- I can not afford I live course and have been practicing for a month, any suggestions of how I know if I am ready. I am missing in average 3-4 for marks on the checklists of FA.

Thanks, sorry for the long post
Reply With Quote Quick reply to this message
  #206  
Old 03-30-2014
Dr Pepper's Avatar
USMLE Forums Scout
 
Steps History: 1 + CK
Posts: 56
Threads: 9
Thanked 32 Times in 18 Posts
Reputation: 42
Default

My exam's in about a week! :O Is anyone here ok for serious skype practice? Please PM me for details. Maybe we can study for at least 2 hours a day, or even more depending on availability.
Reply With Quote Quick reply to this message
  #207  
Old 03-30-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by Dr Pepper View Post
My exam's in about a week! :O Is anyone here ok for serious skype practice? Please PM me for details. Maybe we can study for at least 2 hours a day, or even more depending on availability.
ive sent u PM
let me know

thanks
Reply With Quote Quick reply to this message
  #208  
Old 03-30-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 340 Times in 161 Posts
Reputation: 360
Default

[QUOTE=ncs24;282905]Hi

I am taking the exam the 7 of april, couple of things from all the posts before:
- I also read about the rectal, pelvic, and genital exam with maniquies. That sometimes that could be the case. First do you know anyone that has had those enconunter? Any video suggestions?
- For those who are worried, it happened for me the same, but you can subscribe for the ECFMG to give you email alerts on the cities and dates that you are looking for. I found the date I wanted like that.
- I am using FA and Usmleworld (which I do not really recommend)
- I am timing my notes time and I am always short in time, any suggestions?
- I can not afford I live course and have been practicing for a month, any suggestions of how I know if I am ready. I am missing in average 3-4 for marks on the checklists of FA.

Had same problem with PN always short on time ! Then i read through kaplan core cases and figured you have to give the minimum possible info that supports ur ddx and includes positive and negatives and now I do mostly finish in time !
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (03-31-2014)
  #209  
Old 03-30-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Also somebody here suggested to write the dds as you read case before entering the room so you don't spend time remembering it when you have to type patient note. Ok regarding prep for the test day, I have kept the scheduling permit, test appointment confirmation doc, my passport for ID, stethoscope, overalls and readied the dress and shoes I'd be wearing. Anything else you guys'd suggest?
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (03-31-2014)
  #210  
Old 03-30-2014
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 8
Threads: 0
Thanked 1 Time in 1 Post
Reputation: 11
Default

Hi I have heard good things about kaplan core cases, but I cannot afford it right now, does someone have a pdf copy?

Thanks all for the replies to my last post
Reply With Quote Quick reply to this message
  #211  
Old 03-31-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 104
Threads: 9
Thanked 45 Times in 26 Posts
Reputation: 55
Default

hey guys just started preparing for my CS today. Exam in mid may. Can anyone please tell where to do the mnemonics from? Thanks!!
Reply With Quote Quick reply to this message
  #212  
Old 03-31-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Rockstar good luck now!!! Hope you come out of exam tired but acomplished!
drsrb Best of luck tomorrow My friend!!
I am off the social network and getting into serious prep. will finish kaplan core cases in two days. did those 43 cases religiously and i relly like this book.
Reply With Quote Quick reply to this message
  #213  
Old 03-31-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
Rockstar good luck now!!! Hope you come out of exam tired but acomplished!
drsrb Best of luck tomorrow My friend!!
I am off the social network and getting into serious prep. will finish kaplan core cases in two days. did those 43 cases religiously and i relly like this book.
what is with kaplan core and Kaplan complex cases ? is it recommended ?
ppl keep talking abt it everywhere
now im getting more anxious
i have 2 more weeks, should i be running to nearest barnes&noble
Reply With Quote Quick reply to this message
  #214  
Old 03-31-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by mom260 View Post
what is with kaplan core and Kaplan complex cases ? is it recommended ?
ppl keep talking abt it everywhere
now im getting more anxious
i have 2 more weeks, should i be running to nearest barnes&noble
core cases is last edition and its same as complex cases (previous edition)
go run to barnes and nobles u have enough time and this book is most uptodae with patient notes and differentials and it helps you think through as y read case discussion
Reply With Quote Quick reply to this message
  #215  
Old 03-31-2014
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 179
Threads: 23
Thanked 148 Times in 53 Posts
Reputation: 158
Default

Hi guys! I've finished with my CS and just wanted to let you know that it's not so bad. The time really flies, but I could finish most of the encounters and notes prior the announcement. But, with the first patient I didn't realize that '' times goes really fast '' part, so I had to exit without asking the patient about his questions. Likely I advised him during the hx taking. There was 1 encounter, when I forgot to wash my hands, and 1 note that I couldn't finish as I wanted. But, overall, not bad. Be positive, and focused. There can happen that patient tells you something that you didn't expect during the physical exam, but you'll manage. Feel free to ask anything! Except the specific scenarios, of course
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-01-2014), tamta (04-01-2014)



  #216  
Old 03-31-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 19
Threads: 7
Thanked 7 Times in 5 Posts
Reputation: 17
Default When to CAGE and when not to CAGE?

Do you have an accurate answer to this, i don't understand that why FA CAGE's the patient who drinks on weekends, i was of the thinking that CAGE is only necessary to the patients who drink like on a daily basis, As time is of the essence, i dont want to CAGE the patient whom i don't really need to. Please give me some insight. Thanks.
Reply With Quote Quick reply to this message
  #217  
Old 03-31-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Hey guys!! I'm done with the test too... i hope i did..I think most of the chief complaints are from First aid, but there were many patients who had no symptoms at all..There were a few cases where i asked ALL the questions in FA and the patients didnt have any of those..Those cases were a lil frustrating for differentials..but otherwise, the exam is okay..Those who do Kaplan practice exam will notice that the actual exam is not much different..I think if you ever think you are running out of time, stop the PE right away and close the case..Bcz if you miss 1 or 2 things on PE, its going to be 1 or 2 points..But, in the closing part, there are a lot of points and can earn a lot of credit, just by speaking for 1 min..I like to talk even while i wash my hands..This way, i don't forget to wash my hands and utilize the time to ask things llike, "Is there anything else you would like to tell me, apart from what you have already told me"..This way, if you missed any information, they give you at that point, otherwise you keep the conversation going and at the same time, you could quickly process what PE you want to do on the patient while looking like you are listening to the patient.
Reply With Quote Quick reply to this message
The above post was thanked by:
aman_j (04-01-2014), mom260 (04-01-2014), Oncology_freak (04-01-2014), tamta (04-01-2014)
  #218  
Old 04-01-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
Hey guys!! I'm done with the test too... i hope i did..I think most of the chief complaints are from First aid, but there were many patients who had no symptoms at all..There were a few cases where i asked ALL the questions in FA and the patients didnt have any of those..Those cases were a lil frustrating for differentials..but otherwise, the exam is okay..Those who do Kaplan practice exam will notice that the actual exam is not much different..I think if you ever think you are running out of time, stop the PE right away and close the case..Bcz if you miss 1 or 2 things on PE, its going to be 1 or 2 points..But, in the closing part, there are a lot of points and can earn a lot of credit, just by speaking for 1 min..I like to talk even while i wash my hands..This way, i don't forget to wash my hands and utilize the time to ask things llike, "Is there anything else you would like to tell me, apart from what you have already told me"..This way, if you missed any information, they give you at that point, otherwise you keep the conversation going and at the same time, you could quickly process what PE you want to do on the patient while looking like you are listening to the patient.
Thanks for letting us know ur experience .. .really helps
U said most CC were from FA, the ones which were not are they easily manageable ? like after doing FA couple of times can we atleast get 2 DDs on such cases ??
did u do focused physical PLUS pulm and cardio auscultation???

ALL the best to you rockstar
Reply With Quote Quick reply to this message
  #219  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
Thanks for letting us know ur experience .. .really helps
U said most CC were from FA, the ones which were not are they easily manageable ? like after doing FA couple of times can we atleast get 2 DDs on such cases ??
did u do focused physical PLUS pulm and cardio auscultation???

ALL the best to you rockstar
I got approx 3 cases that were out of FA, but you can still know what kind of questions to ask and all that..I dunno about writing down 3 differentials bcz there were many cases yesterday, where they had NO symptoms at all...No associated symptoms..I ask a lot of questions..Im sure i asked all the questions on FA.but still no symptoms..The patients didnt have any symptoms..In that case, how do you write differentials??
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-01-2014), tamta (04-01-2014)
  #220  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
Thanks for letting us know ur experience .. .really helps
U said most CC were from FA, the ones which were not are they easily manageable ? like after doing FA couple of times can we atleast get 2 DDs on such cases ??
did u do focused physical PLUS pulm and cardio auscultation???

ALL the best to you rockstar
And yes, for many cases, i did heart and lungs auscultation..Just the auscultation though, nothing else.
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-01-2014)
  #221  
Old 04-01-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by rockstar88 View Post
I got approx 3 cases that were out of FA, but you can still know what kind of questions to ask and all that..I dunno about writing down 3 differentials bcz there were many cases yesterday, where they had NO symptoms at all...No associated symptoms..I ask a lot of questions..Im sure i asked all the questions on FA.but still no symptoms..The patients didnt have any symptoms..In that case, how do you write differentials??

My friend had same impression .. and oh how i am scared of exactly that thing where patients had no symptoms. cause I will freak out that i am not getting the needed info out of patient that i am on bad track etc..
Reply With Quote Quick reply to this message
  #222  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by tamta View Post
My friend had same impression .. and oh how i am scared of exactly that thing where patients had no symptoms. cause I will freak out that i am not getting the needed info out of patient that i am on bad track etc..
The 1st case i had, i spent 10 mins in history..and yes, i asked all systems' questions..but no symptoms..I dunno, may be this is the new format..This is what they want us to do.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-01-2014)
  #223  
Old 04-01-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by rockstar88 View Post
The 1st case i had, i spent 10 mins in history..and yes, i asked all systems' questions..but no symptoms..I dunno, may be this is the new format..This is what they want us to do.

Good luck my dear friend, congratulations with being finished of these terrifying exams. and this last most subjective exam in the world.
You deserve a good rest and preparation for upcoming application year.

Hope to join you soon in this process
Reply With Quote Quick reply to this message
  #224  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by tamta View Post
Good luck my dear friend, congratulations with being finished of these terrifying exams. and this last most subjective exam in the world.
You deserve a good rest and preparation for upcoming application year.

Hope to join you soon in this process
Thanks a lot Tamta and good luck to you too..you will do great!!
Reply With Quote Quick reply to this message
  #225  
Old 04-01-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
I got approx 3 cases that were out of FA, but you can still know what kind of questions to ask and all that..I dunno about writing down 3 differentials bcz there were many cases yesterday, where they had NO symptoms at all...No associated symptoms..I ask a lot of questions..Im sure i asked all the questions on FA.but still no symptoms..The patients didnt have any symptoms..In that case, how do you write differentials??
i understand what you're saying ... its gona b pretty krazzy if my patient doesnt give me any info !
and tough to come up with DD
so did u panic ?? in such cases how about the physical ???
Reply With Quote Quick reply to this message



  #226  
Old 04-01-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
The 1st case i had, i spent 10 mins in history..and yes, i asked all systems' questions..but no symptoms..I dunno, may be this is the new format..This is what they want us to do.
NEW FORMAT .... .why in chicago
Reply With Quote Quick reply to this message
  #227  
Old 04-01-2014
USMLE Forums Addict
 
Steps History: Not yet
Posts: 101
Threads: 32
Thanked 4 Times in 4 Posts
Reputation: 14
Default

which are the most accurate and reliable videos for examination for step 2 cs.. cse videos or uworld videos???
please guide!
Reply With Quote Quick reply to this message
The above post was thanked by:
MedicalExaminer (04-02-2014)
  #228  
Old 04-01-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 340 Times in 161 Posts
Reputation: 360
Default

guys if there is no chief complaints its totally fine. it could be an annual physical or you could ask "Any particular reason for visiting the clinic today?"
that way you dont have to panic..... do a complete HEENT, CVS,CHEST and minimum neuro. (dont spend too much time on hx) also im sure there will be some form of counseling needed in these cases
Reply With Quote Quick reply to this message
  #229  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by aman_j View Post
guys if there is no chief complaints its totally fine. it could be an annual physical or you could ask "Any particular reason for visiting the clinic today?"
that way you dont have to panic..... do a complete HEENT, CVS,CHEST and minimum neuro. (dont spend too much time on hx) also im sure there will be some form of counseling needed in these cases
There was nothing to even counsel on these patients..There's 1 chief complaint, but no associated symptoms...So basically, you have to write differentials for the chief complaint, but you don't find any associated symptoms..and it was not a annual physical or DM kind of cases.
Reply With Quote Quick reply to this message
  #230  
Old 04-01-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

So what did you do in pertinent part of differential? No hx or pe point??
Reply With Quote Quick reply to this message
  #231  
Old 04-01-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Quote:
Originally Posted by rockstar88 View Post
There was nothing to even counsel on these patients..There's 1 chief complaint, but no associated symptoms...So basically, you have to write differentials for the chief complaint, but you don't find any associated symptoms..and it was not a annual physical or DM kind of cases.
Also I would like to know if there were other IMG? Hoe were the sp? Nice or rude? Is the atmosphere there nerve wrecking or manageable?
Reply With Quote Quick reply to this message
  #232  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
So what did you do in pertinent part of differential? No hx or pe point??
I dunno..I could come up with 2 differentials..So put that and supported with 3 points from the history..Nothing on the PE..In fact, most of the cases had nothing on PE..I mean, come on , they are all actors..They don't really have anything.
Reply With Quote Quick reply to this message
The above post was thanked by:
Nixy (04-01-2014), tamta (04-02-2014)
  #233  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
Also I would like to know if there were other IMG? Hoe were the sp? Nice or rude? Is the atmosphere there nerve wrecking or manageable?
Most of them were IMGs...The SPs were amazing!! very friendly..In fact, one of the SPs was very pleasant to talk to..He kept smiling and kept saying "That's a great question doc!!"...Was a great experience overall.
Reply With Quote Quick reply to this message
The above post was thanked by:
inspired (04-02-2014), KovachMarina (04-01-2014), Nixy (04-01-2014)
  #234  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

I don't think its a waste of time asking questions..bcz we need to support the differentials..Most of the time, you won't find anything on PE..So history is all we have to support the differentials.
Reply With Quote Quick reply to this message
  #235  
Old 04-01-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Quote:
Originally Posted by rockstar88 View Post
Most of them were IMGs...The SPs were amazing!! very friendly..In fact, one of the SPs was very pleasant to talk to..He kept smiling and kept saying "That's a great question doc!!"...Was a great experience overall.
Glad to know! I m practicing and watching cse videos. My exam is in 6 days and I m so nervous but I can keep cool in actual exam I hope. Do you think doing a light make up is ok? I feel good when I m all prepped up.
Reply With Quote Quick reply to this message



  #236  
Old 04-01-2014
USMLE Forums Addict
 
Steps History: 1 + CK
Posts: 179
Threads: 23
Thanked 148 Times in 53 Posts
Reputation: 158
Default

Quote:
Originally Posted by rockstar88 View Post
Most of them were IMGs...The SPs were amazing!! very friendly..In fact, one of the SPs was very pleasant to talk to..He kept smiling and kept saying "That's a great question doc!!"...Was a great experience overall.
I agree! Proctors are very pleasant. And patients too. And I also left blank a lot of supporting parts from exam because everything was ok.
Reply With Quote Quick reply to this message
  #237  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
Glad to know! I m practicing and watching cse videos. My exam is in 6 days and I m so nervous but I can keep cool in actual exam I hope. Do you think doing a light make up is ok? I feel good when I m all prepped up.
Absolutely! I think its important to look good to feel confident...I feel confident when i'm well dressed and have some make up on..So, go for it!!
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-01-2014)
  #238  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by KovachMarina View Post
I agree! Proctors are very pleasant. And patients too. And I also left blank a lot of supporting parts from exam because everything was ok.
Where did you take the test?
Reply With Quote Quick reply to this message
  #239  
Old 04-01-2014
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 359
Threads: 39
Thanked 229 Times in 135 Posts
Reputation: 239
Default

So I just got done with my exam and I agree with what everyone is saying over here...proctors are very nice ,any q's they help u out..I think it was a good experience..didn't really run out of time on any case ..was finishing 2 cases when the dreaded announcement came-"this encounter is now over "..other than that I did come out of the encounter earlier than announcement...overall everything was good...I made sure the sp's were happy with what I was doing ..and I made sure I asked if they wanted to ask anything or any concerns before gng to pe and BFr gng out of the room..
__________________
lets do this!!
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-01-2014)
  #240  
Old 04-01-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
NEW FORMAT .... .why in chicago
May be its not a new format..May be this is how its always been..3-4 cases that don't make sense..Of these, probably 2 are research cases that are not graded on...I was completely lost in 1 case and I'm sooooo hoping its not graded
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-01-2014)
  #241  
Old 04-01-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
Absolutely! I think its important to look good to feel confident...I feel confident when i'm well dressed and have some make up on..So, go for it!!
me tooo
Reply With Quote Quick reply to this message
  #242  
Old 04-01-2014
Neuron's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 184
Threads: 5
Thanked 86 Times in 62 Posts
Reputation: 96
Default

Quote:
Originally Posted by rockstar88 View Post
Most of them were IMGs...The SPs were amazing!! very friendly..In fact, one of the SPs was very pleasant to talk to..He kept smiling and kept saying "That's a great question doc!!"...Was a great experience overall.
This is absolutely the best thing about cs I've heard so far. Thank you!! And congrats for your exam!
Reply With Quote Quick reply to this message
The above post was thanked by:
rockstar88 (04-02-2014), tamta (04-01-2014)
  #243  
Old 04-02-2014
Medman11's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 86
Threads: 8
Thanked 27 Times in 21 Posts
Reputation: 37
Default CS

Hi everyone.

I started to study for CS Yesterday. I have my exam at the end of April. I was wondering what is a best way to read FA? Do I have to do exactly according to FA or should I use mnemonics (SIQORAAA,....)?
Do I need to memorize all the challenging questions? Are they the same in test?
Also if I get a patient with chest pain do I have to limit my question to those that are in FA or I should ask more?

How do you practice these with suds partner? Do you got with FA format?

I really appreciate if someone could answer my question, I have limited time and I don't want to go the wrong way.

All the best
Reply With Quote Quick reply to this message
  #244  
Old 04-02-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

no one can give you exact answers what will work out for you best. but what is must is using MNEMONICS, Having Partner and typing notes really well because that is the component most people fail.

i ppersonally would never be able to memorize FA questions as they are writter. you nee to organize them in systems and transitions s HPI, PMH, SOCIAL SEXUAL Family HX etc.. i would highly recommend kaplan core cases i am just finishing that book and I really don't know how people manage t pass with FA only. its really uptodate about notes and differentials and helps you think through doing the case
Reply With Quote Quick reply to this message
The above post was thanked by:
bcool (04-02-2014), cumberbatch (04-02-2014)
  #245  
Old 04-02-2014
Medman11's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 86
Threads: 8
Thanked 27 Times in 21 Posts
Reputation: 37
Default

Quote:
Originally Posted by tamta View Post
no one can give you exact answers what will work out for you best. but what is must is using MNEMONICS, Having Partner and typing notes really well because that is the component most people fail.

i ppersonally would never be able to memorize FA questions as they are writter. you nee to organize them in systems and transitions s HPI, PMH, SOCIAL SEXUAL Family HX etc.. i would highly recommend kaplan core cases i am just finishing that book and I really don't know how people manage t pass with FA only. its really uptodate about notes and differentials and helps you think through doing the case
Thanks for the reply.
Reply With Quote Quick reply to this message



  #246  
Old 04-02-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by tamta View Post
no one can give you exact answers what will work out for you best. but what is must is using MNEMONICS, Having Partner and typing notes really well because that is the component most people fail.

i ppersonally would never be able to memorize FA questions as they are writter. you nee to organize them in systems and transitions s HPI, PMH, SOCIAL SEXUAL Family HX etc.. i would highly recommend kaplan core cases i am just finishing that book and I really don't know how people manage t pass with FA only. its really uptodate about notes and differentials and helps you think through doing the case
Actually, First aid is a really good source for the questions, not for the patient note..In one case on the test, where the patient didnt have anything, i actually asked all the questions on FA..Its not hard to remember the questions on Fa..They are actually organised into systems (for knee pain, there are sets of questions for arthritis, SLE, etc)...For patient note, Kaplan core cases is the most useful book.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-02-2014)
  #247  
Old 04-02-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
no one can give you exact answers what will work out for you best. but what is must is using MNEMONICS, Having Partner and typing notes really well because that is the component most people fail.

i ppersonally would never be able to memorize FA questions as they are writter. you nee to organize them in systems and transitions s HPI, PMH, SOCIAL SEXUAL Family HX etc.. i would highly recommend kaplan core cases i am just finishing that book and I really don't know how people manage t pass with FA only. its really uptodate about notes and differentials and helps you think through doing the case
i saw these books core and complex cases earlier in my prep, and then i got to know FA is enough .. now because of this forum, i went to amazon and reviewed few pages and i agree core cases has lot of wonderful points which are not in FA as simplified as it should be esp. for img i believe .. so im ordering the core cases from amazon but as u said ur completing the book ... i have 2 more weeks .. .should i b doing all the cases in there ... i know there are different cases from FA
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-02-2014)
  #248  
Old 04-02-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by mom260 View Post
i saw these books core and complex cases earlier in my prep, and then i got to know FA is enough .. now because of this forum, i went to amazon and reviewed few pages and i agree core cases has lot of wonderful points which are not in FA as simplified as it should be esp. for img i believe .. so im ordering the core cases from amazon but as u said ur completing the book ... i have 2 more weeks .. .should i b doing all the cases in there ... i know there are different cases from FA
yes i highly recommend to go through all cases once.
Thhis is how me and my partners do it and i am ploanning to do this book on second round with even more attention and reading through:

we are familiar with mnemonics etc. so we start rigth away timed mode encounter without doctor knowing anything about case. after 15 minutes we go straight away with patient note writing. and afterwards we start to discuss the case break down and read checklists what we should have done and we add by hand note what kind of associates qs we should have asked relevant to case for example:in a case of obesity to check list we have added:
Hypothyroid qs
Prolactinoma qs
depression qs
DIabetes qs
PCOS qs
Eating disorder qs
Sleep/ snoring cause we always forget snoring.. etc. and with each case we start to remember step by step of what we are usually forgetting
for example we always forgot to ask those three words for checking memory later.. etc you know lot of things that we miss. and we admit what we miss and we try to not miss it after,

don't forget about asking How does this affect your life q? it mostly gets out some info from patient, or especially if this is a caregiver how does this problem affects caregiver's life..

and after breaking down the case and of course reading each others notes and comparing with kaplans notes we do find some lot of mistakes and irelevancies inside the case, we also disagree with some diagnoses maybe or some statement in the book, and this is a working process that really helps.
after this first aid really looks quite easy. and for sure i am going to start doing first aid cases and do them as much and as often as i can. we just have additional good source uptodate with NOTES which is pain for me and lot of my friends. This is the component that made them fail and im scared to death because i have seen brilliant just brilliant ones fail this exam and i don't wan to lower my chances any further.
Reply With Quote Quick reply to this message
The above post was thanked by:
bcool (04-02-2014), cumberbatch (04-02-2014), mom260 (04-02-2014)
  #249  
Old 04-02-2014
USMLE Forums Veteran
 
Steps History: ---
Posts: 226
Threads: 15
Thanked 92 Times in 68 Posts
Reputation: 102
Default

Tamta Have you done any video course? Are these useful?
Reply With Quote Quick reply to this message
  #250  
Old 04-02-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by Dr.Albert View Post
Tamta Have you done any video course? Are these useful?
No I have not.
I would watch some physical exam videos though. I have lot of time to prepare yet.
WHat i really want is to take some simulation exam at kaplan or NYCprep or i don't know where else. I cant pay for Kaplan full course but as I know you can take just exam and it is around 1000$.
its worth for me.. I CANNOT fail this exam.
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr.Albert (04-02-2014)
  #251  
Old 04-02-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
yes i highly recommend to go through all cases once.
Thhis is how me and my partners do it and i am ploanning to do this book on second round with even more attention and reading through:

we are familiar with mnemonics etc. so we start rigth away timed mode encounter without doctor knowing anything about case. after 15 minutes we go straight away with patient note writing. and afterwards we start to discuss the case break down and read checklists what we should have done and we add by hand note what kind of associates qs we should have asked relevant to case for example:in a case of obesity to check list we have added:
Hypothyroid qs
Prolactinoma qs
depression qs
DIabetes qs
PCOS qs
Eating disorder qs
Sleep/ snoring cause we always forget snoring.. etc. and with each case we start to remember step by step of what we are usually forgetting
for example we always forgot to ask those three words for checking memory later.. etc you know lot of things that we miss. and we admit what we miss and we try to not miss it after,

don't forget about asking How does this affect your life q? it mostly gets out some info from patient, or especially if this is a caregiver how does this problem affects caregiver's life..

and after breaking down the case and of course reading each others notes and comparing with kaplans notes we do find some lot of mistakes and irelevancies inside the case, we also disagree with some diagnoses maybe or some statement in the book, and this is a working process that really helps.
after this first aid really looks quite easy. and for sure i am going to start doing first aid cases and do them as much and as often as i can. we just have additional good source uptodate with NOTES which is pain for me and lot of my friends. This is the component that made them fail and im scared to death because i have seen brilliant just brilliant ones fail this exam and i don't wan to lower my chances any further.
You are so lucky, n i mean it ! i mean seriously didnt find one female sp who wants to stick to a schedule and go for it !!! huh so frustrating

im getting desp for the book to arrive (checking amazon for delivery ovr n ovr )
Reply With Quote Quick reply to this message
  #252  
Old 04-02-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 19
Threads: 7
Thanked 7 Times in 5 Posts
Reputation: 17
Default ROS - Negative except as above

FA has not done a lot of hard work in making this book, i don't understand the point of ROS always being negative, i liked UW notes better because they seem more accurate, more focused information and less time consuming. Correct me if i am wrong. Thanks.
Reply With Quote Quick reply to this message
  #253  
Old 04-02-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 253
Threads: 35
Thanked 51 Times in 45 Posts
Reputation: 61
Default

Those who have already taken the test,please list the books to buy to prepare for CS.
I will be joining the Kaplan 5-day course also.
But please list the useful books,i need to buy .
Thanks
__________________
If God put a dream in your Heart, HE saw the potential in you to achieve that goal
To view links or images in signatures your post count must be 10 or greater. You currently have 0 posts.
Reply With Quote Quick reply to this message
  #254  
Old 04-02-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

When asking for sexual abuse hx, i usually have to gather up words and i recently came up with something and want to share here ... please let me know if any suggestions u might have on this

I start by ....

Ms XXX , now i want to ask you something which is very prevalent in our society and that is abuse in terms of any threat to your physical , emotional or sexual health ?

Yes doc ... XXXXXxX
Reply With Quote Quick reply to this message
  #255  
Old 04-02-2014
USMLE Forums Addict
 
Steps History: Not yet
Posts: 111
Threads: 41
Thanked 14 Times in 12 Posts
Reputation: 24
Default CS Exam.

@tmata has shared a nice information regarding CS Exam and i liked it.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-03-2014)
  #256  
Old 04-03-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by mom260 View Post
You are so lucky, n i mean it ! i mean seriously didnt find one female sp who wants to stick to a schedule and go for it !!! huh so frustrating

im getting desp for the book to arrive (checking amazon for delivery ovr n ovr )
I can stick with you and do kaplan again if we could arrange time with each other. I am open to any new study partner relationship

Especially that you are a MOM. and I am a MOM too
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-03-2014)
  #257  
Old 04-03-2014
Neuron's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 184
Threads: 5
Thanked 86 Times in 62 Posts
Reputation: 96
Default

Is there any free online video on paediatric's encounter?
Reply With Quote Quick reply to this message
  #258  
Old 04-03-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by mom260 View Post
When asking for sexual abuse hx, i usually have to gather up words and i recently came up with something and want to share here ... please let me know if any suggestions u might have on this

I start by ....

Ms XXX , now i want to ask you something which is very prevalent in our society and that is abuse in terms of any threat to your physical , emotional or sexual health ?

Yes doc ... XXXXXxX
this is good phrase i also have trouble asking directly if she is being abused

" have you ever been physically or emotionally hurt or abused by anyone?" this is also good

There is a mnemonic you can use for abuse:

S- safe at home
A- alcohol use of hubby/ Afraid of hubby?
F- family/friends know about this happening? / Fractures?
E- escape plan/ Emergency plan- Have you ever tried to leave, divorce? Why not?
G- guns at hom
A- Any children at home that are abused?
R- Relationship to hubby
D- Depression
S- Suicide plan/ attempt


Closure: I will provide you with telephone numbers and contact information in case you and your children need help in critical situation.
I am concerned about your health and safety and i would like you to know that i am a superhero and available for help and support whenever you need it
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-03-2014), insa_ny (04-09-2014), mom260 (04-03-2014)
  #259  
Old 04-03-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
I can stick with you and do kaplan again if we could arrange time with each other. I am open to any new study partner relationship

Especially that you are a MOM. and I am a MOM too
i would love that
ill pm u my skype
Reply With Quote Quick reply to this message
  #260  
Old 04-03-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
this is good phrase i also have trouble asking directly if she is being abused

" have you ever been physically or emotionally hurt or abused by anyone?" this is also good

There is a mnemonic you can use for abuse:

S- safe at home
A- alcohol use of hubby/ Afraid of hubby?
F- family/friends know about this happening? / Fractures?
E- escape plan/ Emergency plan- Have you ever tried to leave, divorce? Why not?
G- guns at hom
A- Any children at home that are abused?
R- Relationship to hubby
D- Depression
S- Suicide plan/ attempt


Closure: I will provide you with telephone numbers and contact information in case you and your children need help in critical situation.
I am concerned about your health and safety and i would like you to know that i am a superhero and available for help and support whenever you need it
this is short and nice too
thanks for the mneumonic, i found this one in this forum but you definitely helped me adding few additiional things .. appreciate it

haha i like the superhero part !
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-03-2014)
  #261  
Old 04-03-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 111
Threads: 12
Thanked 99 Times in 35 Posts
Reputation: 109
Default

Quote:
Originally Posted by rockstar88 View Post
Actually, First aid is a really good source for the questions, not for the patient note..In one case on the test, where the patient didnt have anything, i actually asked all the questions on FA..Its not hard to remember the questions on Fa..They are actually organised into systems (for knee pain, there are sets of questions for arthritis, SLE, etc)...For patient note, Kaplan core cases is the most useful book.
Are Kaplan core cases the same book they send you when you apply for the 5 day live course?
Reply With Quote Quick reply to this message
  #262  
Old 04-03-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by prtysha View Post
Are Kaplan core cases the same book they send you when you apply for the 5 day live course?
Nope..That's the green book..Kaplan core cases is by Dr.Phil Brottman..Its blue in color.
Reply With Quote Quick reply to this message
The above post was thanked by:
prtysha (04-03-2014)
  #263  
Old 04-03-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 111
Threads: 12
Thanked 99 Times in 35 Posts
Reputation: 109
Default

Quote:
Originally Posted by rockstar88 View Post
Nope..That's the green book..Kaplan core cases is by Dr.Phil Brottman..Its blue in color.
Is it worth getting? I have First Aid for CS, and I'm going to the 5 day live prep this month. FA isn't really helpful since they haven't updated their patient note, but I don't want to overwhelm myself with too my books either.
Reply With Quote Quick reply to this message
  #264  
Old 04-03-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by prtysha View Post
Is it worth getting? I have First Aid for CS, and I'm going to the 5 day live prep this month. FA isn't really helpful since they haven't updated their patient note, but I don't want to overwhelm myself with too my books either.
Like I have said earlier, FA is for questions..The questions you ask the SP..Where as core cases is for the PN..Even if you take kaplan live course, no one's going to tell you what questions to ask, only FA does.
Reply With Quote Quick reply to this message
  #265  
Old 04-03-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Wow I can see two more moms here! I too am a mom! My exam is on Tuesday and I m pretty nervous. I hope we all pass it on first attempt.
Reply With Quote Quick reply to this message
  #266  
Old 04-04-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by Nixy View Post
Wow I can see two more moms here! I too am a mom! My exam is on Tuesday and I m pretty nervous. I hope we all pass it on first attempt.

Good luck! Moms should not fail!!! We don't have right to do that
Reply With Quote Quick reply to this message
  #267  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

guysssss im in love with kaplan core cases and i know its crazzy to say that !!!
Reply With Quote Quick reply to this message
  #268  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by Nixy View Post
Wow I can see two more moms here! I too am a mom! My exam is on Tuesday and I m pretty nervous. I hope we all pass it on first attempt.
gooooood luckkkkkkkk
Reply With Quote Quick reply to this message
  #269  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by tamta View Post
Good luck! Moms should not fail!!! We don't have right to do that
true that !
Hope we all do great
Reply With Quote Quick reply to this message
  #270  
Old 04-04-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Guys! I'd like to correct what i had said earlier..Drug refill can have real patient encounter too..I'm sorry for the wrong information i gave earlier.
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-04-2014)
  #271  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
Like I have said earlier, FA is for questions..The questions you ask the SP..Where as core cases is for the PN..Even if you take kaplan live course, no one's going to tell you what questions to ask, only FA does.
Hope your relaxing and enjoying after exam
i have a question regarding kaplan core cases and FA

the +ve preg case i did from FA ... and then i did with kaplan ...
FA gives 3 DDs just for the sake of it .. but kaplan doesnt!! (and kaplan makes sense to me on that)

am confused what to do in exam now???? please help me understand this
Reply With Quote Quick reply to this message
  #272  
Old 04-04-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
Hope your relaxing and enjoying after exam
i have a question regarding kaplan core cases and FA

the +ve preg case i did from FA ... and then i did with kaplan ...
FA gives 3 DDs just for the sake of it .. but kaplan doesnt!! (and kaplan makes sense to me on that)

am confused what to do in exam now???? please help me understand this
Well, if you think studying for CS is a big challenge, waiting for the results is even worse..I get bored all day, i have nothing to think about anymore..Anyways, in Kaplan, they say even 1 differential is ok, if that's all it can be..Like if a woman with positive pregnancy test and no abnormal symptoms, obviously, doesnt have molar pregnancy..You know what i mean? It can only be normal uterine pregnancy..In such case, just write it down as normal pregnancy.
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-05-2014)
  #273  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
Well, if you think studying for CS is a big challenge, waiting for the results is even worse..I get bored all day, i have nothing to think about anymore..Anyways, in Kaplan, they say even 1 differential is ok, if that's all it can be..Like if a woman with positive pregnancy test and no abnormal symptoms, obviously, doesnt have molar pregnancy..You know what i mean? It can only be normal uterine pregnancy..In such case, just write it down as normal pregnancy.
aw i understand ... go on a vaca !! enjoy spring thatll take ur mind off
r u still in chicago ?? if yes ..! am sorry the weather is insanely krazzy and u cant do anything here

thanks for the reply ... its hard to do kaplan with my sp( ) cuz theres nothing as question/answer checklist like FA ... but ive started it, it took me 2 days to get done with THE BASICs chaptr! n i loved it!
practicing PN with kaplan core now !
hey and do u recommend going through all the cases in kaplan core? (keeping in mind my deadline to exam ) Im done with FA cases like twice some even thrice !
Reply With Quote Quick reply to this message
  #274  
Old 04-04-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

and please tell me this too
im now practicing PN exactly the way its given in kaplan core cases
is that ok ??
Reply With Quote Quick reply to this message
  #275  
Old 04-05-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
and please tell me this too
im now practicing PN exactly the way its given in kaplan core cases
is that ok ??
Yep, core cases' PN is perfect!!
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-05-2014)
  #276  
Old 04-05-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

What about the adolescent sp? Do we ask about their parents consent? What if we think they're abused but not sure if their parents did it or boyfriend? Do we tell them about support groups or report cps? Eg 15-17yo girls?
Reply With Quote Quick reply to this message
  #277  
Old 04-05-2014
Neuron's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 184
Threads: 5
Thanked 86 Times in 62 Posts
Reputation: 96
Default

Quote:
Originally Posted by rockstar88 View Post
Guys! I'd like to correct what i had said earlier..Drug refill can have real patient encounter too..I'm sorry for the wrong information i gave earlier.
Is it required to perform the pe in these cases?
Reply With Quote Quick reply to this message
  #278  
Old 04-06-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by Neuron View Post
Is it required to perform the pe in these cases?
Read the doorway carefully. It will tell you to do PE or not.
Don't always skip it just give a glance
Reply With Quote Quick reply to this message
The above post was thanked by:
cumberbatch (04-06-2014)
  #279  
Old 04-06-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

1 more thing to remember is, if the SP is dressed in normal clothes, you don't have to examine them..But if the SP is in a gown, you have to examine them.
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-07-2014), cumberbatch (04-06-2014), insa_ny (04-09-2014), mom260 (04-07-2014), nacht hund (04-09-2014)
  #280  
Old 04-07-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

does anyone know any mnemonic for Pediatric new onset DM ????
Reply With Quote Quick reply to this message
  #281  
Old 04-07-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 340 Times in 161 Posts
Reputation: 360
Default Psychiatry case

anyone know whether to do a complete physical in a PSY case. FA does it but Kaplan does not and the patient notes are very different. I havnt figured out what to mention and what not to in PN for PSY case
Reply With Quote Quick reply to this message
  #282  
Old 04-08-2014
USMLE Forums Master
 
Steps History: ---
Posts: 966
Threads: 28
Thanked 1,410 Times in 520 Posts
Reputation: 1420
Default

Quote:
Originally Posted by aman_j View Post
anyone know whether to do a complete physical in a PSY case. FA does it but Kaplan does not and the patient notes are very different. I havnt figured out what to mention and what not to in PN for PSY case

as rockstar mentinoed if pt is in street cloths no PE. in kaplan case it tells you not to do PE. on doorway its a mistake when you read through the case you will see what they say is: you write psychiatric history as a PE, because you are physically assessing his mood affect, insight bkablabla all that.. read the case discussion in kaplan. havenot done FA psychiatric case yet. generally one cannot stick with FA diagnoses and notes etc.
its very unfortunate that we dont have new edition of FA.
Reply With Quote Quick reply to this message
  #283  
Old 04-08-2014
Medman11's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 86
Threads: 8
Thanked 27 Times in 21 Posts
Reputation: 37
Default

I was wondering if the patients says I have a pain score 9/10. And In answer to that I would say I am really sorry to hear about it. You must be in really sever pain.
Do I have to follow by sentence of reassuring and saying I will everything I can do today to help you?
Reply With Quote Quick reply to this message
  #284  
Old 04-08-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 340 Times in 161 Posts
Reputation: 360
Default unable to complete PN in 10 mins

Has anyone tried to time their patient note ? Ive been struggling with PN
So I reviewed my PN with Kaplans and it seams they are really short and sweet ( if i may say so). Do you guys think we can skip out irrelevant history??? eg asthma case---- skip sexual hx, and OBGYN?? any thoughts/ comments pls enlighten
Reply With Quote Quick reply to this message
  #285  
Old 04-09-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 19
Threads: 4
Thanked 5 Times in 4 Posts
Reputation: 15
Post questions!

Quote:
Originally Posted by tamta View Post
core cases is last edition and its same as complex cases (previous edition)
go run to barnes and nobles u have enough time and this book is most uptodae with patient notes and differentials and it helps you think through as y read case discussion
Hey! thanx for this info!!! I was wondering a couple of things!!!

1) do you know if this kaplan core cases book is available on kindle edition? I'm preparing for the test from my home country and of course that we don;t have barnes and nobles here!

2) I'm taking my test in LA, mid may.... anyone going to be there around the 13th? I have that day off and would like to practice with some one!
3) I was wondering exactly how do you study via skype? ( I know, stupid question but do you do cases as a phone case?)

thanx everyone for all the tips!!!
Reply With Quote Quick reply to this message
  #286  
Old 04-09-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 19
Threads: 4
Thanked 5 Times in 4 Posts
Reputation: 15
Default

Quote:
Originally Posted by Medman11 View Post
I was wondering if the patients says I have a pain score 9/10. And In answer to that I would say I am really sorry to hear about it. You must be in really sever pain.
Do I have to follow by sentence of reassuring and saying I will everything I can do today to help you?

I think you should, because that's what you intend to do! I would say something like:

"Mrs. Smith I'm really sorry to hear you feel pain this severe, but let me assure you that I will do everything I can to make you feel more comfortable, once I run some tests and we determine whats causing it, I will be able to give you something for the pain."

I'm guessing the challenging question will be why not give her something right now... and I would say:

" well Mrs. Smith, I do not want to mask any serious conditions that can present with pain as a symptom, but once I have your tests back, I will have a more accurate dx and will be able to provide something to make you feel better"
Reply With Quote Quick reply to this message
The above post was thanked by:
Medman11 (04-09-2014), tamta (04-10-2014)
  #287  
Old 04-09-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by drmalany View Post
I think you should, because that's what you intend to do! I would say something like:

"Mrs. Smith I'm really sorry to hear you feel pain this severe, but let me assure you that I will do everything I can to make you feel more comfortable, once I run some tests and we determine whats causing it, I will be able to give you something for the pain."

I'm guessing the challenging question will be why not give her something right now... and I would say:

" well Mrs. Smith, I do not want to mask any serious conditions that can present with pain as a symptom, but once I have your tests back, I will have a more accurate dx and will be able to provide something to make you feel better"

If someone has 9/10 pain, they cannot wait till the tests are back..Its extreme pain...You can say, "I have told my nurse to bring medication for your pain..Lemme examine you in the mean time"...Then you do the PE and explain everything..Bcz that's what a patient would want to hear;They are in pain, they want you to take care of the pain.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-10-2014)
  #288  
Old 04-09-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Finally done with cs yesterday. I hope I pass and I never have to take that test again. It's so draining. Cases were all doable if you have practiced fa to the core, no other book needed for cases. I bought cse videos, watched some, it was good to know how to empathize and say appropriate words and such but the truth is if you don't practice yourself, it is useless watching all the videos in the world or reading books. So practice on Skype (you ask questions and tell the other person what you're doing when it's time to examine, e.g I want to listen to your heart, ...will you lean forward now, ...thank you etc) or a live partner will be great. Try to do relevant exams only and finish at 12-13mins. Time runs fast in actual test, it is true. And all sps had blunt affect, they were not very friendly, just very to the point, you have to ask many questions to elicit data. They also asked loads of challenging questions so save 3-4 mins at least for that. Also I didn't like food there so bring your own snacks too. Proctors were very nice though.
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-09-2014), tamta (04-10-2014)
  #289  
Old 04-09-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Yes If they are in pain, they wouldn't want to listen anything else so may be tell them you're putting in order for a med to give them quick but temporary relief since getting test results back will help you reach diagnosis and help you give him the appropriate most meds. Also you can say I m putting in order for urgent tests if they are in urgent care.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-10-2014)
  #290  
Old 04-09-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 19
Threads: 4
Thanked 5 Times in 4 Posts
Reputation: 15
Default

Quote:
Originally Posted by rockstar88 View Post
If someone has 9/10 pain, they cannot wait till the tests are back..Its extreme pain...You can say, "I have told my nurse to bring medication for your pain..Lemme examine you in the mean time"...Then you do the PE and explain everything..Bcz that's what a patient would want to hear;They are in pain, they want you to take care of the pain.
I do understand the scale. I was told by several people they were corrected on that statement regarding pain, and thats why I changed my answer since i was using a similar phrase from the one you wrote. of course in real life you would not wait for test results. I'm wondering what other people who have taken different live courses have been told?
Reply With Quote Quick reply to this message
  #291  
Old 04-09-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by drmalany View Post
I do understand the scale. I was told by several people they were corrected on that statement regarding pain, and thats why I changed my answer since i was using a similar phrase from the one you wrote. of course in real life you would not wait for test results. I'm wondering what other people who have taken different live courses have been told?
This is what we were told in Kaplan..Besides, even for step 2 ck, this is what they say..Anytime a patient is in severe pain, take care of it...So, it makes sense.
Reply With Quote Quick reply to this message
  #292  
Old 04-09-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
Finally done with cs yesterday. I hope I pass and I never have to take that test again. It's so draining. Cases were all doable if you have practiced fa to the core, no other book needed for cases. I bought cse videos, watched some, it was good to know how to empathize and say appropriate words and such but the truth is if you don't practice yourself, it is useless watching all the videos in the world or reading books. So practice on Skype (you ask questions and tell the other person what you're doing when it's time to examine, e.g I want to listen to your heart, ...will you lean forward now, ...thank you etc) or a live partner will be great. Try to do relevant exams only and finish at 12-13mins. Time runs fast in actual test, it is true. And all sps had blunt affect, they were not very friendly, just very to the point, you have to ask many questions to elicit data. They also asked loads of challenging questions so save 3-4 mins at least for that. Also I didn't like food there so bring your own snacks too. Proctors were very nice though.
Where did you take the test? Bcz the SPs were fine in Chicago, and so was the food.
Reply With Quote Quick reply to this message
  #293  
Old 04-09-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

I took it in Atlanta. They had pilaf and lemony chicken with gravy that was sour and tasted not good, at least I couldn't eat more than a bite of it. I ate bun with butter, a cookie (sweet dish) and salad (lettuce, cucumbers and tomatoes cut pieces). I had brought some snacks that I was glad about. SP except 2 were not rude but they all had neutral affect and never blinked an eye to whatever assurance and nice talk I did. And answered only what I asked, very to the point. But I assumed this was the role assigned to them and they were doing just that.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-10-2014)
  #294  
Old 04-09-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
I took it in Atlanta. They had pilaf and lemony chicken with gravy that was sour and tasted not good, at least I couldn't eat more than a bite of it. I ate bun with butter, a cookie (sweet dish) and salad (lettuce, cucumbers and tomatoes cut pieces). I had brought some snacks that I was glad about. SP except 2 were not rude but they all had neutral affect and never blinked an eye to whatever assurance and nice talk I did. And answered only what I asked, very to the point. But I assumed this was the role assigned to them and they were doing just that.
Oh! sorry about that..Chicago had some decent food..I liked it actually..I carried a lot of food with me; I'm a vegetarian and was not sure if i would get decent veggie food...But didn't eat any of that..They also had a nice dessert....The proctors were really sweet and the SPs kept smiling (which made me less nervous)...I was supposed to take it in Atlanta, but had to cancel the day before.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-10-2014)
  #295  
Old 04-09-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Wow what was in the food? I m curious now lol
Reply With Quote Quick reply to this message
  #296  
Old 04-09-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by Nixy View Post
Finally done with cs yesterday. I hope I pass and I never have to take that test again. It's so draining. Cases were all doable if you have practiced fa to the core, no other book needed for cases. I bought cse videos, watched some, it was good to know how to empathize and say appropriate words and such but the truth is if you don't practice yourself, it is useless watching all the videos in the world or reading books. So practice on Skype (you ask questions and tell the other person what you're doing when it's time to examine, e.g I want to listen to your heart, ...will you lean forward now, ...thank you etc) or a live partner will be great. Try to do relevant exams only and finish at 12-13mins. Time runs fast in actual test, it is true. And all sps had blunt affect, they were not very friendly, just very to the point, you have to ask many questions to elicit data. They also asked loads of challenging questions so save 3-4 mins at least for that. Also I didn't like food there so bring your own snacks too. Proctors were very nice though.
glad youre done .. .and really glad that you think FA is enough !!
cuzz im freaking out getting the kaplan book and now doing the new cases from there ... i guess all we need is proper way to go about a case
Did u ran out of time on any case ?

i have like couple of days more to exam ... any suggestions ??
Reply With Quote Quick reply to this message
  #297  
Old 04-09-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

Quote:
Originally Posted by rockstar88 View Post
Oh! sorry about that..Chicago had some decent food..I liked it actually..I carried a lot of food with me; I'm a vegetarian and was not sure if i would get decent veggie food...But didn't eat any of that..They also had a nice dessert....The proctors were really sweet and the SPs kept smiling (which made me less nervous)...I was supposed to take it in Atlanta, but had to cancel the day before.
atleast i dont have to worry about the food
I hope they stay like this for me too
Reply With Quote Quick reply to this message
  #298  
Old 04-09-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 428
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by Nixy View Post
Wow what was in the food? I m curious now lol
You could make your own sandwich..with yummy dressings(yes, they had a couple of dressings), fresh fruits, and there was something, which i was not sure was vegetarian (and i didn't even care much), and a little pastry with icing..yum i say!
Reply With Quote Quick reply to this message
  #299  
Old 04-09-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Sounds good!
Reply With Quote Quick reply to this message
  #300  
Old 04-10-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 147 Times in 79 Posts
Reputation: 157
Default

Quote:
Originally Posted by mom260 View Post
glad youre done .. .and really glad that you think FA is enough !!
cuzz im freaking out getting the kaplan book and now doing the new cases from there ... i guess all we need is proper way to go about a case
Did u ran out of time on any case ?

i have like couple of days more to exam ... any suggestions ??
Sorry just read your query today. First aid is enough as far as my exam is concerned. I didn't run out of time in any case but I should admit I was being pretty fast and that helped. I didn't really follow any mnemonic on any case but I asked most questions on first aid because I had practiced a lot so although I didn't ask in order but I asked them promptly as I remembered and my intent was to reach differentials. I could think of 2 differentials in most cases and 3 in a few. Because I came out of room 1-1.5 mins before finish time, I had an extra 1-1.5 mins for pn that helped a lot! Moreover with the patient looking you in your eyes, you wouldn't really remember going through mnemonics in order. Also because sp is human so their responses would be variable and random and wouldn't be exactly how they wrote in first aid. So you have to go about it in whatever direction it is taking you. Just ask important questions, quickly summarize, ask if there is more and then wash hands and examine. Do not use sanitizer because it can make your hands really cold to examine. Do quick relevant exam only and when they announce 5 mins left you should be more than halfway through your exam and leave loads of room for questions. Ask if there is more and keep asking until oatient says none I can think
of. Just make sure sp is satisfied then you may mention, give me a call if you come up with any more questions, thank him and leave
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-13-2014), tamta (04-10-2014)



Reply

Tags
CS-Preparation

Quick Reply
Message:
Options

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:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
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.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

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
April 2014 Step 2 CK Exam Takers eren USMLE Step 2 CK Forum 206 09-19-2015 12:26 AM
February April 2014 Step 2 CK Exam Takers Rookie USMLE Step 2 CK Forum 269 09-13-2014 11:56 AM
March 2014 Step 3 Exam Takers beattheboards USMLE Step 3 Forum 19 02-19-2014 11:03 AM
January 2014 Step 1 Exam Takers neelima208 USMLE Step 1 Forum 4 11-30-2013 02:55 PM
February 2014 Step 1 Exam Takers dr.kriti USMLE Step 1 Forum 14 11-17-2013 09:16 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 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)