April-May 2014 Step 2 CS Exam Takers Thread - Page 4 - 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
  #301  
Old 04-10-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
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.

you sound so much similar to my friend who took exam in atlanta last year. sometimes i really don't know what to do and where to take CS. really don't knwo what is right anymore. some friends failed chicago and passed in Philly, some friends failed atlanta and passed in atlanta.. it really comes to only one logic that your performance and oreoaredness for exam is all that matters. philly is so convenient for me but i have booked exam in atlanta. friend said the same thing neutral affect pts. not helfpull and talkative needed to be dragged out answers and any info from them.

anyways guys thanks sharing.

skype practice is just same as live video call but without PE just talking what you are doing. so it is of help when no one is available alive.

good luck everyone. and what about mnemonics. i am doing FA cases for first time now am at 30 case. have done kaplan core before . and i have to say that THEN FR CS mnemonic is leading me away usually from the chief complains and i really dont think about whats important and ask those questions and go through this mnemonic so stupidly and usually without much help. i really think maybe i will not use these mnemonics on exam and wont lose even 30 secs on it. time issue is BIGG notes need at least additional 2-3 minutes minimum!!!! in big cases it is impossible to do everything to ask everything and then write everything like MVA case par example.

This thread turned out to be good and helpful. thanks to all of you. Rockstar you rock girl good luck with results. hope to join you soon in being ECFMG certified
Reply With Quote Quick reply to this message
The above post was thanked by:
cumberbatch (04-13-2014), rockstar88 (04-10-2014)
  #302  
Old 04-10-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

Quote:
Originally Posted by tamta View Post
you sound so much similar to my friend who took exam in atlanta last year. sometimes i really don't know what to do and where to take CS. really don't knwo what is right anymore. some friends failed chicago and passed in Philly, some friends failed atlanta and passed in atlanta.. it really comes to only one logic that your performance and oreoaredness for exam is all that matters. philly is so convenient for me but i have booked exam in atlanta. friend said the same thing neutral affect pts. not helfpull and talkative needed to be dragged out answers and any info from them.

anyways guys thanks sharing.

skype practice is just same as live video call but without PE just talking what you are doing. so it is of help when no one is available alive.

good luck everyone. and what about mnemonics. i am doing FA cases for first time now am at 30 case. have done kaplan core before . and i have to say that THEN FR CS mnemonic is leading me away usually from the chief complains and i really dont think about whats important and ask those questions and go through this mnemonic so stupidly and usually without much help. i really think maybe i will not use these mnemonics on exam and wont lose even 30 secs on it. time issue is BIGG notes need at least additional 2-3 minutes minimum!!!! in big cases it is impossible to do everything to ask everything and then write everything like MVA case par example.

This thread turned out to be good and helpful. thanks to all of you. Rockstar you rock girl good luck with results. hope to join you soon in being ECFMG certified
I think you are absolutely right about the mnemonics THEN FRCS PUBSAWED
they do not help but I use them to get associated symptoms and usually do you sleep, appetite diet and wieght in all cases... that way i kind of get to the diagnosis. I have tried using systemic associated symptoms eg: pain abdomen>>>> associated symptoms- N?V? diarrhea, blood in stool etc
I think both work absolutely fine
Reply With Quote Quick reply to this message
  #303  
Old 04-10-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

while examining hip joint we can palpate over the underwear right? iliac crest trochanter etc
Reply With Quote Quick reply to this message
  #304  
Old 04-10-2014
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 5
Threads: 1
Thanked 0 Times in 0 Posts
Reputation: 10
Default step 2cs irvine

hi, my exam is on April 16. I have reviewed everything just need to keep on practicing. would be nice to have someone to,study with on Skype or in person.
Reply With Quote Quick reply to this message
  #305  
Old 04-10-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by aman_j View Post
while examining hip joint we can palpate over the underwear right? iliac crest trochanter etc
Yes, you can palpate over the underwear and pretend to examine the actual area.
Reply With Quote Quick reply to this message
  #306  
Old 04-10-2014
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 216
Threads: 23
Thanked 180 Times in 72 Posts
Reputation: 190
Default

Hey guys. I have mine on May 16th. Sorry if it has been discussed already but is it advisable to use a video review (eg. CSE videos). And is Uworld necessary for CS? Thanks..
Reply With Quote Quick reply to this message
  #307  
Old 04-11-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 182
Threads: 20
Thanked 130 Times in 65 Posts
Reputation: 140
Default

guys ' how you all doing'

i need sp'' i ve been preparing for a month now''
2 weeks away from exam'

need sp for crunch prep time'' if any one needs sp plz PM me
i am in MN USA

& thanks for this Thread its realy helpful guys'
__________________
STEP-1 Passed/ CS - 1st attempt/CK DONE
Reply With Quote Quick reply to this message
  #308  
Old 04-11-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by DNA 105 View Post
Hey guys. I have mine on May 16th. Sorry if it has been discussed already but is it advisable to use a video review (eg. CSE videos). And is Uworld necessary for CS? Thanks..
I have watched a CSE video and didn't even bother to watch anymore..Bcz, there are a lot of mistakes in the videos..A friend of mine said that the uworld videos are outdated and not useful at all.
Reply With Quote Quick reply to this message
The above post was thanked by:
DNA 105 (04-11-2014), tamta (04-11-2014)
  #309  
Old 04-11-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by aman_j View Post
I think you are absolutely right about the mnemonics THEN FRCS PUBSAWED
they do not help but I use them to get associated symptoms and usually do you sleep, appetite diet and wieght in all cases... that way i kind of get to the diagnosis. I have tried using systemic associated symptoms eg: pain abdomen>>>> associated symptoms- N?V? diarrhea, blood in stool etc
I think both work absolutely fine
i forget main things that are not in that mnemonic ABdominal pain. Stool in blood and blood in urine etc. but i guess i need to focus myself on chief complaints associated symptoms. thinking of what to ask as ASSOCIATED symptoms are main problem i guess to get the info we need. i will practice a lot and lets see.
Reply With Quote Quick reply to this message
  #310  
Old 04-11-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

Quote:
Originally Posted by tamta View Post
i forget main things that are not in that mnemonic ABdominal pain. Stool in blood and blood in urine etc. but i guess i need to focus myself on chief complaints associated symptoms. thinking of what to ask as ASSOCIATED symptoms are main problem i guess to get the info we need. i will practice a lot and lets see.
well thats why the exam is difficult, if you had one hour for each case you would not be so worried and cover all the things but from other examinees past experience the more focussed the Hx and exam the easier the PN. And most of these examinees did really well. . practice makes perfect
Reply With Quote Quick reply to this message
  #311  
Old 04-11-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default hearing loss case

What systems would you examine?
mine:
HEENT>>>webers and rinne included
neuro
and I think no time for chest/abd/heart-
Reply With Quote Quick reply to this message
  #312  
Old 04-11-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by aman_j View Post
What systems would you examine?
mine:
HEENT>>>webers and rinne included
neuro
and I think no time for chest/abd/heart-
no time for everything.

what about MVA or diabetic case??? y cant miss anything and note is hell length
Reply With Quote Quick reply to this message
  #313  
Old 04-11-2014
USMLE Forums Guru
 
Steps History: 1+CK+CS
Posts: 359
Threads: 39
Thanked 228 Times in 135 Posts
Reputation: 238
Default

Quote:
Originally Posted by aman_j View Post
What systems would you examine?
mine:
HEENT>>>webers and rinne included
neuro
and I think no time for chest/abd/heart-
depends on what is he c/o along with hearing loss,if there is no dizziness,lightheadededness or headache, i would skip out on neuro and do rinne and weber and whisper test,
but if those are present then i will do neuro.
__________________
lets do this!!
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-11-2014)
  #314  
Old 04-11-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 111
Threads: 12
Thanked 99 Times in 35 Posts
Reputation: 109
Default Transitions?

What transition can we use when asking about living conditions? Is "who do you live with" fine? This is probably a silly question but while practicing it seems unnatural to say that out of the blue.

Also before obgyn history is saying now I would like to ask you about your menstrual cycles and pregnancies ok? FA suggests we ask about PAP smear but what if the patient doesn't know what it means? I heard you lose a point every time you use a medical term and the patient ask you to define it.
Reply With Quote Quick reply to this message
  #315  
Old 04-11-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

Quote:
Originally Posted by tamta View Post
no time for everything.

what about MVA or diabetic case??? y cant miss anything and note is hell length
I have my own examination notes for DM
Must do: fundoscopy EOMI, VISION, CARDIOVASCULAR, EXTREMITIES (for peripheral neuropathy)AND GAIT.
If time permits chest and abdomen but I would rather counsel than spend time on examination
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-12-2014)



  #316  
Old 04-12-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by aman_j View Post
I have my own examination notes for DM
Must do: fundoscopy EOMI, VISION, CARDIOVASCULAR, EXTREMITIES (for peripheral neuropathy)AND GAIT.
If time permits chest and abdomen but I would rather counsel than spend time on examination
i will rather counsel then do anything generally and i don't see possibility of success in this exam if i dont leave extra couple minutes for notes
Reply With Quote Quick reply to this message
  #317  
Old 04-12-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by aman_j View Post
I have my own examination notes for DM
Must do: fundoscopy EOMI, VISION, CARDIOVASCULAR, EXTREMITIES (for peripheral neuropathy)AND GAIT.
If time permits chest and abdomen but I would rather counsel than spend time on examination
i use this mnemonic for diabetis and although it is everything else but mnemonic i find it all encompasing:
and somehow do remember it: OISC M LR H5 VIP MGUN
Onset
Insulin, other rx, other meds
Schedule: dosage route
Compliance
Monitor: glu, BP
LR: Last Reading
H5:
_HBA1C
_Heart symptoms : palpitations, chest pain, claudication
_HTN: TIAs, stroke, dizziness, blurring, weakness, headache
_Hypoglycemic attack: sweating, palps, confused (diaphoretic?) after event
_High cholesterol, controled?

Vision changes. last checkup
Infections: fever. feet: how d y take care of yr feet?
Pulmonary : cough, chest oain, SOB. + 3Ps: polydipsia, polyphagia, polyuria.

M.ood D.iet Weight

GIT: abdo pain, bowel habbit changes, bloating, cramps
Urinary: polyuria, dysuria, hematuria
Neuro: headache, numbness, tingling, weakness, TIA, stroke.
Reply With Quote Quick reply to this message
  #318  
Old 04-12-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

Quote:
Originally Posted by tamta View Post
i will rather counsel then do anything generally and i don't see possibility of success in this exam if i dont leave extra couple minutes for notes
Bang on! I think the point of the exam is to see if you know what not to waste your time on. everyone who goes to the exam can do a complete physical very well but they dont want a complete physical , they want a focused Hx & physical.
Reply With Quote Quick reply to this message
  #319  
Old 04-13-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default Confused about FA case 37 -calf pain

I'm very confused about FA case no 37 - calf pain. The first thing that should come to your mind when doing this case is DVT. So if I think that the probability of DVT is very high, why should I do joint range of motion??? What if I dislodge a clot with my too extensive physical examination and KILL the patient??? Even if it's a distal DVT the risk of iatrogenic pulmonary embolism is real!

So what I'm saying is that I would never do joint ROM before ruling out DVT! But joint examination (inspection, palpation + ROM) is on the patient's check list. So... What would you do, guys?
Reply With Quote Quick reply to this message
The above post was thanked by:
cumberbatch (04-13-2014)
  #320  
Old 04-13-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by JLY7 View Post
I'm very confused about FA case no 37 - calf pain. The first thing that should come to your mind when doing this case is DVT. So if I think that the probability of DVT is very high, why should I do joint range of motion??? What if I dislodge a clot with my too extensive physical examination and KILL the patient??? Even if it's a distal DVT the risk of iatrogenic pulmonary embolism is real!

So what I'm saying is that I would never do joint ROM before ruling out DVT! But joint examination (inspection, palpation + ROM) is on the patient's check list. So... What would you do, guys?
i did same case tofay and my pain is why cant i write pulmonary embolism in differentisl i have clear dvt hx+ recent immobilization and why should not i order chest something to rule it out
Reply With Quote Quick reply to this message
  #321  
Old 04-13-2014
abeer's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS+3
Posts: 369
Threads: 3
Thanked 193 Times in 81 Posts
Reputation: 203
Default help me :(

Hey guys I need some help.. Im really bad in paeds history, sometimes im forgetting some points and other times some other points.. is there any mnemonic for Paeds history?? I saw ON CALL IDIOT but still i forget asking about ear pulling or cry during urination.. can anyone plz plz help me in this??
__________________
Knowing trees, I understand the meaning of Patience.
Knowing grass, I can appreciate Persistence.
Reply With Quote Quick reply to this message
  #322  
Old 04-13-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default

Quote:
Originally Posted by tamta View Post
i did same case tofay and my pain is why cant i write pulmonary embolism in differentisl i have clear dvt hx+ recent immobilization and why should not i order chest something to rule it out
Maybe because PE is very unlikely here (no tachycardia - would be the first sign, if any; no dyspnea) and some "local" alternative diagnosis are more probable. Furthermore, if let's say, you have a minor PE that has no clinical impact, the treatment would not be different from how and how long you would treat an uncomplicated DVT. So I suspect doing a CT here would unnecessarily irradiate the patient and the finding would not change the treatment.
Reply With Quote Quick reply to this message
  #323  
Old 04-13-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

guys please help me on this !!!!

im practicing PN along with Kaplan, in few cases they just mention the relevant HPI and skip the allergies, Surgical hx

is that ok ??? Can we actually do that ???

the sample practice page on usmle.org does say that

HISTORY: Describe the history you just obtained from this patient. Include only information (pertinent positives and negatives) relevant to this patient's problem(s).

and im kinda paying more attention to this now

So please please let me know what u guys think


Thanks alot
Reply With Quote Quick reply to this message
  #324  
Old 04-13-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by tamta View Post
i did same case tofay and my pain is why cant i write pulmonary embolism in differentisl i have clear dvt hx+ recent immobilization and why should not i order chest something to rule it out
You can always write down D-dimer to rule it out..It shows that you are suspecting PE and that you also know that D-dimer is enough to rule it out.
Reply With Quote Quick reply to this message
  #325  
Old 04-13-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by mom260 View Post
guys please help me on this !!!!

im practicing PN along with Kaplan, in few cases they just mention the relevant HPI and skip the allergies, Surgical hx

is that ok ??? Can we actually do that ???

the sample practice page on usmle.org does say that

HISTORY: Describe the history you just obtained from this patient. Include only information (pertinent positives and negatives) relevant to this patient's problem(s).

and im kinda paying more attention to this now

So please please let me know what u guys think


Thanks alot
I would always ask for allergies...Ask for surgeries and document it if you have enough space..You have nothing to lose..Just one question.
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-13-2014)



  #326  
Old 04-13-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by abeer View Post
Hey guys I need some help.. Im really bad in paeds history, sometimes im forgetting some points and other times some other points.. is there any mnemonic for Paeds history?? I saw ON CALL IDIOT but still i forget asking about ear pulling or cry during urination.. can anyone plz plz help me in this??
I don't know any mnemonic for pediatric cases, but what helps me is going from the head downwards..So, i start from head (seizures), and go down to ears(pulling on ears/discharge), face (runny nose, rash), chest (cough, wheezing, breathing fast), etc..Works for me.
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-13-2014)
  #327  
Old 04-13-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default

Quote:
Originally Posted by mom260 View Post
guys please help me on this !!!!

im practicing PN along with Kaplan, in few cases they just mention the relevant HPI and skip the allergies, Surgical hx

is that ok ???
It's kind of funny that they skip allergies because in their own book (Kaplan core cases, 3rd Ed.) they say that the question about allergies "is the basic question that must be asked of the patient in EVERY CASE". They actually use italic letters for "every case" So no, I wouldn't skip it!
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-13-2014), mom260 (04-13-2014)
  #328  
Old 04-13-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 19
Threads: 7
Thanked 7 Times in 5 Posts
Reputation: 17
Default

The best one is

FEVER CUDS PAMIF BIGDEALS

Fever
Eye/Ear changes
Vomiting
Ear Pulling
Rash

Chest symptoms, cough
Urinary symptoms 9 wet diapers, odor, color.
Diarrhea ( frequency, onset, blood, mucus)
Shaking/Seizures.

PMH/PSH
Allergies
Medications
Ill contacts
FH
Birth history
Immunizations
Growth and Development
Day care center.
Eating habits
Appetite
Look
Sleep







Quote:
Originally Posted by rockstar88 View Post
I don't know any mnemonic for pediatric cases, but what helps me is going from the head downwards..So, i start from head (seizures), and go down to ears(pulling on ears/discharge), face (runny nose, rash), chest (cough, wheezing, breathing fast), etc..Works for me.
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-14-2014), tamta (04-15-2014)
  #329  
Old 04-14-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 189
Threads: 19
Thanked 150 Times in 41 Posts
Reputation: 160
Smile

Done with the test. I hope I pass it.
Wish me goodluck.
And keep studying for the exam.
I will post my experience.when I get my result.
__________________
IMG(Pakistan) YOG(2008) Step 1(228/1st) Step 2 CK(241/1st) CS(Pass/1st) Step 3(205/1st) USCE(1 month observership in a teaching hospital) None USCE(5 years ICU/Internal Medicine)
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-15-2014), Torm2 (05-03-2014)
  #330  
Old 04-14-2014
abeer's Avatar
USMLE Forums Guru
 
Steps History: 1+CK+CS+3
Posts: 369
Threads: 3
Thanked 193 Times in 81 Posts
Reputation: 203
Default

Quote:
Originally Posted by usmle_2013 View Post
Done with the test. I hope I pass it.
Wish me goodluck.
And keep studying for the exam.
I will post my experience.when I get my result.

GOOD that you are done with this monster.. im so scared.. my exam is pretty soon
__________________
Knowing trees, I understand the meaning of Patience.
Knowing grass, I can appreciate Persistence.
Reply With Quote Quick reply to this message
  #331  
Old 04-15-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by usmle_2013 View Post
Done with the test. I hope I pass it.
Wish me goodluck.
And keep studying for the exam.
I will post my experience.when I get my result.
your credentials look so similar to mine together woth YoG. except i dont have any observship. good luck !!! no failures are possible for us!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-03-2014)
  #332  
Old 04-15-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default Peds case

guys if we get a peds case say with fever
for work up is it enough to put down physical exam. do we need to give a workup for the diagnosis we have mentioned
Reply With Quote Quick reply to this message
  #333  
Old 04-15-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by aman_j View Post
guys if we get a peds case say with fever
for work up is it enough to put down physical exam. do we need to give a workup for the diagnosis we have mentioned
PE+ work up for the diagnoses you write down.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (04-16-2014)
  #334  
Old 04-16-2014
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 216
Threads: 23
Thanked 180 Times in 72 Posts
Reputation: 190
Default The irony of CS!

So I was just reviewing a first aid case where one of the most obvious diagnoses was acute myocardial infarction. And here I was practicing all by myself, calmly asking the hypothetical patient his sexual and family history instead of sticking some damn EKG leads to his chest. Defeats all logic and common sense.

Kinda funny and ironic, don't you think! Reminds me of a lyric...

"When logic and proportion, has fallen sloppy dead."
Reply With Quote Quick reply to this message
The above post was thanked by:
vita86 (04-17-2014)
  #335  
Old 04-16-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default

Quote:
Originally Posted by DNA 105 View Post
So I was just reviewing a first aid case where one of the most obvious diagnoses was acute myocardial infarction. And here I was practicing all by myself, calmly asking the hypothetical patient his sexual and family history instead of sticking some damn EKG leads to his chest. Defeats all logic and common sense.

Kinda funny and ironic, don't you think! Reminds me of a lyric...

"When logic and proportion, has fallen sloppy dead."
Had the exact same problem and discussion with my study partner today. So funny
Reply With Quote Quick reply to this message



  #336  
Old 04-17-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

what troubles me the most is checkin ROM of neck in pt with neck trauma when i should be jumping on him/her with C collar immobilization

to tell you the truth i dont even know am i preparing for exam at all or not ..

what calms me down is that i do write PN after every practiced case. done with FA and Kaplan once. going on second round with after practice reading of case thoroughly
Reply With Quote Quick reply to this message
  #337  
Old 04-17-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 182
Threads: 20
Thanked 130 Times in 65 Posts
Reputation: 140
Default

:

if i am running out of time '' what should i Focus on examination or closure & counselling?

i cut examination short to save closure & give my clinic impression & my sp says no do exam complete .:s


& & & should i buy kaplan core cases?? i have 10 days left ' i barely finished FA '' is kaplan must?? or Fa wud be enough.
__________________
STEP-1 Passed/ CS - 1st attempt/CK DONE

Last edited by vita86; 04-17-2014 at 08:41 AM.
Reply With Quote Quick reply to this message
  #338  
Old 04-17-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by vita86 View Post
:

if i am running out of time '' what should i Focus on examination or closure & counselling?

i cut examination short to save closure & give my clinic impression & my sp says no do exam complete .:s


& & & should i buy kaplan core cases?? i have 10 days left ' i barely finished FA '' is kaplan must?? or Fa wud be enough.

I would focus more on the closure and counseling part..Bcz there are more points for the closure and counseling part on the checklist than PE..You would still do the basic PE, right? As for Kaplan core cases, if you are still working on FA, i would suggest you finish that first..Bcz most of the cases on the actual test are like the ones in FA..Core cases is for those 1 or 2 tough cases...But, if you are struggling with PN, then again, I suggest doing it from Core cases since its updated...Good luck!
Reply With Quote Quick reply to this message
The above post was thanked by:
vita86 (04-17-2014)
  #339  
Old 04-17-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS+3
Posts: 189
Threads: 19
Thanked 150 Times in 41 Posts
Reputation: 160
Default

Forget about your SP and start worrying about your exam.
Remember that there are three component in 15 minutes.
History, physical exam and closure. For instance you get 100 percent in
One component and zero in the remaining two then where will you stand.
Take a focus history, do PE related to the system involved and do a nice closure .
Goodluck.
__________________
IMG(Pakistan) YOG(2008) Step 1(228/1st) Step 2 CK(241/1st) CS(Pass/1st) Step 3(205/1st) USCE(1 month observership in a teaching hospital) None USCE(5 years ICU/Internal Medicine)
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (04-17-2014), vita86 (04-17-2014)
  #340  
Old 04-21-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

how do i kill the anxiety im having
just 1 day more to go
Reply With Quote Quick reply to this message
  #341  
Old 04-21-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 19
Threads: 4
Thanked 5 Times in 4 Posts
Reputation: 15
Default

Quote:
Originally Posted by mom260 View Post
how do i kill the anxiety im having
just 1 day more to go

I think it's ok to be a little anxious ( hope that's spelled correctly), it's a very important day! do what you think will relax you.... like in my case, I would pray, read my bible a little, go for a swim for a couple of laps on the hotel's pool, take a hot shower and try to sleep early.....

you studied as much as you could up to this point, you've faced worst scenarios than this before as well.... so power on and best of luck and blessing and good bibes to you!!! and rock it tomorrow!
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-21-2014)
  #342  
Old 04-23-2014
drglo's Avatar
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 96
Threads: 18
Thanked 55 Times in 16 Posts
Reputation: 65
Default

Hey guys, I took the exam on March 19 at Atlanta and got my results today. I Passed
I'm so happy right now! Just wanted to thank you all, this thread has been really helpful for my preparation. You are amazing
__________________
- Shoot for the moon; even if you miss it, you'll land among the stars -
Reply With Quote Quick reply to this message
The above post was thanked by:
aman_j (04-23-2014), tamta (04-24-2014)
  #343  
Old 04-23-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default

Quote:
Originally Posted by drglo View Post
Hey guys, I took the exam on March 19 at Atlanta and got my results today. I Passed
I'm so happy right now! Just wanted to thank you all, this thread has been really helpful for my preparation. You are amazing
Congrats, man! Nice work!
Reply With Quote Quick reply to this message
The above post was thanked by:
drglo (04-24-2014)
  #344  
Old 04-24-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

im done with cs ... yuppppppie
i know alot of ppl feel weird after coming out of the exam, but i actually felt really good alhumdolilahh

my 2 cents: this exam is not worth the stress we take!! keep urself calm and practice with someone who can point out your mistakes

gooodluck everyone
Reply With Quote Quick reply to this message
The above post was thanked by:
drmalany (04-24-2014), Medman11 (04-24-2014), tamta (04-24-2014)
  #345  
Old 04-24-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 83
Threads: 8
Thanked 24 Times in 15 Posts
Reputation: 34
Default

and chicago had the worst food !!!! evaa
so do take somethin along if u have religious limitations or specific food preferences!!
Reply With Quote Quick reply to this message
The above post was thanked by:
aman_j (04-24-2014)



  #346  
Old 04-24-2014
USMLE Forums Scout
 
Steps History: CS Only
Posts: 19
Threads: 4
Thanked 5 Times in 4 Posts
Reputation: 15
Default

Quote:
Originally Posted by mom260 View Post
im done with cs ... yuppppppie
i know alot of ppl feel weird after coming out of the exam, but i actually felt really good alhumdolilahh

my 2 cents: this exam is not worth the stress we take!! keep urself calm and practice with someone who can point out your mistakes

gooodluck everyone
I was actually waiting for an update from you glad to know you got through all that anxiety and that you felt good after the exam
Reply With Quote Quick reply to this message
The above post was thanked by:
mom260 (04-24-2014)
  #347  
Old 04-24-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Im glad for you guys..hope for best for everyone
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-03-2014)
  #348  
Old 05-03-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Whats up guys.. is everybody done with exams? we have the hottest Exam passing period ahead in May. Good luck everyone.
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-03-2014)
  #349  
Old 05-03-2014
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

I am done with my exam in Philly. I can not say how it went.. Strange feelings after i left the building. Proctors were fanastics, sp were ok. I was the only fmg, i only hope that the exam is really standard.
Now wait untill june. Relax and finger crossed!
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (05-04-2014), Torm2 (05-03-2014)
  #350  
Old 05-03-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Quote:
Originally Posted by tamta View Post
Whats up guys.. is everybody done with exams? we have the hottest Exam passing period ahead in May. Good luck everyone.
I took my exam Feb 27 and I am still waiting on my results.
I'm super nervous!! Anyone still waiting for the results??Good luck to all of us.
Reply With Quote Quick reply to this message
  #351  
Old 05-03-2014
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 did my exam on April 28th.I was pretty nervous on first few cases and forgot to do some abvious physicals. Also I have done some physical but forgot to put it in the notes. Im really nervous now.
How do they evaluate? What percentage do we have to cover in order to pass?
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-03-2014)
  #352  
Old 05-03-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Quote:
Originally Posted by Medman11 View Post
I did my exam on April 28th.I was pretty nervous on first few cases and forgot to do some abvious physicals. Also I have done some physical but forgot to put it in the notes. Im really nervous now.
How do they evaluate? What percentage do we have to cover in order to pass?
There is not a percentage. You have to pass the 3 aspects which is Integrated clinical encounter (ICE), integrated communication skills (ICS) and Spoken english proficiency (SEP). There is a thread in this forum with many mistakes that other people do and the outcome. It helps to read it, bc you see that you are not alone with your mistakes.
http://www.usmle-forums.com/usmle-step-2-cs-recommended-threads/2621-i-have-these-mistakes-my-cs-exam.html
Reply With Quote Quick reply to this message
  #353  
Old 05-04-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 338 Times in 160 Posts
Reputation: 358
Default

My exam's tmrw in chicago. Any chance im meeting any of you there? .
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (05-04-2014)
  #354  
Old 05-04-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by aman_j View Post
My exam's tmrw in chicago. Any chance im meeting any of you there? .
Good luck my friend to everyone in Chicago and especially to my friend in Atlanta!! be focused and calm guys!
I hope i will be able to take exam soon too. I will probably exchange my Atlanta May 22 to some unknown September date tomorrow. So if anyone interested stay tuned
Reply With Quote Quick reply to this message
  #355  
Old 05-04-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 226
Threads: 13
Thanked 146 Times in 79 Posts
Reputation: 156
Default

Quote:
Originally Posted by tamta View Post
Good luck my friend to everyone in Chicago and especially to my friend in Atlanta!! be focused and calm guys!
I hope i will be able to take exam soon too. I will probably exchange my Atlanta May 22 to some unknown September date tomorrow. So if anyone interested stay tuned
Are you deferring your exam until September? I m not sure of your circumstances but if you want to postpone to study more, I'd suggest not to. You seem really prepared to me, and if you're finishing encounters in time, I m dure you have all it takes to pass exam
Reply With Quote Quick reply to this message
  #356  
Old 05-05-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Quote:
Originally Posted by Nixy View Post
Are you deferring your exam until September? I m not sure of your circumstances but if you want to postpone to study more, I'd suggest not to. You seem really prepared to me, and if you're finishing encounters in time, I m dure you have all it takes to pass exam
I agree with Nixy, Tamta.... 1 month with encounter practice is enough in most of times. Just try to pace yourself, and practice PN as much as posible. If I could go back in time I would practice PN even more. Good luck!!!
Reply With Quote Quick reply to this message
  #357  
Old 05-05-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by Torm2 View Post
I agree with Nixy, Tamta.... 1 month with encounter practice is enough in most of times. Just try to pace yourself, and practice PN as much as posible. If I could go back in time I would practice PN even more. Good luck!!!
I wish i could take exam as sheduled guys. I also think i am ready but unfortunately.. But i will try to keep myself in shape and yes i donpractice evry case with note not a single case without a note. Lets see what happens
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-05-2014)
  #358  
Old 05-05-2014
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 216
Threads: 23
Thanked 180 Times in 72 Posts
Reputation: 190
Default

Hey guys. I know this ust have been discussed already but please help me out here.

About investigations - what's the aim? To fill maximum blocks by writing ALL related investigation for the symptoms? Or we should try and make sense with it?

As we know, the patient note doesn't have a checklist anymore and is rated globally.

Thoughts??? Quality vs Quantity??
Reply With Quote Quick reply to this message
  #359  
Old 05-05-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Quote:
Originally Posted by DNA 105 View Post
Hey guys. I know this ust have been discussed already but please help me out here.

About investigations - what's the aim? To fill maximum blocks by writing ALL related investigation for the symptoms? Or we should try and make sense with it?

As we know, the patient note doesn't have a checklist anymore and is rated globally.

Thoughts??? Quality vs Quantity??
Hello
According to usmle.com you should avoid unnecessary, invasive and expensive studies.
I think quality is a better option. Try to start with a more simple test before going to sophisticated "gold standard" dx studies.
Here is the sample that is on the usmle website: http://www.usmle.org/practice-materials/step-2-cs/patient-note2.html
Good luck
Reply With Quote Quick reply to this message
  #360  
Old 05-05-2014
USMLE Forums Veteran
 
Steps History: Step 1 Only
Posts: 216
Threads: 23
Thanked 180 Times in 72 Posts
Reputation: 190
Default

Quote:
Originally Posted by Torm2 View Post
Hello
According to usmle.com you should avoid unnecessary, invasive and expensive studies.
I think quality is a better option. Try to start with a more simple test before going to sophisticated "gold standard" dx studies.
Here is the sample that is on the usmle website: http://www.usmle.org/practice-materi...ent-note2.html
Good luck
Thanks mate. It always bothered me when I'm asked to order CT head and MRI brain both in the same patient. I guess we have to find a way to balance both aspects...
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (05-06-2014), Torm2 (05-06-2014)
  #361  
Old 05-05-2014
rockstar88's Avatar
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 427
Threads: 10
Thanked 291 Times in 198 Posts
Reputation: 301
Default

Quote:
Originally Posted by DNA 105 View Post
Thanks mate. It always bothered me when I'm asked to order CT head and MRI brain both in the same patient. I guess we have to find a way to balance both aspects...
I agree..It doesn't make sense to get a CT if you are getting an MRI..In such cases, you can retain the more accurate test and skip the other..Skip CT and put MRI head.
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (05-06-2014)
  #362  
Old 05-06-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by rockstar88 View Post
I agree..It doesn't make sense to get a CT if you are getting an MRI..In such cases, you can retain the more accurate test and skip the other..Skip CT and put MRI head.
I stupidly write always CT, MRI head together. and it bothers me a lot.and generally everything bothers me about this exam it has never been so hard to prepare for anything. i have my reasons but either way everyone is so unwilling to do the cases write the notes and it turns out to be exhausting after couple of full cases.
Reply With Quote Quick reply to this message
The above post was thanked by:
Torm2 (05-06-2014)
  #363  
Old 05-06-2014
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

Just my point of view:
if the case is a patient in ed than I order a ct without contrast. No mri in ed.
If the case is an outpatient I skip the ct and order an mri with contrast.
This is what i did in the real exam.
Reply With Quote Quick reply to this message
  #364  
Old 05-06-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 253
Threads: 35
Thanked 51 Times in 45 Posts
Reputation: 61
Default

are you all joining Kaplan live CS course?
__________________
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
  #365  
Old 05-06-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 253
Threads: 35
Thanked 51 Times in 45 Posts
Reputation: 61
Default

please reply?????
__________________
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
  #366  
Old 05-06-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Quote:
Originally Posted by MEDICINE DOC View Post
are you all joining Kaplan live CS course?
I didn't, because I had no money for that... I think it must be good though...
Reply With Quote Quick reply to this message
The above post was thanked by:
MEDICINE DOC (05-07-2014), tamta (05-06-2014)
  #367  
Old 05-06-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by Torm2 View Post
I didn't, because I had no money for that... I think it must be good though...
Me neither... Even i i had i would spend more time and work little more woth sp friends. And maximum take some corse 1000$ or just mock exam
Reply With Quote Quick reply to this message
The above post was thanked by:
MEDICINE DOC (05-07-2014), Torm2 (05-07-2014)
  #368  
Old 05-07-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 253
Threads: 35
Thanked 51 Times in 45 Posts
Reputation: 61
Default

Thanks for the replies...
even I don't have a heart to shell out that much big amount
was worried if its REALLYYYYY necessary..Thank u guys,i will find a good study partner and take a mock exam
__________________
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
  #369  
Old 05-07-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Quote:
Originally Posted by MEDICINE DOC View Post
Thanks for the replies...
even I don't have a heart to shell out that much big amount
was worried if its REALLYYYYY necessary..Thank u guys,i will find a good study partner and take a mock exam
And tou should not waste that much amount. I know lot of people who jus took kaplan then exam and failed. Kaplan is great i am sure but its like a birthday cake tou have to prepare food by yourself and pass exam with yr skills. Mock exam is like nbme and i would and maybe will do it. Lets see.
Reply With Quote Quick reply to this message
  #370  
Old 05-07-2014
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 14
Threads: 2
Thanked 16 Times in 6 Posts
Reputation: 26
Send a message via Skype™ to Torm2
Default

Hello everyone! I got my results today and I am very happy to say that I PASSED !!!!

I wanna share my experience with you all:
I studied for a month, most of time with a live partner who was also preparing. But she moved to chicago so we kept practicing on skype. I also practice with my husband, who is not a physician.
I used FA and many many videos on youtube for PE... random videos, not payed ones.I looked for maneuvers, especially for neuro.
We did all the cases on FA and some more "made up cases"
I live in Houston, but I wanted to be closer to the center, so I stayed at a hotel close to the test center. They gave me a cheaper price when I mentioned It was for a USMLE test. On the night before I slept around 10:30 and woke up at 5. I revised some flash cards (it makes me less nervous if I revise right before), and got ready.

When I got there, it was a mix between imgs and amgs. Amgs seemed very confident, they barely read the sheet on the door before entering the room, and I could hear them all greeting the patient loudly.

The SP's where all helpful in the sense they don't waste your time. They give you straight forward quick answers.
The cases where all doable, I started well, feeling good and energetic.
But after the first break I was exhausted!

I had enough time to do closure and counseling in all my cases, but I did a focused PE and used gloves (I thought wearing gloves was faster than washing and drying hands)
I didn't look at the clock to not be more nervous. Try to have an internal clock. You get at the point after a lot of practicing.

I can't remember all my mistakes. After the test I wasn't sure about what I did, if I ordered x y and z tests or did the x maneuver. Its horrible.
But I do remember:

- On the PN I blank and wrote "Urinary Studies " instead of "Urodynamic Studies"

- I felt that my PN was too short, that I should have wrote more on HPI and PE. This haunted me since day 1!

-I messed up a case where Facticious disorder should be on the differential and I didn't think about it...

- I didn't ask enough questions while doing HPI, then I realized it when doing my PN. Too late.

-When a patient said she was homosexual I got nervous and smile to much, almost laughing

- I didn't do Lermithe and Spurling test in a case when I should.

And indeed, my lowest performance was in ICE, as I expected.
I was so worried, focusing on my mistakes, that my confidence was on the floor... but now is all behind me, and with God's help I am one step closer to the residency

Try not to focus on your mistakes, but what you did good.
Good luck to us all!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
Drfast (06-05-2014), JLY7 (05-07-2014), Medman11 (05-07-2014), tamta (05-07-2014)
  #371  
Old 05-07-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 44
Threads: 20
Thanked 1 Time in 1 Post
Reputation: 11
Default

hi everyone, can anybody tell me which first aid edition u guys are using?
3rd , 4th or 5th? my exam is on june 20.
Reply With Quote Quick reply to this message
  #372  
Old 05-16-2014
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 253
Threads: 35
Thanked 51 Times in 45 Posts
Reputation: 61
Default

Plzzzz reply if u all are taking Kaplan practice exam????????????????????
__________________
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
  #373  
Old 05-17-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

FA fourth edition is latest. 5th will come out in august 22 .
Im not taking kaplan course. Ptactice a lot withbpartner write note after every encounter time everythin ten min for encounter ten min for note and yll be good
Reply With Quote Quick reply to this message
  #374  
Old 06-05-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 10
Threads: 1
Thanked 6 Times in 4 Posts
Reputation: 16
Default I'm Collapsing!!!!! Panic Mode

Hi Everyone, I have been a lurker for some time now, I recently took my CS exam in LA, and now Im feeling like I might have failed... Please comment if you had any similar mistakes and what was your outcome....

My mistakes:
I couldnt finish 1 encounter, so i didnt do counseling at all, the rest were fine
I forgot to do a CVA tenderness exam on 1 case on which was relevant
I forgot to wash my hands in 1 case but I told the patient I was sorry and immediately put on some gloves
I forgot to add a major diagnosis on 2 cases
I did mostly focused PE, forgot to do some important manuevers in 1 case
Forgot some details in the PN of all cases like recent infections for a case that was extremely important.
Had some trouble with grammar and spoken english in which I tought the patient didnt understand me as well as I wanted to and some stuttering.

What I did good:
I did my presentation with my name, position and aknowledged the patients main complain
I was empathic and helped the patients to change position
I summarized in every case
I did counselling for all but 1 case
I finished all my pt Notes
I asked if the pt understood everything and answered their questions accordingly
I smiled according to the situation and provided comfort for the patients that needed it
I explained 2 DDx and Workup in all but 1 case
Told the patients in pain that I would provide some pain relief medications as soon as we are finished with the encounter


PLEASE HELP ME WITH SOME ADVICE IM DYING AND STILL HAVE TO DO STEP 2 CK!!!!!
Reply With Quote Quick reply to this message
The above post was thanked by:
tamta (06-05-2014)
  #375  
Old 06-05-2014
USMLE Forums Master
 
Steps History: ---
Posts: 956
Threads: 28
Thanked 1,399 Times in 516 Posts
Reputation: 1409
Default

Calm down. Everybody has same bunch of mistakes if t don't believe go on the mostakes thread and see who has passed with what mistakes. Instead of moaning next months just focus on ck. I know it must be hard but come on y cant change anything so move on
Reply With Quote Quick reply to this message



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 01:26 AM
February April 2014 Step 2 CK Exam Takers Rookie USMLE Step 2 CK Forum 269 09-13-2014 12:56 PM
March 2014 Step 3 Exam Takers beattheboards USMLE Step 3 Forum 19 02-19-2014 12:03 PM
January 2014 Step 1 Exam Takers neelima208 USMLE Step 1 Forum 4 11-30-2013 03:55 PM
February 2014 Step 1 Exam Takers dr.kriti USMLE Step 1 Forum 14 11-17-2013 10:16 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)