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USMLE Step 2 CS Forum USMLE Step 2 CS Discussion Forum: Let's talk about anything related to USMLE Step 2 CS exam


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  #1  
Old 03-03-2014
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Default CS exam experience

Hello there, it is been a while since I have made a thread, I was so busy with my work back home, yesterday I gave step 2 CS at Houston, Texas, it is going to be my last step, so I hope I did not ruin everything I did in step 1 and CK.
How I prepared: FA + study partners (I had many of them)
I prepared by reading the FA once and then practicing all the cases with the study partners, I did all of them at least twice.
I was so nervous before the break, made many stupid mistakes and errors and forgot many things but after the break things turned better a little bit. In general, all the cases were easy in general but errors occur if one is nervous !
I really don't know if I would pass or fail, but now is party time in Houston !
Will have to wait in the misery till 23 April ! Hope I pass
Will give a detailed experience after my results, I am happy to answer any question you have

Last edited by Ayman Qasrawi; 03-03-2014 at 11:20 PM.
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  #2  
Old 03-04-2014
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Hi where the cases similar to what what we see in first aid?? and where the SP's difficult ie did you have to as each an every single question in FA or did they volunteer some answers??
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  #3  
Old 03-04-2014
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Yes all the cases were simple and common cases as in first aid. Don't try to ask all the questions ib first aid. After all you will be assessed by the patient note rather than by the questions you ask. If you ask the sp do you have any other symptoms or would you like to add anything mostly he will add information for you
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  #4  
Old 03-05-2014
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Thank you so much for for your prompt response! you put my mind at ease ....Good luck.I pray your result comes out great!!!
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  #5  
Old 03-07-2014
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Default cs experience

Quote:
Originally Posted by Ayman Qasrawi View Post
Hello there, it is been a while since I have made a thread, I was so busy with my work back home, yesterday I gave step 2 CS at Houston, Texas, it is going to be my last step, so I hope I did not ruin everything I did in step 1 and CK.
How I prepared: FA + study partners (I had many of them)
I prepared by reading the FA once and then practicing all the cases with the study partners, I did all of them at least twice.
I was so nervous before the break, made many stupid mistakes and errors and forgot many things but after the break things turned better a little bit. In general, all the cases were easy in general but errors occur if one is nervous !
I really don't know if I would pass or fail, but now is party time in Houston !
Will have to wait in the misery till 23 April ! Hope I pass
Will give a detailed experience after my results, I am happy to answer any question you have
Thank you for sharing . The key is as many member said already is to remain calm and minimize the # of mistakes... if possible and not to forget essential issues
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  #6  
Old 03-09-2014
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Hi. I have a couple of questions. Do you know if SPs still go by checklist? I've read you said not to ask all of the questions by FA. But could you clarify it, please? Do we need to say "Now I'd like to ask you some questions about your PMH, FH, SH, etc.." like in CSE videos? Do we need to ask permission before each step of PE, like "may I listen to your heart/lungs.."? Thank you.
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  #7  
Old 03-10-2014
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Quote:
Originally Posted by Myself View Post
Hi. I have a couple of questions. Do you know if SPs still go by checklist? I've read you said not to ask all of the questions by FA. But could you clarify it, please? Do we need to say "Now I'd like to ask you some questions about your PMH, FH, SH, etc.." like in CSE videos? Do we need to ask permission before each step of PE, like "may I listen to your heart/lungs.."? Thank you.
In the interest of time and the fact that the actual cases may be very different from the FA cases, i'd recommend spending no more than about 8 minutes gathering the whole history. Subtle things like, asking more about the menstrual hx, pregnancies, abortions/miscarriages etc from a young female vs asking about screening exams like mammography/colonoscopy from an older male/female is important. You won't remember to ask everything but as long as your questions are pertinent to your differentials, you're good.

Before starting any section, it's always good to ask for permission. However don't over do it. SPs want to see a confident doctor who knows what he/she is doing instead of somebody who repeated seeks permission before every step. Keep explaining what you are doing as you go along though. Something like "Im now going to take a look at your belly, is that ok?". Hope this helps!
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  #8  
Old 03-10-2014
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Default CS preparation

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Originally Posted by Doc13586 View Post
In the interest of time and the fact that the actual cases may be very different from the FA cases, i'd recommend spending no more than about 8 minutes gathering the whole history. Subtle things like, asking more about the menstrual hx, pregnancies, abortions/miscarriages etc from a young female vs asking about screening exams like mammography/colonoscopy from an older male/female is important. You won't remember to ask everything but as long as your questions are pertinent to your differentials, you're good.

Before starting any section, it's always good to ask for permission. However don't over do it. SPs want to see a confident doctor who knows what he/she is doing instead of somebody who repeated seeks permission before every step. Keep explaining what you are doing as you go along though. Something like "Im now going to take a look at your belly, is that ok?". Hope this helps!
Very good points , thanks for bringing them up .Another point that matters is a very thorough gathering data with a good reflection in the PN .
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  #9  
Old 03-10-2014
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Let's say a patient has fallen on his head and came to you with headache and vomiting, you have to ask about certain things, but it is not necessary to ask about visual aura, pain with combing the hair, etc, or let's say a woman is experiencing fatigue, and she is having low mood, anehdonia, so the case is obviously depression, no need to ask a detailed gynecologic hx, that's it, just ask relevant questions to your ddx. It is obvious in usmle.org, ur hx will be graded only by the NOTE, and ur exam will be graded by the SP, so any question that you ask and do not write in the note will not be graded. I tried to finish hx by 7-8 min, and exam by 2 min, and gave 3 min for closure, consuleing, and left the last 3 min for typing.

And yes, ask permission to do any physical, give a transition before you move to past hx, etc.
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  #10  
Old 03-10-2014
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Quote:
Originally Posted by Ayman Qasrawi View Post
And yes, ask permission to do any physical, give a transition before you move to past hx, etc.
I personally hate transition. It distracts me. Say, pt has a chest pain. After I ask location, intensity, and radiation I ask, if he ever had anything like that before, and I would ask a couple of questions about previous episodes. According to FA, it would be PMH. By the time I'll get there I won't remember it. As for me I would do transition before Sx, as it requires privacy. I am just trying to find out if it's possible to go without transition like PMH, PSH.
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