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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 03-28-2014
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Default Another CS worry thread...

Hey fellow CSers!

Followed this thread while studying and it helped me out. I took the test in March and was hoping someone can give me ease with their own personal experience about mistakes.

Overall, it could have gone better, but the biggest thing was nervousness. Time goes by a lot quicker than you think, so when you're practicing try to get it done in 12-13 minutes.

Mistakes I made:
1. Forgot to put on gloves twice (I know!). One didn't even need a PE, but for completeness sake I did a brief one. I think both the patient I forgot on liked me and everything else was very good.

2. Poor PE for MSK because she said she was in pain, so just did a little palpation and ROM, but nothing really else.

3. Another poor PE for Pulmonary, where just did things on the posterior side, but nothing anterior. Nothing would have been positive anyways.

4. A couple diagnosis that were probably missed or wrong order due to vagueness of the CC. A few missed tests for workup, but nothing major.

5. Counselling for a few patient could have been better, but I always made sure to address it.

6. Never summarized, but during the workup I explained why I thought certain things were possible due to HPI/history.

Those were probably some of the biggest mistakes I made. I am pretty confident on most of my diagnosis and the few that weren't the best were still supported well.

I think my notes were pretty good overall and always had 3 diagnoses with some kind of support (more history than physical) and tried to max out the HPI box and workup.

I would really appreciate any advice on this. I'm trying to study for CK right now, but I just keep thinking about this stupid test!

If anyone has any questions they would like to ask, PM me. I will update this with my results for future CS takers!
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abeer (03-30-2014), pranavmerchant (04-23-2014)




  #2  
Old 03-28-2014
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Default cs exam

I read your post and I think that you have a minor mistakes , nothing that can make you fault.
Today the most important points are:
-finish your encounter on time.
- a good first minute = Introduction + explanation
- a good finale = closure
- a good physical exam = GA + basic Chest / heart + basic ABD + Chief complain system .
-Complete PN = HPI + PE + 1 Firth DX ( 3 justify from HPI / 1-2 points from PE) +2 DD w/ 2 justify from HPI + 1 PE.

Just relax .

Good Luck!
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  #3  
Old 03-30-2014
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Steps History: 1+CK+CS
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Default

I took my exam March 3, at Houston
1. I forgot some relevant exams (like gait exam where it was really relevant)
2. I forgot to draw the leg support for 1 patient
3. One patient screamed at my face (because of pain) because of a necessary exam maneuver despite being gentle.
4. In two cases I could not reach a definitive diagnosis
5. I forgot to counsel about important things in few cases
6. Forgot to summarize in few cases
7. Had to listen to heart and lung sounds in one patient over the gown because he was so tired to sit or move.
8. My physical exam was too waycfocused
9. surely I did many spelling mistakes in the notes, damn you spelling check !!

Things I did good
1. Always knooked the door, introduced my self, smiled at the patient, asked for permission, washed my hand, etc
2. Never ran out of time, always got out 2-3 min before time
3. Tried to counsel every patient about something, although I forgot to counsel about important things in few patinets
4. Always asked if the patient has any question or anything to add multiple times
5. Never got out of the room before the patient replied "nothing else in my mind" to "do you have anything else to talk about?"

Hope we pass !!
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  #4  
Old 04-23-2014
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Update: Passed! With both ICE and CIS midway between borderline and high performance, which is better than I expected.

Feel free to ask any questions.
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  #5  
Old 04-23-2014
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Update; passed all with high performance )
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