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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 04-16-2014
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Angry Freaking out...need Help..!

i took my Cs exam in chicago one wk ago and made multiple mistakes ..

GLOVES
Always wore gloves and after each exam i counsel pt with gloves on and shook hands with same gloves on and threw gloves outside room in garbage .. and used new gloves for each case..

TYPOS as in usmle practice material if you have typo it gives you red line bellow words but in actual case i think they dont give you that red line for typo SO i am not sure how many typos i did

otoscope
did not insert otoscope speculum into ears in any case..

alcohol counsel
did not counsel beer in 3 cases when pt drinks only at wkends or sometimes during meals.

d/d
5 out of 12 cases went wrong esp fatigue----> cant make any definite d/d and put something like anemia , depression as i could not come up with any particular findings
in four cases i could not make definite Dx and has to put something like fatigue due to underlying medical illness or cancer...

DID introduce myself shake hands made good eye contact showed empathy explained questions in each case and did almost complete PE and closure was almost fine in each case, did ask do you have any qs or concerns for me , did i answer your qs etc.

1) first case i was frustrated and al though did ask almost all questions but i was freaking out during hx and PE ..on pt note i think i did miss colonoscopy to be done...also forgot to tell pt about pelvic exam even though i may mention it in PN..

2) in telephone case i forgot to ask about birth and developmental hx how kid was born etc but asked everything else like immunizations and stuff travel,ill contacts etc

PN
did messed up due to typos i think and some d/d in four cases and some diagnostic workup mistakes as could not make my mind about work up unless d/d is made..so just put cbc,electrolytes,ths,free t4 , ast,alt,..

My main concern
is that in at least 4-5 cases i could not make any definite dx i keep on asking qs till 5 mints remaining and started PE then.. idk why its so hard to come up with d/d ..as i write d/d first and then PE and Hx in PN so those cases were messed up even though i tried my best and put everything in PN that i could..and tried to be more general instead of being more specific..

i am really worried plz help me out ...should i have any hope of passing at all....!

thanks

Last edited by DAVE; 04-16-2014 at 07:50 PM.
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  #2  
Old 04-16-2014
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Pardon me i think 3-4 cases were like in which i could not make definite dx but i made some vague d/d...
any input will be appreciated
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  #3  
Old 04-17-2014
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i understand that.. everyone does some mistakes.. inccase of gloves i dont think that is huge mistake as you used gloves and did use new in every patient! i gave in chicago too and there was garbage can outside each room..
else in alcohol counseling you dont need to counsel if he drinks less than 3 drinks!! so you are fine in that too!!
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  #4  
Old 04-17-2014
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otoscope isnot important too! unless case is of hearing loss! not otherwise!!and typos if u dont remember any you wouldnt have done any mistake in them!!
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  #5  
Old 04-17-2014
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i havent got my result yet so other might help in a better way!! Goodluck
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  #6  
Old 04-17-2014
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I have read experience reports that sounded a lot worse, and I mean: A lot. They all passed. So don't worry too much, you should be fine. Gloves is equal to washing hands. They just want to check that you are aware of hand hygiene. Good luck!
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  #7  
Old 04-17-2014
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Thanks for input
I discussed with some friends and regarding otoscope
Gloves and alcohol issue they said it's ok
But d/d and and missing one major work up eg rectal/pelvic exam in case of abdominal pain and not even mentioning it to pt ..they did not say anything yet....
So let's see what happens
I type really fast but with lot of typos but i usually recheck pt note ,which I could not do in 5-6 cases...
Hopefully they will ignore typos...

Praying for miracle....😁
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Old 04-17-2014
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Quote:
Originally Posted by sana2014 View Post
i understand that.. everyone does some mistakes.. inccase of gloves i dont think that is huge mistake as you used gloves and did use new in every patient! i gave in chicago too and there was garbage can outside each room..
else in alcohol counseling you dont need to counsel if he drinks less than 3 drinks!! so you are fine in that too!!

Less than 3 in a week ?? or per day??
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Old 04-17-2014
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Per weak dude ....
If per day then it's lot
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Old 04-17-2014
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hey abeer its per day! in usa alcohol is common if he is taking 2/ day thats fine but more than that counsel and CAGE then! its like in xam they wont give u trouble, they ll either say only on weekend or a glass with dinner! no need of counseling in that case! but if they ll be heavy drinkers they wont say 2-3 glasses but ll say a bottle a day or 4-5 glasses a day then counsel and CAge!! thats what i know
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  #11  
Old 04-17-2014
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Quote:
Originally Posted by sana2014 View Post
hey abeer its per day! in usa alcohol is common if he is taking 2/ day thats fine but more than that counsel and CAGE then! its like in xam they wont give u trouble, they ll either say only on weekend or a glass with dinner! no need of counseling in that case! but if they ll be heavy drinkers they wont say 2-3 glasses but ll say a bottle a day or 4-5 glasses a day then counsel and CAge!! thats what i know


Thank you !!
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  #12  
Old 04-17-2014
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As time passing I keep one remembering more and more
Mistakes in history taking such as missing questions and Pn problems .... Among all is differentials ...
Guess have to take it again..😭
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  #13  
Old 04-17-2014
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Dude, relax. Question: What do you think, how many people have been in exactly the same situation as you have been?
In the end most of them passed. So why shouldn't you.
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  #14  
Old 04-17-2014
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Quote:
Originally Posted by PneuX View Post
Dude, relax. Question: What do you think, how many people have been in exactly the same situation as you have been?
In the end most of them passed. So why shouldn't you.
Thanks buddy guess we have to wait till result
Hope for best
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Old 04-18-2014
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hey dave did u ask people if taking out gloves outta room is fine!?? as i did same in many cases and didnt think that was mistake until i read your post🙈🙈 now getting conscious!!
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Old 04-18-2014
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Quote:
Originally Posted by sana2014 View Post
hey dave did u ask people if taking out gloves outta room is fine!?? as i did same in many cases and didnt think that was mistake until i read your post🙈🙈 now getting conscious!!
I asked couple of friends and they said its little impersonal
But should be ok
But I also forgot at least 5-6 questions in each case
And d/d are giving me nightmares ....
When and where did you take your exam
Did you contact anybody else how did they do ....
Like these mistakes and what's outcome??
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Old 04-18-2014
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yeahh we were couple of friends who gave together.. everyone had almost 3 cases bad! and my seniors had same! and they all passed.. one forgot to knock door in 4 cases and did bad 3 cases.. there is margin of almost 3 cases! that what i have heard. if ur one d/d matches their d/d they pass that! i gave in chicago...even one senior did take off gloves outside room and she passed with higher performance..so lets pray..
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Old 04-18-2014
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Quote:
Originally Posted by sana2014 View Post
yeahh we were couple of friends who gave together.. everyone had almost 3 cases bad! and my seniors had same! and they all passed.. one forgot to knock door in 4 cases and did bad 3 cases.. there is margin of almost 3 cases! that what i have heard. if ur one d/d matches their d/d they pass that! i gave in chicago...even one senior did take off gloves outside room and she passed with higher performance..so lets pray..
Alright ..good to hear
Let's pray and wait for good result
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Old 04-20-2014
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Just got flashback ....
I forgot physical exam positive finding in PN ...
Even though I put in PE section but to support dx I did only
Hx but no +ve physical to support relevant differential ...
Damn ....these are things my friend and me practiced for 20 days ...
Idk how come I forgot and made silly mistakes ...
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Old 04-23-2014
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hey i passed with higher performances!!
i forgot to wear gloves in my first case and touched pt with naked hands
Nd in 8 other cases i removed gloves outside the room,
ps Dave i cant private message you as your space is full already
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Old 04-23-2014
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Quote:
Originally Posted by sana2014 View Post
hey i passed with higher performances!!
i forgot to wear gloves in my first case and touched pt with naked hands
Nd in 8 other cases i removed gloves outside the room,
ps Dave i cant private message you as your space is full already
CONGRATS....really happy to hear that..what about your friends who took with you..?
i just emptied my inbox and sent you PM..
its your day..celebrate it..
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  #22  
Old 04-23-2014
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Quote:
Originally Posted by PneuX View Post
I have read experience reports that sounded a lot worse, and I mean: A lot. They all passed. So don't worry too much, you should be fine. Gloves is equal to washing hands. They just want to check that you are aware of hand hygiene. Good luck!

Hi pnueX what about your result??

hopefully everything willl go fine..
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Old 04-23-2014
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Originally Posted by DAVE View Post
Hi pnueX what about your result??

hopefully everything willl go fine..
Hi Dave, thanks for asking, I got my result today and I passed well.
And my list of mistakes was at least twice as long as yours
So I think you can relax, clear your mind and invest your energy in things that deserve it
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  #24  
Old 04-23-2014
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Quote:
Originally Posted by PneuX View Post
Hi Dave, thanks for asking, I got my result today and I passed well.
And my list of mistakes was at least twice as long as yours
So I think you can relax, clear your mind and invest your energy in things that deserve it
Yeyyyyy.....
Congrats .... At least getting hope from someone
I already mentioned all my mistakes except for drawing foot support in case of abdominal exam in all cases even though I helped then lying down and getting up with my hands...

Anyway thanks for input ....

It's your day dude ...🍧🎁😄

Celebrate it....
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