"Focused" physical examination - meaning?!?! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
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

Thread Tools Search this Thread Display Modes
Old 04-20-2014
USMLE Forums Scout
Steps History: 1+CK+CS
Posts: 58
Threads: 6
Thanked 19 Times in 16 Posts
Reputation: 29
Default "Focused" physical examination - meaning?!?!

I am very confused about the "focused" physical examination! For example: in an obvious orthopedic case such as plantar fasciitis, why do I have to listen to one's heart and lungs?! (This is one of the cases in First Aid) Why isn't a joint + neuro exam in the lower extremities enough for such a case? According to me, this should count as a "focused" physical examination!

Now, let's say I am wrong and that in an obvious orthopedic case you should actually listen to the heart and lungs too. Then... Why do the authors of the same First Aid book think that in the case of back pain due to sprained muscle/disk herniation examination of the back and neurological examination of the lower extremities is enough? If you should do a CV and chest exam for plantar fasciitis, why shouldn't you do it in a herniated disk too?

It seems to me that the physical exam checklist in First Aid is kind of random!
Reply With Quote Quick reply to this message

Old 04-23-2014
USMLE Forums Veteran
Steps History: 1+CK+CS+3
Posts: 226
Threads: 15
Thanked 180 Times in 110 Posts
Reputation: 190

That FA is outdated.. And I agree with you, in muskuloskeletal focus the PE only in MSK (one joint above and below, Inspection, palpation, ROM) and distal neurovascular function (pulse, sensation, active motor, reflex). In my exam I only had the time to do just that and I passed. Didn't do any heart/lung for that kind of cases.
Reply With Quote Quick reply to this message
The above post was thanked by:
JLY7 (04-23-2014)


Quick Reply

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


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
The "annual" kaplan live lecture vs center prep or both thread! ibanezcat86 USMLE Step 1 Forum 3 02-14-2014 10:37 PM
Physical exam; focused only or focused + general fozia USMLE Step 2 CS Forum 1 10-15-2013 06:30 AM
I want to change my testing region from "Asia" to "India" MBBS ECFMG Forum 9 05-02-2012 07:42 AM
The "F"/"Ph" Drugs that cause hypocalcemia atr88 USMLE Step 1 Mnemonics 0 10-30-2010 12:04 PM
"Normal" or "Upnormal" forgetness? b.abid USMLE Step 1 Forum 3 10-23-2010 12:21 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)