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  #1  
Old 05-02-2014
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Default suffering from post traumatic cs syndrome

- just took my cs . Good, doable cases but my nerves got the best of me . im wondering if anyone made similar mistakes and was still able to put this exam behind for good . I'm starting to panic over all the major blunders i made.
My EPIC blunder of all time .. forgot to stick the sthetoscope inside my ears on ausculatation of the lungs .. my sthet was just sorta hanging on my neck while i was "pretending" to listen to his lung sounds .. i mean who does this ? i cant seem to forgive myself for this one .. i feel like all my efforts went down the drain with just this one mistake it was too late by the time i realized it.. it was a simple case and i practiced it so many times . i really hope my sp didnt see this( wishful thinking ) . i was so nervous with that case ..

- i think my big impression to sp was that i came off amateurish , sorta inconfident.. I already look 16 to begin with and then on top of that i just could not get myself to calmdown.
- so i forgot to use one of those ear covers on one side of the ear but used it as soon as i realized it on the other side . now im starting to think if i used them AT ALL for my previous cases :$
-ran out of time on one case .. i was doing ok, asking all the right qs , dealing with some awkward moments and reaction , even figured out the dx , jus took longer on PE and didnt get to close . this was my second to last case , so my body was giving out .. i couldnt sustain my energy level and was exhausted .
- i was as empathetic as i could be .. but some patients didnt seem impressed or atleast thats the impression i got .. forgot to empathize on one peds case that needed obvious empathy .. i was so focused on history taking.
- physical exam for most were kinda shaky . mostly bcoz i was trying to rush through it and also i was trying not to be to harsh with the sp. i did focused exams rather than everything for most of my cases. my hands were trembling at some point .
-on the patient note i could not come up with more than 2 differntials because fir the most part i was able to come to the right diagnosis .. atleast thats what id like to think 🙎 i didnt use proper caps lock formatting .. as in some sentences started without a capital letter.

- i did feel like an idiot ALOT of times throughout the encounters. i was fumbling, had mental blocks so many times .. my brain just froze if thats even possible ! it was so agonizing . i felt like i was participating in some type of weird battle only to be defeated mastering super calm demeanor and laser focus will probably be a tremendous help in order to succeed . im hoping ill pass as it took a lot of sacrifice and money to prepare for this exam. i was lucky enough to find a good partner and was staying her house ..for weeks .. away from family and completely out of my comfort zone . not to mention the anxiety, mental/ physical toll it takes on you. im really wishing for a happy ending for me and my partner both and everyone whose going through this best of all luck to everyone .




-
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  #2  
Old 05-02-2014
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Quote:
Originally Posted by Doc5ht3d2ziva View Post
- just took my cs . Good, doable cases but my nerves got the best of me . im wondering if anyone made similar mistakes and was still able to put this exam behind for good . I'm starting to panic over all the major blunders i made.
My EPIC blunder of all time .. forgot to stick the sthetoscope inside my ears on ausculatation of the lungs .. my sthet was just sorta hanging on my neck while i was "pretending" to listen to his lung sounds .. i mean who does this ? i cant seem to forgive myself for this one .. i feel like all my efforts went down the drain with just this one mistake it was too late by the time i realized it.. it was a simple case and i practiced it so many times . i really hope my sp didnt see this( wishful thinking ) . i was so nervous with that case ..

- i think my big impression to sp was that i came off amateurish , sorta inconfident.. I already look 16 to begin with and then on top of that i just could not get myself to calmdown.
- so i forgot to use one of those ear covers on one side of the ear but used it as soon as i realized it on the other side . now im starting to think if i used them AT ALL for my previous cases :$
-ran out of time on one case .. i was doing ok, asking all the right qs , dealing with some awkward moments and reaction , even figured out the dx , jus took longer on PE and didnt get to close . this was my second to last case , so my body was giving out .. i couldnt sustain my energy level and was exhausted .
- i was as empathetic as i could be .. but some patients didnt seem impressed or atleast thats the impression i got .. forgot to empathize on one peds case that needed obvious empathy .. i was so focused on history taking.
- physical exam for most were kinda shaky . mostly bcoz i was trying to rush through it and also i was trying not to be to harsh with the sp. i did focused exams rather than everything for most of my cases. my hands were trembling at some point .
-on the patient note i could not come up with more than 2 differntials because fir the most part i was able to come to the right diagnosis .. atleast thats what id like to think 🙎 i didnt use proper caps lock formatting .. as in some sentences started without a capital letter.

- i did feel like an idiot ALOT of times throughout the encounters. i was fumbling, had mental blocks so many times .. my brain just froze if thats even possible ! it was so agonizing . i felt like i was participating in some type of weird battle only to be defeated mastering super calm demeanor and laser focus will probably be a tremendous help in order to succeed . im hoping ill pass as it took a lot of sacrifice and money to prepare for this exam. i was lucky enough to find a good partner and was staying her house ..for weeks .. away from family and completely out of my comfort zone . not to mention the anxiety, mental/ physical toll it takes on you. im really wishing for a happy ending for me and my partner both and everyone whose going through this best of all luck to everyone .




-
You are not alone, my friend. Many of us feel the same way. I had doable cases as well, but I was nervous and blanked many times. I keep remembering mistakes I did, questions I didn't asked and studies I should've asked.
Its terrifying, but it gives me hope when I read this thread:

http://www.usmle-forums.com/usmle-step-2-cs-recommended-threads/2621-i-have-these-mistakes-my-cs-exam.html

I took my exam on Feb 27 and haven't got my results yet... I suppose next wednesday is the big day for me.
Good luck to us!!
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  #3  
Old 05-06-2014
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Hi doc5ht,

I think your reaction is normal.. I had flash backs as well and second guessing myself did I do this, did I put it in PN, I should have answered the Q this way, stupid mistakes during PE. I used the back of the cotton tip to test for sharp sensation instead of using tooth pick or half broken cotton tip, so the SP was confused and in the end I didn't remember whether I out that as normal or what.

On my way back home, I felt terrible I even cried. So I decided, heck it's been done. Worrying doesn't change outcome. I wrote down every mistakes and what I would do differently if I had to retake, tucked it in my desk and I forgot everything about the exam.

I avoided talking about it. To be honest I don't really remember details of that exam now. So list all your mistakes, strategy and enjoy life. Prepare for your next steps.
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