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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 07-11-2014
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Default Am I gonna pass with all of this?

I did step 2 CS in LA a couple of days ago, and since then I cant stop thinking about the mistakes I did :/

I didnt take some of the social hx aspects when I felt it wasnt necessary,
and didnt do a complete ROS, and only did a focused exam writing only the VS & specific organ in the PE part of the PN, and also forgot to write some of the details of hx in the PN like "the pain woke up the patient from sleep" etc

Case 1: patient hinted that he had some difficulty sleep after his main complaint.. I took some hx for that then didnt assess if he was depressed or not :/

Case 2: Didnt auscultate carotids in CV exam even though it was related to the presentation

Case 3: missed a major differential of the presentation

Case 4: patient seemed agitated but I failed to show enough concern, cause by the end of the case she seemed still agitated...and messed up on of the drugs names in the PN where it was one of the DDX

Case 5: asked the Qs of pediatric hx but missed 2 Qs and the hx was sort of all over the place, and I had the caretaker of the child tell me "What?? what do you mean??" twice!! :/

Case 6: Forgot to do hearing exam, weber and Rinner in a relevant case but did the rest of the neuro and otoscopy

Case 7: Didnt do the special maneuvers for a presentation even though it was related to the top differential + missed a whole bunch of ROS Qs that may have been related to the complaint + the patient responded to me in a weird rude way when I asked one of the Qs...he seemed upset angry :/

Case 8: did well...hopefully

Case 9: did well

case 10: did well but didnt ask 1 or 2 Qs related to the main complaint

Case 11: Asked only some of the list of the Qs for that complaint...since 4 of the 12 Qs were normal

Case 12: did well



What I did do:

Managed to finish a couple of minutes earlier & counseled the patients when needed
Shaked their hands, washed my hands, pulled out the tray thingee when examining them and helped them sit up & always explained what I was doing
Smiled at the beginning of the encounter & introduced myself
Smiled at the end, shook their hands, always asked if they had any questions or concerns and that I would share the results with them once they are out
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  #2  
Old 07-11-2014
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and I didnt tie any of the patients gowns :/
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  #3  
Old 07-11-2014
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anyone...?
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  #4  
Old 07-11-2014
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What do you mean by didn't tie the gowns for all patients? I didn't do for one patient and he asked me that doc help me with this.
Whatever you have mentioned in the first post is not something which you should be worry about but this gown thing I don't know.
Don't worry, you will pass the test. I think I developed depression while waiting for the CS result but at the end I managed to pass it with good performance.
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IMG(Pakistan) YOG(2008) Step 1(228/1st) Step 2 CK(241/1st) CS(Pass/1st) Step 3(205/1st) USCE(1 month observership in a teaching hospital) None USCE(5 years ICU/Internal Medicine)
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  #5  
Old 07-11-2014
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Well I always pulled up the gown to cover their body, but never attempted to tie any. However, none of them pointed it out or asked me to do it & they didnt tie it themselves neither.
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  #6  
Old 07-12-2014
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That is really great that you will pass in all of this that you have mentioned here in your thread.
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