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USMLE Step 2 CS Mnemonics Mnemonics, acronyms, reminders, and memorizing tips for the USMLE Step 2 CS Exam.

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Old 03-01-2016
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Default Pain Mnemonics

For pain, the following (L O P Q R S T) works pretty well:

L - Location "Can you show me where it hurts?"

O - Onset "When did the pain start?" or "How long have you had the pain?"

P - Provokes "What makes it better?" followed by "What makes it worse?"
(Ask these as 2 separate questions - don't conbine them!)

Q - Quality "Can you describe the pain?" DON'T PROMPT UNLESS THE SP ACTS CONFUSED! You want their words. If you have to prompt, say "Is it a sharp pain or a dull pain?" but always give the SP plenty of time to give you their answer.

R - Radiation "Does the pain spread or move?"

S - Severity "On a scale from zero to ten, where zero is no pain and ten is the worst pain in your life, how would you rate your pain?". After the SP gives you their perceived score, check with a statement: SP 1-3 "It's a 3." You "So it's a mild pain."; 4-6 You "So it's painful." 7 -10 "So it's very painful." Say it with flat intonation which will require a response from the SP.

T - Time "Is it constant or does it come and go?" If it comes and goes, ask "How long does each episode last?" followed by "How long between episodes?"

I hope this helps.
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SarahMaklad (03-19-2016)

Old 01-27-2017
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very nice thank you
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