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USMLE Step 2 CS SP Challenges Challenging situations presented by the Standardized Patient (SP) during the the USMLE Step 2 CS Encounter.


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  #1  
Old 07-10-2011
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Question challenging question ...can you answer it !

if a patient asks about her urinary incontinence whether can be cured or not
what would be the proper answer !
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  #2  
Old 07-12-2011
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As long as u want to remain very empathic to this embarrassing situation that may cause this patient to become depressed in long term, u also don`t want to give total reassurance given that at times at the end of your encounter u will require some work up to arrive at the final diagnosis. I advise u don`t assure the patient and don`t take a position. We all know it is a treatable condition at all ages with behavioral/medical/surgical options but treatment outcome can never be ascertained at the beginning of a treatment.

my sample response will be:

Mrs ..., I am very sorry about this embarrassing situation u are experiencing and I will be very supportive at all point to help you. After we have the results of the work up i intend to ask to arrive at the final diagnosis, I will put at your disposal the best treatment (medical / surgical) options available to help u with this and we will hope for the best results out of it.
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  #3  
Old 01-29-2013
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FOR EVERY QUES WHICH ASKS BOUT WHAT WILL HAPPEN IN FUTURE/ WILL I GET WELL, GT FINE, WILL I DIE, AM I GONNA SUFFER

JUST SAY THIS AMAZING QUOTE" MAM AS YOUR DOCTOR U AND I ARE IN THIS TOGETHER AND I WILL HELP YOU..PAUSE FOR BREATH..TO THE BEST OF MY ABILITIES TO GET YOU OUT OF THE CURRENT SITUATION/EMBARRASING / DIFFICULT PROBLEM (BT HW DO U KNOW SHE FINDS IT EMBARRASING..SHE MIGHT FIND IT IRRITATING THOUGH)...YOU ANXIETY IS JUSTIFIED AS MANY PT IN SAME SITUATION AS YOURS FEEL THE SAME WAY..HOWEVER I NEED TO RUN CERTAIN TESTS AND CONDUCT SOME INV BEFORE I CAN GIVE U THE ACCURATE ASSESSMENT OF UR CLINICAL SITUATION"

IF U SAY SO MUCH THE SPO WILL FORGET WHAT SHE ASKED IN THE FIRST PLACE .......USE IT PRACTICE IT AND MAKE IT UR ANTHEM
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  #4  
Old 03-06-2013
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Default I agree

I have to say that both desos and zombie17783 have answered the question and there is nothing left to add except that it depends on when does the sp asks the question
1.....if the sp asks it in the beginning of the interaction the best answer would be that after having taken the history and performing the examination and test then we can have a better idea about the underlying cause
2......if the sp asks about it at the end of the encounter then i would have to go with zombie17783's answer,
take every opportunity you get to establish a rapport with the pt. sympathize with the pt and offer your services in the best possible way that you can
and make sure to let the pt know that you are always there if the pt feels like talking about it or asking any question

just my 2 cents worth
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