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View Full Version : am i gonna to pass?? pleas answer me



ahmad85
07-28-2009, 04:19 PM
i did step 2 cs exam since one month in Houston.
i did well in 9 cases....but in the other 3 cases:
______ in one case : the SP told me that she want from me to turn off the light inorder to feel better because the light exacerbate her complain, i dont know what to tell her, i just told her try to tolerate with me.......!!! in this case also, i run out of the time and did not close the case.....
______in another case i forget to ask about drug abuse, and unfortunately the diagnosis was related to drug abuse...so the closure was inappropriate
______in another case i did not answer the patient challeng question..

in all other cases , i did very well, but 5 SPs were young age , may be they are in age range 17-22.... all of them were bored during the cases...!!! and i felt as if they hate me, although i smiled to them and drapped them , respect them .....

can any body please tell me if i gonna to pass.......????????/

berdugo75
08-01-2009, 04:12 PM
There is no way to be sure that you will pass the CS based on what your experience was.

Typically, if the patient asks you to dim the lights...DIM THE LIGHTS! As IMGs we are used to telling the patient what to do, but in the USA you must understand that it's all about customer service. Forget that you are in your native country and remember that you are now in the USA.

As for the other cases, it's not so much the diagnosis that you make, but as long as you were methodical in your interviewing skills, in your physical exam, and your English skills. What could have been a drug abuse case for the person next to you, it may have been a heart attack for you. It all depends on the questions that you ask.

Not answering the challenging question is unfortunate, but it shouldn't matter, hopefully that case will be one of the research cases.:cool:

Smiling just won't cut it. You can smile all you want, but if the patient feels that you are boring, it's because you probably were.

When I left the exam, I was confident that I passed. I kept all of the patients' interest, I smiled, I joked with them, and I never left gaps in between questions. Also, I really didn't take very many notes.

I didn't finish 2 notes and I didn't finish examining 1 patient and I passed, so you should be fine.

Lots of luck to you!

Dr. X
08-01-2009, 06:41 PM
I dont think anyone can come out and reassure you by saying you are likely to pass but that doesnt mean you are going to fail either. There have been instances where people have mentioned they did well on all of their patients and failed and few have listed so many mistakes they made and still came out passing the darn thing. I hope you can take comfort in that till results time.

Whats done is done and we cant go back in time. If you come out passing because you have done well in most cases and few mistakes are forgiven, just keep on praying. If it doesnt go too well.. learn from your mistakes and excel next time. Good luck.

You're appreciated in sharing your experience.

ahmad85
08-02-2009, 04:20 PM
Thank you both of you doctors for the replay

Bedrugo 75 : thank you for your nice message, but i dont agree with you about ( switching off the light if the patient ask me to do that !! )
i dont think there is any country in the all world in which the doctor stay with the patient in a darkroom without any light source , also as you know there is no windows in the room, so swithching off the light = 100% dark room......!!
about my communication with the patients, i did all what i supposed to do, my main concern is about some youg SPs, i felt as if they did what supposed to do without any acting or express any kind of emotion while talking .... i did not have this issue with the other cases....
i just want to ask, as you know there are 24 doctors taking the exam , 12 doctors on each side .the case that was related to the drug abuse as i think was not present in the other side of the exam..the majority of other cases was the same...is that mean that this case going to be for experimental purposes??

thank you again Berdugo 75 and Dr.X
i hope to pass , and wish you the best
bye

berdugo75
08-02-2009, 09:31 PM
As a matter of fact, when the patient asks you to dim the lights, you only flip 1 of the switches, not both. That is pure common sense that you cannot examine a patient in the dark. When you use the opthalmoscope , you are allowed to turn off both switches, an emergency light in the back would have turned on. You will never be left in the dark.

Nevertheless, I wish you lots of luck, let us know if you pass, that way we can all cheer you on!!!

RussianJoo
08-06-2009, 07:51 PM
yep i dim the lights or even turn them off all the time to check out the retina's or check for sinus congestion.. the patient comes first. sorry buddy but you might have not passed. ignoring your patients wishes is a big no no.

canal
08-19-2009, 11:41 PM
with the time restraint, are there exams that you are not mandated to perform?

berdugo75
09-14-2009, 12:39 PM
It all depends on the patient. Obviously, you won't do a visual acuity test if the patient is coming in for abdominal pain.

Memorize the exams that you need to do on the First Aid. You only have 15 minutes to do an ORIENTED Interview, Examination, and Note.

pratikshagurnani
10-12-2009, 04:17 PM
Did u pass ?

SPODAT
10-18-2009, 11:09 PM
Ahmad.
You probably passed because they discard your worst case (According to FA CS). So discard lights lady, you didn't necessarily fail the other 2, maybe you missed 20% who knows? If you did well on the others, you passed for sure. You could fail 2 of the cases miserably, do average on 3 or 4, and still pass easily.

Dimming the lights is a cue that the patient has a HA usually.

For future test takers, EVERY SINGLE THING THE PATIENT SAYS IS A CUE FOR SOMETHING.

A sense of screwing up a case or patients being unhappy is (fortunately) a subjective sense we get, it usually has nothing to do with our actual performance.

canal
11-08-2009, 03:15 AM
I just took the exam and I forgot to ask some pertinant questions like forgot to ask PMH on one, just basically did not do well in asking questions. Furthermore, some of these SP even looked at me like I was missing something...made it even worst for me. Anyone with similar situation and passed? Feeling like I am going to be chronically depressed:(

SPODAT
11-08-2009, 05:48 PM
If you missed a few points on more than a few cases, you did fine. It's hard to wait, but it's best to assume you passed, because it sounds like you did (we always remember the ones we missed or forgot to ask, and not all the stuff we did right), and because you probably have a lot to do over the next 2 months. It's just a psychological choice to believe you did. And if you're wrong, your still better off because you lived the last 2 months in a better state of mind.

mshehorn
01-03-2010, 04:07 PM
The dimming the lights part of this has compelled me to reply.

First of all if a patients wants the lights dimmed then its automatic that you ask them why. Photophobia? Hello...maybe they have meningitis, maybe its a headache, or maybe they are a war veteran POW that has PTSD from being prodded in a similar room. Whether you dimmed the lights or not it sounds like you missed the point.

How detailed of a history are we supposed to get? I mean there isn't enough room on the patient note to write everything that we ask. Its like the note is designed for an ER visit, where you write very little. Just your SOAP note and at the bottom your diagnoses and tests you want to run. No room for history or ROS....and I understand that you only need to write the pertinent information...so why do I need to do a complete ROS in the first place?

I failed this exam because of poor data gathering even though my patient note was to the extreme right. I would like any help or advise on what to do better as far as data gathering. Seriously take me through your exam and list the questions I may not have asked?

SPODAT
01-04-2010, 05:48 PM
regarding how detailed a history? I think you are looking for pertinent positives and negatives, in other words somewhat abbreviated. If they are complaining of 1st onset chest pain, and they are 55, you probably wouldn't ask abotu OCP (embolism) or gyn/birth history in depth. YOu'd ask for pertinent issues from every part of the ROS that could apply to chest pain, and basically slightly skim the rest. But, they authority on this is First Aid for CS. You cannot go wrong if you use that book.

robh1540
01-04-2010, 09:00 PM
Let me get this straight, a patient asked you to dim the lights saying it exacerbated her symptoms and you didn't follow up on this?

I am not even a doctor, or med student and even I know this is a symptom rather than just a patient moaning.

SPODAT
01-04-2010, 10:07 PM
Let me get this straight, a patient asked you to dim the lights saying it exacerbated her symptoms and you didn't follow up on this?

I am not even a doctor, or med student and even I know this is a symptom rather than just a patient moaning.


Edited per sensible mod request. I'll leave this.... such statements are easy to make from an armchair. But once you've been on the playing field, your whole perspective changes.

##I'll edit again, if moderator requests.

robh1540
01-04-2010, 10:39 PM
qqqqqqqqqqqq

01-15-2010, 12:20 AM
Well.. Did he pass?
Ahmed85 I mean?

SPODAT
01-15-2010, 08:18 AM
I'm curious also







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