Avoid these Most Common Errors made on the USMLE Step2CS

**digitaldoc2002** · 10-19-2005, 02:07 PM

Stress during the exam is real and makes one forget a lot of imp. things - but awareness beforehand and practicing to avoid these, will help big time !

1. Forgetting to wash hands before physical exam
2. Not referring to the patient by his name
3. Forgetting to look for Carotid Bruit and JVP in a cardiac case
4. Not mentioning D/Ds in the descending order of probablity in the
specific SP
5. Forgetting to use an ophthalmoscope in a case of HT, DM or visual
Blurring
6. Not asking about Hematuria in a case of Hemoptysis and vice-versa
7. Failing to ask for permission before any examination
8. Forgetting menstrual history in a female patient
9. Forgetting to counsel on smoking and alcohol (Even real-time
physicians apparently forget this

)

It will be great to have this list grow ! - anyone ?

**Lorena** · 10-20-2005, 12:06 PM

10.- Forget to show empathy when your SP tells you it hurts somewhere or he/she couldn't sleep , or any symptom that disturb his/her daily routine. Say something like "i am sorry...we'll find out soon what is wrong and be able to help you get better, or get back to work, etc"...or something like that. We are usually worried about getting the right diagnosis and forget to show our SP that we care.

**wam_256** · 10-20-2005, 12:43 PM

Thank you guys!!!

**digitaldoc2002** · 11-06-2005, 01:20 PM

Recenlty a dude I know rubbed his hands on his pants after washing, on his first case, under stress !! SP was quick to notice and say "Dont touch me with those hands Doctor!"

unknown · 01-27-2006, 08:58 PM

Expect the unexpected and be prepared for anything. First aid for CS is the best guide. During one of my physical exams, a dude's penis was hanging out of the boxers, so i'm sure i got marked off for that. I draped him properly but during the exam, the sheet headed south.

**digitaldoc2002** · 03-09-2006, 06:39 PM

oh boy :-) !

**draft** · 03-22-2006, 09:30 PM

Originally Posted by unknown

Expect the unexpected and be prepared for anything. First aid for CS is the best guide. During one of my physical exams, a dude's penis was hanging out of the boxers, so i'm sure i got marked off for that. I draped him properly but during the exam, the sheet headed south.

R u poop1n' me?!!!!!

**draft** · 03-22-2006, 09:30 PM

ok i didnt write poop1n i wrote 5hitin'

**usmlethinking** · 03-22-2006, 09:32 PM

Beware of real life cases in SP. I saw a huge condyloma acuminata hanging out of an SP's anus. It smells like fish, too.

**draft** · 03-22-2006, 09:33 PM

Not asking about Hematuria in a case of Hemoptysis and vice-versa

How important is that really come on what are we rulling out Goodpastures? How many have you seen?

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