Definitely failed Step II-- SP fell off the table

Oh god! Hopefully you passed and this will just be funny story you tell one day.

If it makes you feel better, there are probably 11 other people out there who are like "Some guy at my CS killed a patient!!! I hope they don't invalidate our test day and we have to retake it "

Sounds fake, but if you did it then you probably do deserve to fail. Imagine if you had done that to a real patient. Mistakes like that really aren't acceptable, whether your a doctor or an orderly.

I don't even know what a Dix Hallpike maneuver is. When I took Step 2 CS, all I did was listen to heart, lungs, and push people's abdomens. I think I checked 1 person's knee reflexes. Other than that, I didn't do any neuro exams, and certainly not any named maneuvers. And yes, I passed.

Llenroc said:

Sounds fake, but if you did it then you probably do deserve to fail. Imagine if you had done that to a real patient. Mistakes like that really aren't acceptable, whether your a doctor or an orderly.

I don't even know what a Dix Hallpike maneuver is. When I took Step 2 CS, all I did was listen to heart, lungs, and push people's abdomens. I think I checked 1 person's knee reflexes. Other than that, I didn't do any neuro exams, and certainly not any named maneuvers. And yes, I passed.

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Why are people on SDN so edgy these days.

The stupid SP fell and hit her head. So what? No biggie. We all fall and hit our heads at some point.

Cut the OP some slack.

Llenroc said:

I don't even know what a Dix Hallpike maneuver is.

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And you have the nerve to tell others they deserve to fail?

I think the Dix-Hallpike maneuver is to assess and/or look for nystagmus in a patient with vertigo-like sxs. Looking to differentiate central vs. peripheral vertigo; vertical vs. rotatory nystagmus. Probably a bit too detailed of an exam for the CS, prolly wouldn't get any pts for it I'm guessing, but I don't agree that the OP should be counted out just because the SP fell off the bed. And moreover, I don't think anyone should make the OP feel any worse than they probably already feel...

DOanesthesia said:

And you have the nerve to tell others they deserve to fail?

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pwned.

DOanesthesia said:

And you have the nerve to tell others they deserve to fail?

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Sure. Something like that can be looked up. A broken neck or head injury can't be fixed so easily. Neither can a failure on Step 2 CS.

The OP has to be kidding...right?

(It made me laugh at least...and I would feel bad for laughing if someone really did end up with a C-spine injury).

Honestly if you couldn't finish the encounter b/c the patient fell, then you shouldn't be graded on that one. I don't know what their rules are, but stuff happens, you shouldn't fail b/c of this.

Llenroc said:

Sure. Something like that can be looked up. A broken neck or head injury can't be fixed so easily. Neither can a failure on Step 2 CS.

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Don't be such an ***. You weren't there. It may not have been the OPs fault. One of the doctors I work with had a patient fall of the table and break her knee cap...it got infected and she had to have surgery. She didn't blame him.

Don't worry OP, I would think they wouldn't count that. It's not like you threw her off the table. I was almost certain I failed, and I didn't.

babycatcher08 said:

Don't be such an ***. You weren't there. It may not have been the OPs fault. One of the doctors I work with had a patient fall of the table and break her knee cap...it got infected and she had to have surgery. She didn't blame him.
Don't worry OP, I would think they wouldn't count that. It's not like you threw her off the table. I was almost certain I failed, and I didn't.

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I agree...of course a lil ole lady getting injured is not funny, but the OP's anecdote is hilarious. If it happened, it was clearly an accident and I think you'd have to have serious issues to construe it as something more.

Llenroc said:

Sure. Something like that can be looked up. A broken neck or head injury can't be fixed so easily. Neither can a failure on Step 2 CS.

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i hope the OP passes the CS, just to impart some humility on you.
also, most of us already know what BPPV is and how it is diagnosed and immediately treated. this knowledge is very important b/c it saves u (and the patient) from having to go looking for a cerebellar stroke (with MRIs) or vestibular neuritis. so maybe you should spend less time on SDN and instead brush up on your clinical knowledge (particularily neuro).