COMLEX 2 PE Question

[joy05]

Hey everyone,

I've been reviewing the COMLEX 2 PE Guide by Kauffman and I noticed that a lot of the cases will have some physical exam findings that a standardized pt wouldn't be able to fake. For instance, a pt with a chief complaint of cough will have an S3 gallop and be given a diagnosis of heart failure. For those who took the test, do you guys know to what extent SPs fake physical exam findings? Are we ever supposed to document a physical exam finding that goes along with our suspected diagnosis even though the SP didn't have it?

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[Bean_Bunny]

You need to document what you find. NOT what goes along with a suspected diagnosis. Otherwise you're falsifying documentation.

 

[421822]

What if you find a physical exam finding that is unrelated to the patients complaint? If you tell the patient, will they acknowledge it? How would you document a situation like this?

 

[Dharma]

What if you find a physical exam finding that is unrelated to the patients complaint? If you tell the patient, will they acknowledge it? How would you document a situation like this?

You do the same thing like you would do in the real world with your patients. Inform them, explain, document accordingly, add diagnostics if necessary for further investigation.

 

[Dharma]

Treat this thing as real as possible. Don't look at it like checkbox point tallying. You'll fail if you approach the PE like this. Keep it as realistic as possible and you'll be golden.