Basic COMLEX PE Questions

[TRED1400]

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1) How many lung sounds do you do? Kauffman is doing 3 anterior, 2 lateral, and 3 posterior. Is this overkill?

2) Are you able to sit while writing your SOAP note?

3) What happens if you need an emergency bathroom break between cases?

4) Do patients ask for specific OMM or can I do lymphatics or MFR on everyone?

5) While doing OMM is it appropriate to go over the PLAN with that patient, or is this viewed as rushing?

6) Am I supposed to foam prior to entering AND before the PE?

7) Are you supposed to recheck BP in BOTH arms or just one?

 

[LChristmas]

1) I did 4 on the back and 3 on the front. Directly on the skin. Retie the gown for them when you're done.
2) Yes
3) Too bad
4) They will make it very clear within the first couple of minutes that they want OMT. Not sure if I can say the exact phrase without compromising the test, but you will not be left wondering if you were supposed to do OMT or not.
5) This is a great way to fill the silence while you're treating. Go for it.
6) I only foamed upon entering and exiting the room.
7) I rechecked BP in the left arm if the triage note had an abnormal BP.

 

[Roxas]

If you can't go 92 minutes without a bathroom break then you have bigger problems than the PE.

You can do lymphatics and MFR on everyone, but according to Kaufman more complex OMM yields you more points. In my humble opinion I think it's better to be safe and confident in something basic.

I only foamed before the PE.

I never rechecked BP. I told the pt I was going to let them cool off and documented that I would recheck it later, there are much more valuable ways to use that time. And you have to take the pre-documented vitals as accurate, so it doesn't change your management at all.

 

[chizledfrmstone]

1) How many lung sounds do you do? Kauffman is doing 3 anterior, 2 lateral, and 3 posterior. Is this overkill?

2) Are you able to sit while writing your SOAP note?

3) What happens if you need an emergency bathroom break between cases?

4) Do patients ask for specific OMM or can I do lymphatics or MFR on everyone?

5) While doing OMM is it appropriate to go over the PLAN with that patient, or is this viewed as rushing?

6) Am I supposed to foam prior to entering AND before the PE?

7) Are you supposed to recheck BP in BOTH arms or just one?

1.) I just did the posterior 3. Just make sure you don't put the stethoscope head on the gown. That will be an expensive $1,300 lesson.
2.) Yes, there is a desk and chair outside the room for you to type your notes.
3.) Just pee yourself. They're not going to stop for you.
4.) Dr. Kaufman says do different techniques. Just know 2 for each body segment. DO NOT DO HVLA! I heard someone did the thrust at the end of setting them up for HVLA.
5.) You can do it. Remember, you have to do OMM for a total of 2 minutes. Might as well fill up that time.
6.) I did both just to be safe but technically only before you touch the pt for the PE. I once did 3 times because I didn't remember if I had touched the bottom of the examination table. Always use your foot to pull out the step on the examination table if you have to. Touching it or your glasses can be a reason to foam your hands.
- I never used the full amount because it takes too long to dry. Just push it 1/2 way. In real life you would obviously use the entire amount.
7.) Document that you will check it on the next visit.