CCS Questions

[ms1234]

Hey all,

I had a few questions about scoring on CCS. Does it affect your score if you order different meds of the same class? Like does it matter which steroid you give in an asthma attack vs croup or do any work? In uworld, it seems like any inhaled steroid works but I’m not sure how it’ll affect my score. Also, do you get penalized for not moving the patient from different locations? I usually just advance the clock by clicking show me the next result and most of the time, the patient is in the right location.

Any guidance would be helpful. Thanks!

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[Unty]

Stick the with medication listed on Uworld. Yes location matters. If you treat a critical patient in ward you will lose points. You have to move the patient depending on the situation. Patients wont move automatically if you just click next result.

 

[bigserve99]

Have this posted in another CCS thread above as well.... but I'm getting kinda desperate for the answers as my CCS portion of the test is on Tuesday. Thanks for any help you guys might be able to provide.

I had some other random questions which any prior takers or persons with knowledge might be able to help with:

1. as far as d/c'ing the inpatient orders if the patient is ready for discharge.... is this something that should be done if the case ends early and it skips to the 2 minute screen? I mean, it's not a big deal, but it takes a lot of time to go through and click on each order and d/c it. Does the USMLE CCS software allow you to highlight multiple orders and d/c at once? Does the scoring take into account all the d/c'ing as necessary?
As a corollary, sometimes these patients come in with meds they had when they came in.... like say hydralizine (PO) or metoprolol PO for BP control. Let's say the case was "hypertensive emergency".... typically in the hospital setting we d/c they're PO meds, and use only IV labetalol let's say, transition them back to PO and then d/c them with follow up for HTN management. So then, during the case do we need to D/C metoprolol and hydrazine and then remember to add it back on the 2 minutes screen?

As a corollary, the UWorld case for this example (hypertensive emergency), makes no mention of adding an ACE-Inhibior or ARB on d/c even though this guy came in with HTN emergency and shows evidence of renal failure on the UA. Wouldn't this be something you guys would do... or would u just schedule a follow up outpatient appointment in a few weeks and have them start it then?

2. Does the time run while reading the initial CC and HPI windows?

3. How do you make follow up APPOINTMENTS on the 2 minute window? Doesn't seem possible.

 

[Multiverse]

Hi,

Is it OK to order a consultation and the procedure at the same time, granted the consultation recommendation comes back before the actual procedure time?

 

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