Step II CS tomorrow, last minute question

[DCDAWG]

Can you just order a CMP instead of writing electrolytes, Bun/Cr, and LFTs if its indicated on CS? I think first aid said something about ordering these things spearately. Thanks!

 

[VeerTheTIGuy]

Can you just order a CMP instead of writing electrolytes, Bun/Cr, and LFTs if its indicated on CS? I think first aid said something about ordering these things spearately. Thanks!

Nope, gotta order it separately. I think the only combo order i put was CBC w Differential...

You can however put correlated ones (e.g. AST/ALT/Bili/Alk Phos) on the same line.

 

[DCDAWG]

Ok, so i guess ill put BUN/CR/ Na/K/ Cl/CO2/ Glucose every time i want a bmp?
seems ridic.

 

[DCDAWG]

Nope, gotta order it separately. I think the only combo order i put was CBC w Differential...

You can however put correlated ones (e.g. AST/ALT/Bili/Alk Phos) on the same line.

so if i want lft's and bmp...id have to put alt/ast/ alk phos/bili on one line and make another line for my na/k/cl/co2/bun/cr/glu ? i cant put all the labs on one line?
thanks.

 

[kemper6036]

so if i want lft's and bmp...id have to put alt/ast/ alk phos/bili on one line and make another line for my na/k/cl/co2/bun/cr/glu ? i cant put all the labs on one line?
thanks.

i just put it all on one line....maybe you arent supposed to but i passed so what the hell

 

[kluverbusy]

I wrote CMP, but i wrote separately: AST/ALT. i tend to believe that writing the note can look like one of your SOAPs', since Drs grade them. it's exactly how i wrote mine, w/ many more abrevs than what USMLE has listed on their website. I failed, but...i kid i kid, i passed, and actually my note was one of my higher marks...better than my SEP apparently..yanks man. G' luck to all taking this exam

 

[VeerTheTIGuy]

Ok, so i guess ill put BUN/CR/ Na/K/ Cl/CO2/ Glucose every time i want a bmp?
seems ridic.

Sorry, i believe "electrolytes" was another one that i put, although i ordered BUN/Cr as well as Glucose separately

 

[Ilovewaiting]

I wrote CMP, but i wrote separately: AST/ALT. i tend to believe that writing the note can look like one of your SOAPs', since Drs grade them. it's exactly how i wrote mine, w/ many more abrevs than what USMLE has listed on their website. I failed, but...i kid i kid, i passed, and actually my note was one of my higher marks...better than my SEP apparently..yanks man. G' luck to all taking this exam

How do they give you your score breakdown? Data gathering, patient note, SEP, and CIS? I thought the data gathering and patient note were supposed to be combined into one score...

 

[kluverbusy]

How do they give you your score breakdown? Data gathering, patient note, SEP, and CIS? I thought the data gathering and patient note were supposed to be combined into one score...

DG and PN are combined to give you the ICE portion, but are graded separately. ask the questions from LIQA etc, or whatever you use, and put that info into your note, you're golden.

 

[Ilovewaiting]

Right, but you only have to pass the ICE portion as a combined score, not the DG and PN separately- correct?

 

[kluverbusy]

How do they give you your score breakdown? Data gathering, patient note, SEP, and CIS? I thought the data gathering and patient note were supposed to be combined into one score...

Right, but you only have to pass the ICE portion as a combined score, not the DG and PN separately- correct?

i don't think that's correct, i've seen ppl write that they've failed one portion of the ICE or CIS, and so failed the entire section; and subsequently the exam. i don't work for USMLE, but it seems you need to pass all subsets, in order to pass.
ICE, to me, seemed like the most objective section: ask all the questions from your mnemonics = DG; PN graded by a Dr, which by the end of your 3rd yr, is pretty routine. NO feelings involved, just check check check.
CIS, put on a pretty 😀 and ACT accordingly