No it does not. I have not been able to find a good source that instructs you in how to drape the patient for each physical exam maneuver. I need to know precisely how the patient is draped for each exam. For example, how the heck do you drape the patient while examining the back range of motions or gait? The drape will fall off! And the issue of how to drape while doing an anterior chest exam remains unsolved. I am taking the exam this tuesday and I cant afford to fail. I want to start my pathology residency this july and never see a patient (fake or real) ever again!
<sigh>
Step 2 CS is NOT that intimidating as you seem to think it is. It really wasn't that bad. If you are a native English speaker, the odds are overwhelmingly in your favor.
When I did Step 2 CS, I did NOT examine gait or range of motion of the back. I can't imagine any scenario that they would test where that would be necessary. The main reason why you would test gait or back range of motion is if you are suspecting a stroke or a traumatic injury. Neither of those scenarios come up often.
Again, just to calm you down,
WHILE TAKING STEP 2 CS, I NEVER ASKED THE PATIENT TO STEP DOWN FROM THE EXAMINING TABLE. Not even once.
If you REALLY feel like a gait exam might be necessary, but don't want to do it, include it in your write up at the end.
For the anterior chest exam, I had the patient untie the gown in the back, and carefully lower the front of the gown a few inches - just enough to listen to heart and lungs. I had the PATIENT hold the top of the gown against her chest, and then pull it back up once I was done. That's all you need.
You're overthinking this. Really, just read First Aid for Step 2 CS. THOSE are the types of cases you will see, and it has all the info that you need. Don't forget to wash your hands, too!