Welcome to the club!!
Hopefully we are not just the lower 20% while the rest of test takers are confident in their performance!
IlDestriero, thanks for the post. At this point, I think we have a handle on what we SHOULD have done. The main problem lies in what we ACTUALLY did. There is a difference in what we should have said, what we FEEL like we said and what we ACTUALLY said.
For example, the examiner may ask for the differential diagnosis for delayed awakening. Ideally, we would come up with a Michael Ho type response about residual medications, hypothermia, hypotension, etc. What we FEEL like we say is "uuhhhh... deeerrrrr ... mmm... ddduuuuuhhhh.... CT scan??" What we ACTUALLY say is hopefully closer to the well laid out answer. However we have 6 weeks to play the exam over in our head and think about the well laid out answer we could have said much better.
My problem with the second stem was that we could not get into a flow. I did multiple practice exams with actual examiners. All of them easily passed, however there was a flow and I could understand where they were going with the questions. I still have NO clue where my examiners were going! They gave me a reasonable case and I had a reasonable plan laid out on my sheet prior to entering the room. First question was off the wall. Followed by a few more of the same with frowns on their face. Then they circled around and acted like I should have spouted off my original plan by now. Then more trivia and at no time could I get out my main concerns or my plan. And yes, that lead to more stumbles on my part which I believe I should have handled better.
Here is a THEORETICAL
interaction between myself and the examiners. This was NOT an actual interaction. Just example of the flight of idea that occurred.
examiner - "the patient has a UO of 30 ml/hr, what would you do?"
me - "I would check the foley for kinks/obstructions. I would then administer a fluid bol..." examiner - "HOW MUCH FLUID? (in aggressive tone)
me - "500 ml of crystallo...."
examiner - "The patients CVP is normal. Is that an accurate assessment of fluid status?"
me - "I prefer to follow trends in the CVP..."
examiner - "would the CVP be accurate if the patient were 10 feet below sea level while standing on their head?"
me - "I DON'T KNOW"
(thinking to myself) - DAMMIT. WTF happened to the prerenal, renal, postrenal discussion? Why was I not asked about FeNa+? I was ready to go!
Alright, it's 5 o clock somewhere. I hope the ABA picks up the tab for my rehab.