Just took step 2 cs - are these mistakes fatal?

[strugglingmedstudent40]

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Took the exam recently, and here are all the mistakes that I remember...

1) Did not listen to all 4 areas of the heart - only the top 2 (aortic and pulmonic areas) for most cases
2) When listening to heart, I did not use the drape - only pulled the gown slightly down and placed my stethoscope under the gown - NEVER examined patients through the gown
3) Overall, my physical exams were a bit spartan (most definitely did not do a full physical in most cases)
4) May not have gotten all the leading differential correctly (and for many cases only put 2 ddx instead of the recommended 3)
5) Occasionally forgot to ask minor components of the history such as family history or recent travel experience
6) Most patients never asked a "challenge question" - does this mean I completely missed the boat?
7) I tend to say during counseling "the most likely diagnosis is x, but we'll need to run some more tests to rule out y" - however I am under the impression that we should be even more vague than that?
8) Sometimes forgot to counsel patient about high blood pressure and alcohol use
9) I am sure there are A LOT more...but those are all the ones I remember...

Is this normal? Or am I in trouble?

Below are some things I think I did okay/well on...
1) My notes are pretty decent for the most part - they are complete and reasonably well written
2) I consistently greeted patient by name, asked for permission to sit down, summarized their basic HPI, and washed my hands
3) Didn't feel like that I completely flunked any case...

 

[therealfinale]

As long as you didn't make major mistakes consistently, you should be fine. Most of your mistakes don't appear major. I had a few challenge questions and situations. The "situations" were usually from those social history questions you mentioned. I think two of my challenge situations were visually apparent (one unrelated to CC and the other was CC of case). I had to ask about what I saw and elicit the information and counsel for it in one case and for the other case I was asked a difficult question at the time which, now that I think about it, I did a horrid job answering. I did my best with my knowledge, but it was a dumb answer to her question lol.

You don't need 3 DDX for each one. If it's super obvious what it is, you can have just 2. I had just 2 in 3-4 cases.

 

[ark1990]

You'll be fine! At least you remember most of the mistakes you committed, I couldn't even remember what I did after the exam.
The bar for passing CS is surprisingly low even if you make a lot of mistakes.
Best of luck for your result!

 

[Tabiyou]

Sounds like every CS physical exam I performed (I passed). You'll be fine. Just a long waiting game, my friend.

 

[darklabel]

You'll most likely pass. I actually forgot to foam or wash my hands for 2 patients and stilled passed very comfortably.