- Joined
- Jul 19, 2011
- Messages
- 98
- Reaction score
- 9
Hi,
So I'm in that phase right now where I've already just recently given the test. but now I'm under the impression that it wasn't as easy I thought it was after coming out of the exam.
1. First case, I didn't get to do a closure.
2. In one patient note, I left out the whole allergies, meds, PMH, psh, fh, sh, ros....I finished everything else perfectly for the case...I thought I was done when I scrolled up and realized that I had left that part to come back and finish.
3. couple of cases, I forgot to pull out the leg rest.
4. I asked eldery pt about help at home/support. however, I didn't ask everyone.
5. There was a pt which I wasn't sure about domestic abuse...but I just didn't really ask about it at the time, I was only thinking this pt is behaving weirdly. However, I wasn't thinking of abuse.
6. I forgot to explore drug abuse issue.
7. I'm most worried about this. A lot of my friends say that you must write a lot of supporting evidence from history when writing under the differential diagnosis. I wrote a couple of things for each differential. And sometimes, even only had one supporting evidence. This is what I saw in First Aid, so I thought it might be okay...however, others are saying you need a lot more evidence???? Should I be worried about this, as I did this for almost all of my patients.
8. In once case, 1 differential was rock solid good. The other differentials on patient note were vague and unclear diagnosis. Like...possible injury from past surgery? I don't know if they count/are good.
9. One or 2 cases, in the hindsight, I think I might have messed up the primary differential.
10. in a couple of cases, i forgot to mention physical exam to be done..like pelvic exam or breast exam....which were pertinent.
11. I was only able to do one or 2 systems for physical exam. The pertinent and a secondary one. Or sometimes only pertinent.
12. I didn't really have any phsyical findings that were positive during physical exam...so I didn't have any supporting evidence for physical except for like vital signs.
13. I thought one of the patient was pretending to be wheezing...but I disregarded because it seemed fake. -_- I think it was a mistake.
14. I didn't finish full neuro exam during one case because I kept repeating the same pinprick questions because it seemed the patient himself was confused. I don't know if he was making it up or it was seriously messed up...fml
15. one of the diagnoses, i misspelled it. so it might not sound like a real diagnosis.
I'm just really worried about my exam. Can you guys elaborate if you had similar problems or concerns or made mistakes...and what happened...did you pass?
I'm just in the limbo right now and there's no definite answers anywhere. I hope we're not expected to write like 8 supporting evidence for each differential. Because for some I only had one or 2. I'm too nervous.
How do they remove 2 cases? are they just your worst case grades?
So I'm in that phase right now where I've already just recently given the test. but now I'm under the impression that it wasn't as easy I thought it was after coming out of the exam.
1. First case, I didn't get to do a closure.
2. In one patient note, I left out the whole allergies, meds, PMH, psh, fh, sh, ros....I finished everything else perfectly for the case...I thought I was done when I scrolled up and realized that I had left that part to come back and finish.
3. couple of cases, I forgot to pull out the leg rest.
4. I asked eldery pt about help at home/support. however, I didn't ask everyone.
5. There was a pt which I wasn't sure about domestic abuse...but I just didn't really ask about it at the time, I was only thinking this pt is behaving weirdly. However, I wasn't thinking of abuse.
6. I forgot to explore drug abuse issue.
7. I'm most worried about this. A lot of my friends say that you must write a lot of supporting evidence from history when writing under the differential diagnosis. I wrote a couple of things for each differential. And sometimes, even only had one supporting evidence. This is what I saw in First Aid, so I thought it might be okay...however, others are saying you need a lot more evidence???? Should I be worried about this, as I did this for almost all of my patients.
8. In once case, 1 differential was rock solid good. The other differentials on patient note were vague and unclear diagnosis. Like...possible injury from past surgery? I don't know if they count/are good.
9. One or 2 cases, in the hindsight, I think I might have messed up the primary differential.
10. in a couple of cases, i forgot to mention physical exam to be done..like pelvic exam or breast exam....which were pertinent.
11. I was only able to do one or 2 systems for physical exam. The pertinent and a secondary one. Or sometimes only pertinent.
12. I didn't really have any phsyical findings that were positive during physical exam...so I didn't have any supporting evidence for physical except for like vital signs.
13. I thought one of the patient was pretending to be wheezing...but I disregarded because it seemed fake. -_- I think it was a mistake.
14. I didn't finish full neuro exam during one case because I kept repeating the same pinprick questions because it seemed the patient himself was confused. I don't know if he was making it up or it was seriously messed up...fml
15. one of the diagnoses, i misspelled it. so it might not sound like a real diagnosis.
I'm just really worried about my exam. Can you guys elaborate if you had similar problems or concerns or made mistakes...and what happened...did you pass?
I'm just in the limbo right now and there's no definite answers anywhere. I hope we're not expected to write like 8 supporting evidence for each differential. Because for some I only had one or 2. I'm too nervous.
How do they remove 2 cases? are they just your worst case grades?
Last edited:
