Step 2 CS My Mistakes, I need feedback

[Levosimendan]

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Hi

I took my Step 2 CS, 3 weeks ago, I can't stop thinking about a bunch mistakes I did
I was good prepare, but I was nerves and that didn't help

These are the things I did wrong ( not because I didn t know, just because the stress)

I forgot ROM in 2 cases as a part of PE
I forgot abdominal percussion in all cases
I forgot to ask about menopause symptoms in one case ( was one important DD )
In 2 PN I was not able to complete all 5 DD , ( just 4 )
Im sure I have many typing mistakes .

Things Im sure I did Righ in all the cases

Knock , draping , use gloves, etc.
I did most of the right questions ( FA ) for each case
Paraphrase, Summarize
Closure
Counseling

I would like to know your honest feeback about my chances to pass or fail the exam

Thanks

 

[septoplasty]

Hi

I took my Step 2 CS, 3 weeks ago, I can't stop thinking about a bunch mistakes I did
I was good prepare, but I was nerves and that didn't help

These are the things I did wrong ( not because I didn t know, just because the stress)

I forgot ROM in 2 cases as a part of PE
I forgot abdominal percussion in all cases
I forgot to ask about menopause symptoms in one case ( was one important DD )
In 2 PN I was not able to complete all 5 DD , ( just 4 )
Im sure I have many typing mistakes .

Things Im sure I did Righ in all the cases

Knock , draping , use gloves, etc.
I did most of the right questions ( FA ) for each case
Paraphrase, Summarize
Closure
Counseling

I would like to know your honest feeback about my chances to pass or fail the exam

Thanks

1. Spelling mistakes / grammatical mistakes wont matter unless its a huge fail
2. You dont have to fill ALL DDx + Workup. As in, you dont have to come with 5 DDx and 5 Workups.

You'll do fine.. relax!

 

[Levosimendan]

Thank's for your feedback Septoplasty, I guess I just have to wait.

 

[Mr RADical]

Most of my friends who just took Step 2 CS have similar lists as you do of things they missed and I don't know anyone who has failed yet. I wouldn't worry too much (easier said than done I am sure).

 

[yossarian444]

I forgot WAAAY more stuff than you did....I ended up passing by a wide margin according to those X's on the score sheet. You're fine.

 

[Bluesaurus]

I can tell you there are very few point relatively on physical exam in this test.

That's why when they 5 minutes left, you should probably be well into you PE. If not just hurry it up, and only examine ONE more system max.

If you do the PE on the primary system, then you'll get the majority of the points.

I think a possible exception, and even in this case not all the time, to this is in if they give you a neuro case since there are simply more checkboxes in the primary system in that case.

So there are more points on history taking, and obviously you can't skip counseling, fielding their challenge question, and closing (which includes asking for Q's and concerns, summarizing, etc etc)

I found I was always like 15 seconds shorts every time so I quit washing my hands and started just putting on large gloves and problem was solved. Some say hand washing builds a better report, but I'd rather have my 10-15 seconds personally.

 

[seva86]

I just took my CS exam and am feeling very nervous. I studied FA and worked with friends/family as practice SPs, but blanked out a lot. I forgot important questions, like abdominal pain in a young child. In one case, I focused more on the CC and forgot to do a ROS. Sigh. I wasn't able to hit a lot of the PE manuvers and mostly focused on the pertinent parts (abdominal exam for abdominal pain, etc). I also forgot to add things to my PN that I had asked and even noted on my scratch sheet.

Does anyone know how long it takes the exam results to come back? I'm freaking out because I really don't want to take this (expensive) test again :/

 

[Levosimendan]

You have to check that at usmle.org usually takes 2 or 3 month, are you IMG or AMG ?

 

[OveractiveBrain]

Hi

I took my Step 2 CS, 3 weeks ago, I can't stop thinking about a bunch mistakes I did
I was good prepare, but I was nerves and that didn't help

These are the things I did wrong ( not because I didn t know, just because the stress)

I forgot ROM in 2 cases as a part of PE
I forgot abdominal percussion in all cases
I forgot to ask about menopause symptoms in one case ( was one important DD )
In 2 PN I was not able to complete all 5 DD , ( just 4 )
Im sure I have many typing mistakes .

Things Im sure I did Righ in all the cases

Knock , draping , use gloves, etc.
I did most of the right questions ( FA ) for each case
Paraphrase, Summarize
Closure
Counseling

I would like to know your honest feeback about my chances to pass or fail the exam

Thanks

ENGRISH MAGIC ATTACK HAT GO!

Also, you know whose opinion matters the most? Yeah. The USMLE.

"But peoples on internet site sdn said I pass... why i no pass? Give call USMLE I."

NO! Just wait for the results. If you failed, you failed. And honestly, it was probably the English, not the medicine. Get better, take it again. Then WIN!

HOORAY WIN!

 

[Levosimendan]

Hi Guys

Yesterday I got my results PASS with high performance, I think a good conclusion for this experience is that the PE almost doesn't count much like Bluesaurus said.
The way to go is FA, LIQOR AAA summarization / PAM HUGS FOSS / PE ( basic ) and Closure
Other advice don't use your Brain just repeat over and over again, even a fat loser red neck jack ass like OveractiveBrain can pass this exam ( the evolution of his CNS stopped in the midbrain as we all can see by the crap he write in this forum )

So again thanks for your support

 

[OveractiveBrain]

Hi Guys

Yesterday I got my results PASS with high performance, I think a good conclusion for this experience is that the PE almost doesn't count much like Bluesaurus said.
The way to go is FA, LIQOR AAA summarization / PAM HUGS FOSS / PE ( basic ) and Closure
Other advice don't use your Brain just repeat over and over again, even a fat loser red neck jack ass like OveractiveBrain can pass this exam ( the evolution of his CNS stopped in the midbrain as we all can see by the crap he write in this forum )

So again thanks for your support

Congratulation since you pass USMLE. You good job! Good use punctuation and spelling, use present tense verb and speak english good!

 

[septoplasty]

Congratulation since you pass USMLE. You good job! Good use punctuation and spelling, use present tense verb and speak english good!

Your English not very good my friend. You need see me for english class, I teach good english.

 

[VTMedStudent]

Seva -
when i was reading your post, I had to pause to check the name on it to make sure it wasn't mine... I did all of those same mistakes.

 

[B52]

Took my exam a couple days ago. Literally can't sleep or eat due to stress. was hoping people could help me out with some feedback.

Mistakes I remember:
-Already closed with a patient, but their challenging question required me to quickly perform a sensory test. I did not use gloves the second time.
-Performed all my cardiac exams while they were laying down...didn't untie gown but just slipped my hand under the gown (there was usually enough room). None of my patient's needed a full cardiac exam. Just auscultation.
-Forgot to put a leg rest up on some of my patients.
-Started a physical exam without wearing gloves but quickly realized after about 20 seconds into the exam and put some on.
-usually got 1 or 2 good differential dx in..but the 3rd one was always tough and i generally put some random disease.
-Forgot to check CVA tenderness and include UA/Ux.
-Forgot to ask about how a patient cooks, baths, aka takes care of themselves
-put CN intact when i only checked cn 3,4,6 and 7. i meant to put EOMI.
-one patient refused to open up about what was bothering her, despite asking several times.

What i did right:
-always knocked, greeted said patient's name, had gloves (except what i mentioned above)
-very empathetic and NURsed a whole lot.
-managed to usually get most of OLDCARTS if i could
-always got ROS, past medical, surgical, drug allergies, social, obgyn
-counseled about smoking, safe sex.
-always managed to close and answer any challenging questions.
-always managed cardiac, lungs, abdominal, DTR, pulses, heent.
-always auscultated on skin and patient was drapped.

Not worried as much for CIS or SEP but scared for ICE because i forgot to ask certain questions about their chief complaint and I rushed thru my patient note, sometimes including things that i didn't inform the patient about.

please let me know if my mistakes will cost me to be at borderline or even fail.