som
Forum Guru
Topics: 59
Posts: 308
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hi all,
I gave my CS exam in Chicago 3 days back. Initially I was worried abt the center. after the exam I felt the center was good. all the proctors n SPs r friendly. as far as the exam, I dont know how I did my exam but all I know was that the exam is over. so now heading for 2CK and waiting for my result with fingers crossed. I thank all the forum members who helped me.
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| New to USMLE
Forum Elite
Topics: 67
Posts: 135
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Hi Som,
I am trying to figure it out exam procedure. Like how much time to spend per patient and where to write notes on paper or computer.
Could you please exlain exam procedure or if there is link/site form where i can read.
There will not be any thing abnormal. Lets say patient complian of chest pain with inspiration. so you are worried about pericarditiis but you will not hear any pericardial rub so what will you write in PE. or patient is say he is feverish.
Who do the vitals? Are you requied to take vitals or they will be listed. Do you take BP for instatnce in case of pulus peridoxsus? Do they provide otoscope and optholomoscope.
Form where do you get cotton swab, tongue depressor, alcholol swab? are they in patient's room or else where.
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| som
Forum Guru
Topics: 59
Posts: 308
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Hi,
For each pt encounter u'll be given 15 mins for H/o taking and physical examinatioin followed by a 10 min period for pt note. If u complete ur h/o n physical {h&p} before 15mins that time can be added for writing the pt note but not the other way. that is u can't take more than 15 mins for h&p.
U can use either computer or paper for writing pt note. outside each SP room there'll be a monitor and h&p sheet. u can use either of them whichever one u feel comfortable. what i've seen is that most IMGs prefer writing on paper n AMGs do it on computer.
In the exam whatever findings u find u'll mention them. if u don find rub in pericarditis u mention no rubs/gallops/murmurs. SPs are normal ppl like us they r not real pts. so we may not expect to find all classical findings in them. sometimes they do may have a murmur or a operation scar on them. mention it in ur note.
All vitals data will be provided to u once u start ur encounter with a pt n before u enter the sp room. they may not be true to the pt. but they r for the case u r given. based on them u make ur DDs. u need not recheck the vitals again. u can go with the values given. if u have any doubt u can recheck them but again when u write the pt note or list ur DDs u have to use the vitals provided to u but not the ones u record.
every sp room is provided with otoscope, opthalmoscope, Qtips, toothpicks, cotton swabs, alcohol swabs, tuning forks,tongue depressor, gloves. u need not bring any of them or carry from one room to the other.
hope this helps.
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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thanks for taking the trouble to post this. Good luck for your results.
___________________
"If at any point you feel you cant..... then you MUST"
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| djyoti
Forum Newbie
Topics: 0
Posts: 13
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-- sometimes computer may fail so if you intend to use computer you have to practice hand written patient note also--just in case
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