amygdalaa
Forum Guru
Topics: 24
Posts: 399
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Hi guys,
gave the CS a few days ago. I can only tell you the test was reasonable. If I dont make it it is only because I screwed up or something. My problem with the whole thing was because i was scared i may not finish on time, i tried to hurry up at every step and I am pretty positive i did only a very 'focused' history taking and examination. For all cases i knocked, draped(exc one Sp refused), introduced myself, washed hands, empathized, counseled, and summarized. But I am afraid that i did many things I was not supposed to do,like repeat some qs, forgot HEENT in an RS , did MMSE for one, but did not mention in the PN etc. I ran out of time only for one case, hence could not counsel.
so I am doing these days is hoping for the best and trying not to think of the 'encounters'.
thanks for all your suggestions and support guys.
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"If at any point you feel you cant..... then you MUST"
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| chinda11
Forum Junior
Topics: 19
Posts: 48
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First of all, congratulations on getting done with your exam. Sounds like u did all the "necessary" things . U will get through.
I need to ask u one question... when u said that one SP refused... u mean He/she refused to be drapped ???? So u just proceeded with out it ???
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| wamba
Forum Guru
Topics: 149
Posts: 664
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congrat amygdalaa
don't worry! you'll b fine. we all forget these things. I did not run out of time but I did forget something in every encounter. I think it is physiologic. We just have to wait and hope.
yes Chinda11, it can happen that an SP refuses to be draped. in this case, just proceed. this is why I always asked "do you mind if I drap you?", but everybody said it was ok.
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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chinda11- thanks- yes, sp refused to be draped. so I just let it be.
wamba- thanks- i hope you returned safe and sound to your home country.
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"If at any point you feel you cant..... then you MUST"
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| maylea
Forum Elite
Topics: 4
Posts: 86
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Hello A...just sent you a PM asking you if you have taken CS yet and then came across your experience! Congratulations on finishing with the exam! I am sure you did just fine. What are your plans whilst waiting for the results?
Enjoy and though it can be hard, try to forget CS for a while. Cheers.
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| drk1980
Forum Guru
Topics: 147
Posts: 1,038
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hi amygdalaa, thanks for your exp. good luck with the results, shd be good anyway.
i had a Q, exactly when shd we drape the patient? Just before starting P/E(after the patient lies on the table) or right after you enter the room before starting Hx?
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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thanks maylea- I will be rotating until the end of july. after that no plans yet. I responded to your PM. Have you set a set for NZREX. Is it crazy like CS that you the earliest date available is in apr 2007 .
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"If at any point you feel you cant..... then you MUST"
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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drk1980- hi thanks.
You may drape before examination. Most people do it while introducing coz they dont want to forget or that the patitent may be cold or uncomfortable coz they are wearing that uomfortable gown!
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"If at any point you feel you cant..... then you MUST"
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| jmn
Forum Junior
Topics: 4
Posts: 31
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Goodluck amygdalaa!
could u guide me how to get pt an HIV test... or never mention this test to pt just write in PN. Thanks.
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| SilatK
Forum Guru
Topics: 42
Posts: 579
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Goodluck amygdalaa!!
You did well I am sure of that.
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To know is to not know..
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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Hi jmn
thanks for your wishes....
I asked the patient if he/she would be willing to get tested for their HIV status? I did not have them sign anthign.
Hi SilatK,
thanks for your wishes. You really make me feel better by saying that :-) I hope your words come true..........
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"If at any point you feel you cant..... then you MUST"
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| New to USMLE
Forum Elite
Topics: 67
Posts: 135
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You can't do HIV/AIDS test with consent in USA. It is the law. So in reality we do ask pts about it.
If I am seeing a STD case or mutilple sex partners or unprotected sex with someone you met recently, I will always suggest HIV test and tell them of course we do need your permission as well.
In the high risk groups (as mentioned above) do both p24 antibody and HIV viral loads. In general screening only p24 antibody test is done.
Since this is exam so you should mention that in PN too. It might be possible in the patient check list this is additional point that you did mention HIV test to the patient.
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| AAAAA
Forum Fanatic
Topics: 153
Posts: 1,983
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New to USMLE wrote:
You can't do HIV/AIDS test with consent in USA. It is the law. So in reality we do ask pts about it.
If I am seeing a STD case or mutilple sex partners or unprotected sex with someone you met recently, I will always suggest HIV test and tell them of course we do need your permission as well.
In the high risk groups (as mentioned above) do both p24 antibody and HIV viral loads. In general screening only p24 antibody test is done.
Since this is exam so you should mention that in PN too. It might be possible in the patient check list this is additional point that you did mention HIV test to the patient.
Not true !!
You can do HIV test without consent in some situations.
Many states passed the law to enforce DNA and HIV tests on all prisoners.
Rapists, sex offenders in many states are required to submit DNA or HIV tests if they bite on the victims.
So I will discuss the HIV result in another post !
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seeking study partner in USMLE examination
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| New to USMLE
Forum Elite
Topics: 67
Posts: 135
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As you have said,
we are not talking about general population. Exam is not in the prison setting either. I believe no rapist/sex offender come to the doctor's office to tell you that he/she is a sex offender/ rapist and most of people deny any way.
It simply does not hurt asking patient about HIV test, it is NOT against the law. But doing HIV test without consent CAN be against the law.
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| jmn
Forum Junior
Topics: 4
Posts: 31
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thanks for advices.
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| patricia2005
Forum Senior
Topics: 15
Posts: 74
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hi
good luck with ur exam i guess u did very good in ur exam they do not care for one or 2 mistakes
the problem is waiting for results, do u know when we can check oasis i took mine on 18 july
best wishes
amygdalaa wrote:
Hi guys,
gave the CS a few days ago. I can only tell you the test was reasonable. If I dont make it it is only because I screwed up or something. My problem with the whole thing was because i was scared i may not finish on time, i tried to hurry up at every step and I am pretty positive i did only a very 'focused' history taking and examination. For all cases i knocked, draped(exc one Sp refused), introduced myself, washed hands, empathized, counseled, and summarized. But I am afraid that i did many things I was not supposed to do,like repeat some qs, forgot HEENT in an RS , did MMSE for one, but did not mention in the PN etc. I ran out of time only for one case, hence could not counsel.
so I am doing these days is hoping for the best and trying not to think of the 'encounters'.
thanks for all your suggestions and support guys.
___________________
patricia
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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Hi Patricia,
Thanks. ood luck to you too.
I am expecting the results next week. Oasis might be updated wednesday.
___________________
"If at any point you feel you cant..... then you MUST"
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| maylea
Forum Elite
Topics: 4
Posts: 86
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Hello A...did you get your CS results this week?
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| amygdalaa
Forum Guru
Topics: 24
Posts: 399
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Hi Maylea,
Thanks for thingking about me. I did get the result and I passed. Thanks to the support of friends and family, I did it.
How is it going? I am still in the process of working on my appplication.
___________________
"If at any point you feel you cant..... then you MUST"
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| Moozy
Forum Guru
Topics: 45
Posts: 767
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Patricia... I took my exam on 19th July.... our results are due on October 11th... you can only check OASIS trick once it says result reported...I know.. it is such a long wait... and i now feel that my anxiety and prayers for the result are also getting tired of this wait....
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Inability is a disaster; patience is bravery; abstinence is a treasure, self-restrain is a shield; and the best companion is submission to Divine Will
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