studying steps
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i did step 2 cs a week ago. and these are my major mistakes, please give me an honest opinion if whether or not you think i paased....
-in 2 pt encounters i finished examining the patient and was just about to sumarize when the bell went.
-in one patient encounter, she was a heavy smoker, and i ran out of time, didnt have to counsel her on smoking, finished everything else.
-in all of my patient notes i ran out of time, and i always missed social and sexual history (i asked it, but wasnt able to write it down)
....ok guys, please let me know what you think honestly. im getting nervous....
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| DrVirgo
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After each case I also remembered something I forgot to do or say, or write down. (well not every case but a few)...
-I also ran out of time WHILE doing a physical on 2 cases... I had to quickly say something like "I have to go now but we'll work up your case and get back to you" or something like that.. i don't know if thats right or wrong though.
-Another case I forgot to counsel on condom use
-One case I forgot to write the vitals.
If you did everything else well, there is room for some error... I passed, thank God.
Don't sweat it... Mostly everyone passes CS unless you went wrong in a major way or did something dangerous, or were totally off on your English or bedside manner.
Congrats for finishing the exam, now relax till you get your PASS! 
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| studying steps
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thank you soo much, your mistakes seem similar to mine, and you made it, so that makes me feel alot better, thanks dr. virgo
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| jaydoc
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what do you mean writing the Vitals DrVirgo...?
I'm not sure, FA PNs just say Vitals Normal, and that's how i wrote in every case i saw on the exam...? is tht wrong...? do we have to write down the vitals as they are given in the doorway info...?
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| DrVirgo
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jaydoc wrote:
what do you mean writing the Vitals DrVirgo...?
I'm not sure, FA PNs just say Vitals Normal, and that's how i wrote in every case i saw on the exam...? is tht wrong...? do we have to write down the vitals as they are given in the doorway info...?
What I meant was on one of my notes I forgot to mention
"Vitals: WNL" in my note
If they are normal you can just say WNL (or within normal limits)
OR if there are only a couple abnormal values you can say something like:
"Vitals WNL except Afebrile at 101.5; Tachycardic at 110."
OR you can just ALWAYS write out ALL the vitals (but this approach takes time)
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Our greatest glory is not in never falling, but in rising every time we fall.
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| DrVirgo
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Oh another thing:
I read that you should avoid using the word: "normal"
Instead describe what you mean... eg, Instead of saying "pupils normal", say "pupils equal round reactive to light and accomocation bilaterally (PERRLA B/L).
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| jaydoc
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Thanks DrVirgo...
I also used Vitals WNL in the exam. But i have been confused abt many people on the forums saying they forgot to "write the Vitals". That is what i wished to clarify. thanks for helping out on the issue.
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| Justice
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I too think you will be fine
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