arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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yes, Anne. Most of my 13 partners weren't doctors. Through the phone it is the same as live, except you can't do the PE, you only describe it.
Ok, SOS, I'll be waiting.
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| draashna
Forum Junior
Topics: 8
Posts: 47
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And one more ques ....in the introduction...saying that i will be ur physician today is enuff rite...is dere the need to say i will be asking ques and doing PE?
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| tikka
Forum Senior
Topics: 53
Posts: 116
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Hi Arlete
I m following ur posts since long ...u r doing great job ......I have my exam coming soon..any tips would be helpful....I feel scared
thanks
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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draashna:
I never said "I'll be asking you some questions and doing a PE" but if you feel like doing it, it's OK. It's not right or wrong, it's a matter of style.
Hi, tikka. I posted a lot of tips already, something specific you wanna ask? Don't be scared, you know what to do and how to behave in front of a patient. Just forget it's a test, act as if they were real patients and you want to help them and you want them to come back to talk about the results of the tests. You are selling yourself, show them how worthy you are. 
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| draashna
Forum Junior
Topics: 8
Posts: 47
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Hey arlete ..Thanks a lot for ur response but u missed my previous question..
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| AnneGermany
Forum Junior
Topics: 7
Posts: 47
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Thank you,
I appreciate your answer and I´m wowed by your dedication to this forum.
God bless and best of luck to you!
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| bioguy
Forum Guru
Topics: 36
Posts: 678
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Hi Arlete,
Does it matter in what sequence you ask the questions about presenting complaint. For ex: case of Headache - mnemonic is LIQORAAA - but its logical to ask how long he had headache before asking for location, right?
or it really doesn't matter?
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| SOS
Forum Elite
Topics: 16
Posts: 521
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thanks arlete.talk to you soon.
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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draashna:
Sorry. I really did.
Well, you start the exam away from where the patient said the pain is. If you have to test Murphy's sign and the patient already showed pain on palpation, ask if he can bear only a few more seconds, because it's very important to check something. If he says OK, do the Murphy, if he says no, say OK and write down on the PN "Murphy not elicited due to patient refusal". Another thing you can do is do the deep palpation and the rebound at the same time, then you ask "did it hurt more when I pressed or when I let it go?" so you touch the patient the minimum possible.
I think "douching" is a layman term.
The third question we can talk about, Maybe it's more about attitude than words. 
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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bioguy:
It doesn't matter as long as you get all the pertinent information. But it's good to have a logical sequence and sound organized. So when you are asking about past history, you don't go "by the way, about the headache..."
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| doc_harry18
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Topics: 13
Posts: 64
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Hi arlete, I passed CS, just got the result today. I thank you for sharing your wisdom and thoughts in this forum. God bless you always.
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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Congratulations, doc_harry18, and good luck to you from now on. I hope you'll be a great doctor in USA!
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| oldkidontheblock
Forum Guru
Topics: 40
Posts: 826
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I had my CS today, and I know I made mistakes and I knew I will. I concentrated more on My ettiquetes, Communication skills and the counselling part. Lets see what God has for me. Thankyou arlete for your valuable advice that you have been giving from time to time.
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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Dear old-not-quite-as-old-as-me:
I am glad that's over for you, I hope you'll be giving me some good news in a few weeks.
You're welcome, always glad to help!
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| docdoc9
Forum Senior
Topics: 17
Posts: 105
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Hi arlette
Can u tell me how to ask for regurgitation of food in a dysphagia case
Do we need to knock for a telephone case too
How do we counsel a Pt, with hot falashes?
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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"Regurgitation" is a layman term, you can use it.
I din't have a telephone case, but I wouldn't knock, that would be silly...
Hot flashes are treated with hormonal replacement therapy. But you are not supposed to treat the patients, so say something like that: "Mrs. X, I am going to order a few blood tests to check your hormone levels and confirm the diagnosis of menopause you may be going through. One of the options to treat your hot flashes is taking hormones. There are benefits and risks related to this medication that we are going to discuss once I have the results of the test, is that OK with you?"
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| DIDI2usmle
Forum Newbie
Topics: 5
Posts: 33
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Congratulations!!!
Good job! I'm so happy for you. Where did you take the exam?
When did you begin to study for the step 1?
I beginning study now and I know it's a long journey. I don't know even if it's better to take the Step 2 CK before Step 1. Beginning is hard. I will like to know how much time will take me to pass all the tests.
You are inspiring
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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Didi:
I am not a good example for how long it takes. I have 3 kids and went through a lot during the preparation for the tests, so it's been a long journey. I graduated in 1992, so you can imagine there were things already forgotten long, long time ago. (I was like: "Krebs who?") 
So I started studying for step 1 in February 2006, passed in December 2006, then passed 2 CK in July 2007 and CS in February 2008 - Chicago. Worth every minute!
But some people are able to tackle it all in one year. If I was only studying, that's what I would do.
Good luck!
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| srita
Forum Junior
Topics: 7
Posts: 39
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hi doc doc, even though, you asked arlete about regurgitation i just want to tell what i know , hope arlete dont mind, this is how i ask my patients in ER DO YOU BRING UP ANY FOOD? OR DO YOU BRING UP ANY THING? and they will under stand, good luck
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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srita:
I don't mind and actually I think it's better to do it your way. Maybe "regurgitation" is a popular word among moms only...
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| njcjzy
Forum Guru
Topics: 15
Posts: 723
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Wow, a lot of discussion going on here. Arlete, you are such a nice and patient doctor. Hat off for you.
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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Thank you, sweetie...
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| docdoc9
Forum Senior
Topics: 17
Posts: 105
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Thanks arlette and srita
Agree with u njcjzy .We have a great and patient doc in our forum
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| arlete
Intern in 2009!!!!!
Topics: 25
Posts: 1,788
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Thanks...
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