11-24-2005, 01:10 PM
hi all,
recently took the cs in chi; overall, I felt i performed ok, but very worried/concerned about 3 mistakes:
1. only able to think of and wrote down one dx for leg pain and 2 dxs for arm and leg weakness; the work/up was complete or almost complete, listed 3 or 4 tests for leg pain, and 4 or 5 tests for arm and leg weakness.
2. in the case of a young black female with chest pain, i wasnt thinking and was off on the differential; i listed one non-cardiac, ie. panic disorder, and the other 4 were cardiac, ie. HOCM, MVP, Aortic stenosis, etc.; 4 possibly wrong differentials and the tests (possibly correct) were for cardiac workup; I wasnt thinking or wasnt sure about the differentials, from the history i took and wrote, so i started listing randomly (at the top of my head); what would be the proper differential dxs? she didnt have a pmh of sickle cell.
3. In one of the other cases, i was given a formal warning by the proctor, for "supposedly" writing after the announcement "time is up"; HOPE THIS DOESNT AFFECT MY PERFORMANCE ON THAT CASE, OR OVERALL!
Im very concerned/worried, and i will be for another 6-8 wks or more...I have applied to residencies and am currently awaiting interviews. I welcome and would really appreciate your honest comments/feedback, esp from those who have taken the exam and have passed, or maybe experienced something similar.
recently took the cs in chi; overall, I felt i performed ok, but very worried/concerned about 3 mistakes:
1. only able to think of and wrote down one dx for leg pain and 2 dxs for arm and leg weakness; the work/up was complete or almost complete, listed 3 or 4 tests for leg pain, and 4 or 5 tests for arm and leg weakness.
2. in the case of a young black female with chest pain, i wasnt thinking and was off on the differential; i listed one non-cardiac, ie. panic disorder, and the other 4 were cardiac, ie. HOCM, MVP, Aortic stenosis, etc.; 4 possibly wrong differentials and the tests (possibly correct) were for cardiac workup; I wasnt thinking or wasnt sure about the differentials, from the history i took and wrote, so i started listing randomly (at the top of my head); what would be the proper differential dxs? she didnt have a pmh of sickle cell.
3. In one of the other cases, i was given a formal warning by the proctor, for "supposedly" writing after the announcement "time is up"; HOPE THIS DOESNT AFFECT MY PERFORMANCE ON THAT CASE, OR OVERALL!
Im very concerned/worried, and i will be for another 6-8 wks or more...I have applied to residencies and am currently awaiting interviews. I welcome and would really appreciate your honest comments/feedback, esp from those who have taken the exam and have passed, or maybe experienced something similar.