06-15-2008, 09:43 AM
lara2008: Out of 12 cases, 2 are dummy so 10 of them are usually scored.
9 cases looks like borderline......anyway all u need is 50 % pass marks...courtesy words....communication with patients...comprehension by patients ....counselling words....in the stated time>>>>>is all you have to aim for.............I think you will pass.........Good luck.
midazolam2008: In a real patient encounter you should perform all of them but CS is not only about history n physical examn.....It should have all the ingredients...
Allery history: Sinus tenderness reqd
Morning onset headache with nausea--- fundoscopy is mandatory..+ brief CNS exam....focus on main cranial nerves involved.....power and reflexes mainly in lower limbs.
I know its difficult to handle all that in real exam time but you have to do it. I am not trying to discourage those who wants to do detail exam but time factor is there and you might end up doing one part and miss out another so restrict yourself doing detail examination.
drharry:You have done your best....its good that you accepted your weakness but the people who pass also have these gross mistakes....all it matters is the wholesome exam..
Lets say 2 diagnosis were not correct but you still are going to rule out other condn by doing the tests.......
It happens in eam that you forget the correct diagnosis, but what I believe is ICE is patient note+history+physical exam --here ur Patient note part seems little weak .....but if other 2 has been pretty good......I am sure you will come out with flying colours..
Good luck
idle:
will i pass with the followin mistakes:-
1.In one pt note,i wrote Dx as AIDS instead of HIV ---not a serious mistake,if there was associated infection somewhere then u might have been correct..but you were on the right track...anyway u r going to Western blot right ....so I think you will escape thru that
2.i did not walk with the pt when i asked her to walk--- u mean gait?I do not understand properly...if you were watching then u need not move along with the patient...u can be an observer
3.i did SLR& hoffmanns sign,but not sure whether it is +ve or not.but i wrote in pt note as ++ve ----it depends on the history...even if it was not +ve...the performance of test will fetch u tick mark on the Sp's checklist.....doing in time is usually complemented ....looks like not that much of a blunder....patient note might fail but history n exam if is good then here also u escaped I think.
4.i did not counsel regarding safety in a physical assault case----- if u have uttered word "counsel" --u r good to go...mere words/ sentences/phrases are usually not evaluated ---ur attempt to counsel matters...not exactly the content
5.2 sp's asked to repeat what i said as they did not understand(once)--- it happens with most of IMG..I was also asked ..not a big deal.......
Overall if these are the only mistakes ...u should pass..difference is u might have 75% without those mistakes but with the mistakes u may score 58%.....the thing that matters is PASS....
Good luck
9 cases looks like borderline......anyway all u need is 50 % pass marks...courtesy words....communication with patients...comprehension by patients ....counselling words....in the stated time>>>>>is all you have to aim for.............I think you will pass.........Good luck.
midazolam2008: In a real patient encounter you should perform all of them but CS is not only about history n physical examn.....It should have all the ingredients...
Allery history: Sinus tenderness reqd
Morning onset headache with nausea--- fundoscopy is mandatory..+ brief CNS exam....focus on main cranial nerves involved.....power and reflexes mainly in lower limbs.
I know its difficult to handle all that in real exam time but you have to do it. I am not trying to discourage those who wants to do detail exam but time factor is there and you might end up doing one part and miss out another so restrict yourself doing detail examination.
drharry:You have done your best....its good that you accepted your weakness but the people who pass also have these gross mistakes....all it matters is the wholesome exam..
Lets say 2 diagnosis were not correct but you still are going to rule out other condn by doing the tests.......
It happens in eam that you forget the correct diagnosis, but what I believe is ICE is patient note+history+physical exam --here ur Patient note part seems little weak .....but if other 2 has been pretty good......I am sure you will come out with flying colours..
Good luck
idle:
will i pass with the followin mistakes:-
1.In one pt note,i wrote Dx as AIDS instead of HIV ---not a serious mistake,if there was associated infection somewhere then u might have been correct..but you were on the right track...anyway u r going to Western blot right ....so I think you will escape thru that
2.i did not walk with the pt when i asked her to walk--- u mean gait?I do not understand properly...if you were watching then u need not move along with the patient...u can be an observer
3.i did SLR& hoffmanns sign,but not sure whether it is +ve or not.but i wrote in pt note as ++ve ----it depends on the history...even if it was not +ve...the performance of test will fetch u tick mark on the Sp's checklist.....doing in time is usually complemented ....looks like not that much of a blunder....patient note might fail but history n exam if is good then here also u escaped I think.
4.i did not counsel regarding safety in a physical assault case----- if u have uttered word "counsel" --u r good to go...mere words/ sentences/phrases are usually not evaluated ---ur attempt to counsel matters...not exactly the content
5.2 sp's asked to repeat what i said as they did not understand(once)--- it happens with most of IMG..I was also asked ..not a big deal.......
Overall if these are the only mistakes ...u should pass..difference is u might have 75% without those mistakes but with the mistakes u may score 58%.....the thing that matters is PASS....
Good luck