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USMLE STEP 2 CS EXAM
Study Materials
Screenshot 2019 01 21 2018 Step 2 CS information manual new Layout 1 cs info manual pdf
 
Screenshot 2019 01 21 2018 Step 2 CS information manual new Layout 1 cs info manual pdf1
The examinee instruction sheet gives you specific
instructions and indicates the patient's name, age, gender,
and reason for visiting the doctor. It also indicates his or her
vital signs, including heart rate, blood pressure, temperature
(Celsius and Fahrenheit), and respiratory rate, unless
instructions indicate otherwise.
You can accept the vital signs on the examinee instruction
sheet as accurate, and do not need to repeat them unless
you believe the case specifically requires it. For instance, you
may encounter patient problems or conditions that suggest
the need to confirm or re-check the recorded vital signs
and/or perform specific maneuvers in measuring the vital
signs. However, if you do repeat the vital signs, with or
without additional maneuvers, you should consider the vital
signs that were originally listed as accurate when developing
your differential diagnosis and work-up plan.
You may encounter a case in which the examinee
instructions include the results of a lab test. In this type of
patient encounter the patient is returning for a follow-up
appointment after undergoing testing. The doorway
instructions will indicate whether, in these instances, a
physical examination is required.
 
THE PATIENT ENCOUNTER
You will have 15 minutes for each patient encounter.
When you enter the room, you will encounter a standardized
patient or you will be asked to communicate with a standardized
patient over the telephone. By relating to the patient in a patient-
centered manner, asking relevant questions, and performing a
focused physical examination, you will be able to gather enough
information to develop a preliminary differential diagnosis and a
diagnostic work-up plan, as well as begin to develop an effective
physician-patient relationship.
Your role during the examination should be that of at least a
first-year postgraduate resident physician with primary
responsibility for the care of each patient. You should treat each
patient you see as you would a real patient. Communicate in a
professional and empathetic manner, being responsive to the
patient’s needs. Do not defer decision-making to others. It may
be helpful to think of yourself working in a setting where you are the only provider present