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New cases in Pous 2064, HIV = 175, AIDS = 26, Death = 2. HIV rate is very high in Housewives than sex workers in Nepal ! ! ! HIV status in Nepal till 2005: Total Adult=70000, Adult Prevalence (15-49)=0.55%, Number of Women (15-49) LWHA=15,310 (22%), HIV Prevalence rate in IDUs=32.7%, HIV prevalence rate in sex worker=3.8%, HIV prevalence rate in client of SW=2.1%. The latest U.N. report shows that 65 million people have been infected with HIV since it was first identified 25 years ago. Twenty five million people have died of AIDS.

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Go Back   xenoMED > Medical Exams > USMLE > Step II > CS
CS Clinical Skill

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Exam Experience - 09-05-2007, 02:42 AM

pathhopefull - 05/04/07 09:34

hi guys

i had a lot of valuable information from this website so i am posting my experience. i have just given my exam so dont know whether i will pass or fail.
almost all cases were from our usual referred material FA usmle world etc ... not exactly same but if u have read all those cases then u already now how to take history and do P/E n give differential etc. two cases were without any positive history except vague C/C i hope they were pilot stations
I was quite relaxed about exam on the day but was having a bad cough which was making me nervous....but i didn't cough at all in any cases except in a sore throat patient ////must have amused SP a lot.
proctors were very professional and SP were quite gud and friendly except two who were quite distant n i think were told to do so. i finished all my P/E right after 5 min bell or midway through it so always had enuff time for counseling, except for in a CNS case. i followed the usual history taking format from our study material n draped patient usually before exam rather than just after greeting as i was more comfortable with that. i made it a point to keep my writing pad on the stool after history n picked up drape n draped patient (or maybe it automatically happened once n i followed it through out my encounters ). in two of the cases or maybe one i forgot to drape but realized as soon as i started exam n draped. i will suggest that u shd be very through in history taking p/e doesn't matter much as differential is on history. i was under impression that SP will give u most of info as soon as u ask them open ended ques like tell me more etc etc. but most of the patient didn't give much extra information in that n u have to dig that out by proper relevant questioning in most of the cases.
also i will like to suggest that take some time outside door to form a d/d n then go in ...i was trying to follow that in exam but many times i ran inside without giving enuff thought about D/D n relevant quest etc n in those cases i was not satisfied with my history... n main reason behind this was that u hear many people who enter room immediately n greeting loudly so u think oh i must go in as well its getting late.....DONOT DO THAT dont get influenced by others in exam follow whtever ur strategy is as u r best at it.
this was my exam experience will post more if i pass. which most probably I would although i made many mistakes.
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Re: Exam Experience - 18-05-2007, 09:04 AM

best of luck usmlelover!
hope u come out in flying colors!
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Re: Exam Experience - 18-05-2007, 03:58 PM

Hey guys if i am not mistaken this exam experience was also posted in usmeforum.com in step 2 CS section. So usmlelover and pathhopefull are the same person? Whatever its a very nice and helpful post.

good luck guys
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