STEP 2 CS - the basics 1 Flashcards Preview

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Flashcards in STEP 2 CS - the basics 1 Deck (9):
1

What are 5 tips for being understood by Your SP ?

  1. Speak slowly
  2. Speak loudly
  3. Use short sentences 
  4. Use simple vocabulary
  5. Use body language 
  6. Rephrase if not understood 
  7. NEVER ignore patient needs 

2

What are some tips for you to understand your SP well ?

  1. Pay attention and listen !
  2. Look at you SP
  3. Look at your SPs body language and acting
  4. NOD occasionaly when the patient is speaking
  5. Paraphrase

3

What will be your first question during every encounter ?

AN OPEN-ENDED QUESTION WILL BE MINE FIRST QUESTION DURING EACH ENCOUNTER

I will say :

"How can I HELP you today"

or

"What brings you here?"

or

"I was informed to are suffering from headaches - can you please tell me more/all about it?"

AND THEN I WILL LISTEN ATTENTIVELY AND NOT INTERRUPT UNTIL THE PATIENT IS FINISHED.

4

What are the seven steps of a good closing or summary ?

  1. Make a transition => "Let me tell you what I am thinking"
  2. Paraphrase
  3. Give the knowledge => "I think you may have this, or it could be that"
  4. Tell what you are going to do and ask for SPs permission => "I am goint to take a picture of your chest to find out why you are coughing. I am also going to do a blood test to look for an infection
  5. Counsel as needed : 
    1. Addictions : alcohol, smoking, drugs
    2. Safe sex practices
    3. Depression
    4. Domestic violence
    5. Weight loss
    6. Management of chronic diseases : HTN, DM2 etc.
  6. Ask if SP has Q and A the best way you can ! => "Do you have any questions?
  7. Say goodbye ! "Call me anytime with any concerns, otherwise I'll call you when the tests are back"

5

What should you say if your SP starts to talk about unimportant issues ?

"I am sorry I need to interrupt, I know you want to tell me ........, but I would like to help you and focus on you today. Please could you show me where it hurts ?"

6

How should you behave during the STEP2 CS exam ?

4C

Calm

Confident

Caring

Concerned

7

How can you express empathy ?

  1. Make the patient as comfortable as possible;
  2. Always check that the drape is protecting thw patient's modesty;
  3. Pull the leg rest before the patient lies back
  4. Assist the patient when he/she needs to change position during the exam;
  5. When the patient is ready to stand up, pull out the footrest and offer to help him down;
  6. Offer water when the patient is thirsty or when you do a thyroid exam;
  7. Offer to dim the room lights if the patient is photophobic; 
  8. Offer a tissue to a patient who is crying;
  9. Be attentive to making a painful exam as brief as possible while explaining the need for the manouver;
  10. If the patient has difficulty hearing, always stand in front of him so that he can read you lips; 
  11. Stand behind the patient if he seems dizzy and about to fall; 
  12. Sit in silence for a couple of seconds when a patient is emotional;
  13. Express empathy by appropriate touch;
  14. Express verbal empathy :
    1. Please, tell me more
    2. The more you tell me, the more I'll be able to help
    3. Remember, I'm here to help 
    4. I want to be sure I understand, You told me.... Is that correct ?
    5. I imagine this must be hard/sad/frustrating/painful
    6. I can see you are upset/scared/dissapointed

8

What transitional statements will you use during your examination ?

  1. Now, I am going to ask you about your health in general/in the past.
  2. Now I'll ask you about your family's health.
  3. I'm going to ask you some personal questions. Please, know that everything we talk about is confidential.
  4. Now, I will do yout physical exam.
  5. Let me tell you what I am thinking. 

9

What questions will you ask to find out about medication patient is taking ?

  1. Do you take any prescription medications.
  2. Do you take any OTC medications?
  3. Do you take any herbal substances or vitamins, supplements?
  • Why are you taking these?
  • Do you always remember to take them as instructed or do you sometimes forget?