CS Physical Exam Videos
USMLE Step 2 CS physical Exam is a very important part of your Clinical Skills examination. This part is simply performed after you are finished gathering your history.
Many students often ask, how in depth the physical exam should be in order to receive full credit on the actual exam. The answer to this question is not easy, since no one truly knows the grading algorithm that USMLE uses.
With that said, here are some important facts you should know for your USMLE Step 2 CS Physical Exam
– You do NOT need to perform a full physical exam because there is really not enough time and in the real world you don’t perform a full physical exam on every patient, unless you are doing an annual exam. So basically, your physical exam should be focused.
–> For example, if your patient is complaining of cough, then you would want to focus your exam on HEENT and Respiratory system. Also note that you can quickly listen to the heart and the abdomen if you think you have enough time to do so. There is no penalty for doing a bit more.
– Before starting your exam, wash your hands with soap and water and completely dry your hands before touching your patient. I recommend wearing gloves instead, since it is easier and less time consuming.
– Use proper draping and don’t forget to tie back patient’s gown after you are finished with that part of your exam.
– Be sure to ask your patient for permission before you start each physical exam.
– Adjust your exam table to the appropriate position.
– Make sure to explain each physical examination in layman’s term to your patient.
– Do NOT repeat painful maneuvers and simply apologize if your initial maneuver causes pain.
HEENT Physical Exam: USMLE Step 2 CS Physical Exam Videos
– Frontal Sinus Transillumination
– Maxillary Sinus Transillumination
– Funduscopic exam
– Lymph node exam (head and neck)
– Rinne & Weber test
– Spurling’s Test
– Thyroid gland exam
➡ MORE HEENT Physical Exam!
Neuro Physical Exam: USMLE Step 2 CS Physical Exam Videos
– Babinski Reflex
– Brudzinksi’s (Meningitis)
– Cranial nerve (Full examination)
– Deep Tendon Reflexes
– Dix Hallpike Maneuver
– Gait examination
– Kernig’s sign (CNS infection, e.g. meningitis)
– Brudzinski’s Sign (CNS infection, e.g. meningitis)
– Mini Mental Status Exam
– Rapid Alternating Movement
– Romberg Test
– Two Point Discrimination
➡ MORE Neuro Physical Exam!
Cardiovascular Physical Exam:
Respiratory Physical Exams:
Abdominal Physical Exam: USMLE Step 2 CS Physical Exam Videos
– Abdominal Exam (FULL)
– Fluid Wave
– Murphy’s Sign (Cholecystitis)
– Obturator sign (Appendicitis)
– Psoas Sign (Appendicitis)
– Rovsing’s sign (Appendicitis)
– Rebound Tenderness
– Rectal Exam
– Spleen Exam
➡ MORE Abdominal Physical Exam!
Genitourinary System Physical Exam:
Musculoskeletal Physical Exam:
– Spurling’s Test (Cervical radiculopathy)
– Shoulder Exam
– Tinel sign (Carpal tunnel syndrome)
– Straight leg raise (Sciatic nerve impingement)
– FABER test aka Patrick’s Test (Hip dysfunction)
– FADIR test (Hip dysfunction)
– Anterior Drawer Test of the Knee (Anterior Cruciate Ligament ‘ACL’ test)
– Posterior Drawer Test (Posterior Cruciate Ligament ‘PCL’ test)
– Lachman Test (Anterior Cruciate Ligament ‘ACL’ test)
– McMurray test (Meniscus tear)
– Varus Stress Test (Lateral Collateral Ligament ‘LCL’ test)
– Ankle exam
➡ MORE Musculoskeletal Physical Exam!
Pediatrics Physical Exam: USMLE Step 2 CS Physical Exam Videos