BEST USMLE Step 2 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 very important facts you should know for your USMLE Step 2 CS Physical Exam:
- Full physical examination is not required for USMLE Step 2 CS. This is mainly due the limited time you have for your encounters, therefore your exam should be focused according to your patients chief complaint. With that said, it is still highly recommended that you still listen to your patients heart, lungs and abdomen, in addition to your focused exam.
- 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.
- Make sure to ask your patient for permission before you begin your physical examination.
- Adjust the exam table to the appropriate position and height.
- Explain each part of your physical examination in layman’s term to your patient.
- Do NOT repeat painful maneuvers and simply apologize if you end up causing discomfort for your patient.
HEENT Physical Exam:USMLE Step 2 CS Physical Exam Videos
– Frontal Sinus Transillumination
– Maxillary Sinus Transillumination
– Funduscopic exam
– Lymph node exam (head and neck)
– Otoscopy
– 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
– Cranial nerve (Full examination)
– Deep Tendon Reflexes
– Dix Hallpike Maneuver
– Gait examination
– Kernig’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:
– Cardiovascular Examination (FULL)
– Orthostatic Hypotension Testing
– Peripheral Vascular Examination
– Jugular venous pressure
– Pulses of the Lower Limb
➡ MORE Cardiovascular Physical Exam!
Respiratory Physical Exams:
– Respiratory Exam (FULL)
– Diaphragmatic Excursion
– Egophony Breath Sounds
– Tactile Fremitus
– Whispered Pectoriloquy
➡ MORE Respiratory Physical Exam!
Abdominal Physical Exam:USMLE Step 2 CS Physical Exam Videos
– Abdominal Exam (FULL)
– Fluid Wave
– Murphy’s Sign (Cholecystitis)
– Obturator sign (for appendicitis)
– Psoas Sign (for appendicitis)
– Rovsing’s sign (for appendicitis)
– Rebound Tenderness
– Rectal Exam
– Spleen Exam
➡ MORE Abdominal Physical Exam!
Genitourinary System Physical Exam:
♂ MALE:
—-– Scrotum exam
♀ FEMALE:
—-– Breast exam
—-– Cervical exam
—-– Vaginal exam
➡ MORE 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
– Newborn (FULL)
– Barlow and Ortolani test
➡ MORE Pediatrics Physical Exam!
