Common CSA cases

The USMLE Step 2 CS cancellation is now permanent with no plan to bring back Step 2 CS. They will focus on working with colleagues in medical education and at the state medical boards to determine ways to assess clinical skills.

The following is for archive purposes only

The CSA includes test cases representing the major clinical education programs encountered at medical schools accredited by the LCME in the U.S. These disciplines include:

Internal Medicine Surgery Obstetrics and Gynecology Pediatrics Psychiatry Family Medicine

CSA Case Content Selection The CSA case content area is the universe of clinical symptoms (cases) that will be represented by standardized patients. The selection of clinical cases from the larger pool of CSA content area is guided by the CSA assessment form specification that defines five main content areas:

• Cardiovascular/Respiratory
• Digestive/Genitourinary
• Neurologic/Psychiatric
• Constitutional symptoms
• Miscellaneous (ear, eyes, nose, throat, musculoskeletal)

Common CSA cases We are developing a list of CS cases. Please feel free to add since it is a collaborative work!

41 CSA cases explained in detail (All you need to know before CSA) From Residentscafe.com

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Some CS cases

• a women with dyspareunia ( menopause) and asked me about benefit of HRT
  
• a man with SOB
  
• a man with chest pain
  
• a men with bloody cough
  
• a man with fatigue,concerned about his son with HIV,
  
• a woman with back pain, obese
  
• a woman with frequent urination with ho of UTI
  
• a woman with right flank pain
  
• a young male with epigastalgia and stress at home and work
  
• a woman with dizziness concerned about stroke
  

Another set of recent CS cases

• 18 yo male with headache, mother with migraine
  
• 20 yo female with difficulties falling asleep and difficulties concentrating
  
• 56 yo police leutenant with depression due to concerns about possible AIDS for
• his homosexual son
  
• 66 yo obese female with backpain (herniated disc / osteoporosis)
  
• 65 yo female with chestpain (both GERD and AP Hx)
  
• 50 yo female with painful sexual intercourse (postmenopausal dryness)
  
• 66 yo female with weight loss and pain in LUQ radiating to the left and to the
• back (mother and brother died of pancreatic carcinoma)
  
• 66 yo male with constipation since 3 months and then (since 1 week) diarrhea
  
• 45 yo female with painful shoulder
  
• 60 yo female with weakness in the right arm and right leg
  
• 36 yo female coughing blood
  

Common Symptoms that you may want to prepare:

• headache
  
• abdominal pain
  
• weight problem(loss or gain)
  
• memory loss
  
• chest pain
  
• joint pain
  
• fatigue
  
• dizziness
  
• general check up
  
• loss of appetite
  
• constipation/ diarrhea
  
• cough (dry/ productive)
  
• seizure
  
• vomiting
  
• missed periods
  
• trauma (bruise marks painted)
  
• insurance form requesting examination of listed systems(no history)
  
• mom with child (know how to take pediatric history)
  

 

Let us solve each CS case so that we learn from each other. As this is a wiki, we can do it in a collaborative way so that it represents the concensus view for the management of the cases.

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List of patient cases