Q: 
How to ask tenesmus?
A:
Do you have incomplete feeling after the bowel movement?
Q:

A
Typing is better than handwriting; however, make sure your spelling is 
correct. There is no proofreading function in the exam. A lot of ppls I know
chose typing. Be prepared for both, last time ,the computer system in LA 
down for 30 min , at that time, you don’t have any choice but writng.
Q
CS neuro cases question and more.
A
Focused exam. You should have enough time to finish, I will skip fundalscopy
exam in CN2-12 exam. It is only one mark and takes a lot longer to complete
compared with others. For dizziness, definitely you should ask pt to walk (
quick walk). But before doing anything, brainstorm it and clarify it is 
neuro case or cardio case, if you suspect orthostatic hypotension, don’t 
touch neuro at all. Don’t do both, you have plenty of time!
About the order, you are right.

Q
After you notice RLQ tenderness, how to check for rebound tenderness
and 
Rovsing's sign? Isn't that repeating painful maneuver?
A
Excellent question!
Don’t repeat painful maneuver, not the exactly the same place. That is 
the point. For Rebound tenderness , you should press the other site , For 
example, if it is appendicitis, you should press left site. NOT right site!.
Always leave rebound tenderness the last. And it is best time for you to 
show sympathy! I can imagine you are suffering a lot of pain (eye contact!),
but it is very important for me to make the Dx, I will be quick and gentle. 
I love this moment! 
Q
CS exam date change?
A
Be ready and take what day comes up in the schedule in the desired day, that
is my partner did, She only prepare for 20 days ! I noticed that the date 
is always available if you use Yeye’s method.
Q
Am I ready for CS
A
I don’t know the answer , that is the most difficult one…
Q
 A patient comes for fever and sore throat, but also 
complains headache and 
joint pain when you take HPI, do we need to ask LIQOR AAA about the pain?
A:
I will ask for LIQORAAA for both, but let the SP guide you, if you found pt 
show impatience during the conversation or he or she tell you,wow,Dr, it is
not that important, or not that bad, it is just like common cold, stop 
there, go ahead. The sp knows better than you regarding to the case. But if 
you have plenty of time during the PE, continue to finish you rest of your 
LIQORAAA.
Q
how to speed up in CS encounter?
A
You can’t fake the exam. You must wait for one full breath cycle. DO 
focused system. 
Abd exam: the gown is not yours, it belongs to the sp, only the tie is 
belong to you. Don’t touch the gown,” could you please raise up the gown 
for me, I can help you with that.” The sheet is yours; raise the sheet to 
make sure the sp’s body is not exposed inappropriately.
Q
 CS telephone interview
A
Good morning, may I speak to baby boy….’s mom? (According to door 
information).
After confirmation, I am Dr….I will physician to talk to you regarding to 
your son’s condition.
Q:

A: minimized exposed area. If 心肺 exam,yes all exposed . it is necessary. 
But remember, let pt to pull down the gown, you only help the pt untie the 
gown. This way, the sp will feel comfortable. When you listen to lung from 
the back, just untie the gown, you don’t need to expose the front chest. 
Minimized the exposed time and exposed area.
Q:

A:
If heart disease, full heart exam. That means: JVA bruit+ heart two position
(sitting and 30 angle)+ pulse . Pulse :one position is enough. For heart 
case, only listen lung from back.