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TABLE OF CONTENTS
I. II. III. IV. V. VI. VII. VIII. IX. X. XI. XII. XIII. XIV. XV. XVI. XVII. XVIII. XIX. XX. XXI. XXII. XXIII. XXIV.
GENERAL 4 MEDICAL EXAMINATION 5 HEALTH PROFILE SYSTEM 6 GENERAL EXAMINATION HEIGHT, 7WEIGHT, AND CHEST MEASUREMENT 8 SKIN 9 EYES 10 EARS 11 MOUTH, NOSE, FAUCES, LARYNX, 12TRACHEA, ESOPHAGUS, PHARYNX 13 DENTAL EXAMINATION 14 HEAD AND NECK 15 FACE 16 SPINE AND PELVIS, INCLUDING SACRO17ILIAC AND LUMBO-SACRAL JOINTS 18 EXTREMETIES 19 CHEST 20 LUNGS 21 HEART AND VASCULAR SYSTEM 22 ABDOMINAL ORGANS AND WALLS 23 GENITO-URINARY SYSTEM INCLUDING 24SEXUALLY TRANSMITTED DISEASES 25 NEUROLOGICAL AND PSYCHIATRIC 26DISORDERS 27 MALINGERING 28 EXAMINATION OF FEMALES 29 REPORTS AND RECORDS 30 RESCISSION 31 EFFECTIVITY
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Republic of the Philippines Department of the Interior and Local Government NATIONAL POLICE COMMISSION PHILIPPINE NATIONA POLICE HEALTH SERVICE Camp Crame, Quezon
PNP CIRCULAR _____________ _________________ DATE PRESCRIBING THE CRITERIA/STANDARDS FOR THE PHILIPPINE NATIONAL POLICE HEALTH PROFILE SYSTEM RELATIVE TO THE CONDUCT OF COMPLETE MEDICAL EXAMINATIONS
SECTION I GENERAL PURPOSE:
76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119
This Circular prescribes the criteria for determining the PNP Personnel Health Profile System and sets guidelines for the conduct of Complete Medical Examination on those desiring to join the Police Service and Annual Medical Examination of those already in the service. Standards of Medical Examinations are prescribed to secure efficiency and uniformity in performing the examinations and reporting of the findings. Medical examiners should always apply the standards with the object to procure and retain in the police service individuals who are physically and mentally fit and who are expected to remain so in the performance of police duties.
REFERENCES: a. b. c. d. e. f. Republic Act 6975 (DILG Act of 1990) Memo Circular No. 92-015 dated 26 November 1992 NAPOLCOM Resolution 94-011 dated 22 March 1994 NAPOLCOM Resolution 94-013 dated 29 March 1994 Republic Act 8551 (PNP and Reorganization Act of 1998) AFPR 165-362 dated 29 October 1996 entitled “Standards of Physical Examination in the Armed Forces of the Philippines”.
120 121 122 123 124 125
REQUESTS FOR MEDICAL EXAMINATIONS: These will be made only by authorized officers and performed by the Medical and Dental Units as indicated below:
Purpose of Exam
126 Lateral Entry
As required As required As required As required As required As required As required As required As required As required As required As required
Promotion Schooling Abroad PNPA Cadetship Special Training Disability Separation Local Schooling Recruitment Annual PE Discharge Retirement Employment of Civilians 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156
DPRM / NSU Directors DPRM / NSU Directors DPRM / NSU Directors DPRM / NSU Directors DPRM / NSU Directors DPRM / NSU Directors DPRM / ARDP DPRM / ARDP DPRM / ARDP DPRM / ARDP DPRM / ARDP DPRM / ARDP
Med-Den Bd, NHQ PNP Med-Den Bd, NHQ PNP/PROs Med-Den Bd, NHQ PNP Med-Den Bd, PNPA Disp Med-Den Bd, NHQ PNP Med-Den Bd, NHQ PNP Med-Den Bd, PRO Med-Den Bd, PRO Med-Den Bd, PRO Med-Den Bd, PRO Med-Den Bd, PRO Med-Den Bd, PRO
157 158 159 APPLICATIONS OF STANDARDS: 160 161 Each individual will be examined in detail in comparison with the standards prescribed 162 herein and shall be classified according to the Health Profiling System: 163 164 a. Individuals entering the service in the Lateral Entry and Recruitment Categories 165 should be free from any defect or pathological condition that would interfere 166 with the performance of police duties, which may undergo progressive change 167 under the rigors of police work, or become a basis of a claim against the 168 government. Candidate for these categories shall retain the key Profile 1. 169 170 b. In the Annual PE of PNP members, P1, P2 and P3 classifications are acceptable. 171 Examinees with the conditions giving rise to P4 Profile are immediately 172 hospitalized for the treatment of disposition. 173 174 c. Male examinees who are 40 years old and above are categorized as P2. 175 176 d. Female uniformed police personnel shall at least qualify for a P3 Profile for 177 acceptance and retention in the police service. 178 179 e. For Retirement and Discharge from the service, physical examinations within 180 the last six (6) months shall be done. 181 182 f. The Chairman of the Examining Boards shall require all examinees sto sate 183 whether they have been previously disqualified in a medical examination and 184 this must be thoroughly evaluated and properly recorded in the medical history. 185 186 187REPORTING: 188 189 Results of medical examinations are CONFIDENTIAL and may be released only to authorized 190persons/offices. Adequate precautions during the process of examination will be made to prevent premature 191or improper release of information by unauthorized persons/agencies. 192 193 All reports, regardless of which Health Facility has conducted the examinations, are to be reflected 194in a standard format on Report of Medical Examination (RME) to be accomplished by the PNP Medical195Dental Board in triplicate copies, one copy for the Requesting Police Office, another copy to be forwarded 196to the Office of the Director, Health Service and the last copy to be retained by the Examining Facility. 197 198 199 SECTION II 200 201 202 MEDICAL EXAMINATION BOARDS 203 204 205BOARD OF OFFICERS TO CONDUCT MEDICAL EXAMINATIONS: 206 207 A Medical-Dental Board will be formed or created in every hospital, PRO or Special Police Unit, 208the composition of which must have the following minimum requirements: 209 210 Chairman - Chief, PNP Hospitals/Chief, Health Service, PROs 211 Members - Medical Officer-In-Charge of the PE Section 212 - Neuropsychiatrist/NP Screener 213 - Dental Officer 214 215 216AUTHORITY TO PERFORM MEDICAL EXAMINATIONS: 217 218 Physical Tests, to include Psychiatric/Psychological and Drug Test shall be done only upon a 219written request by DPRM or ARDPs or Unit Personnel of NSUs to Chief, PNP General Hospital or Chief, 220Regional Health Service who are concurrently designated Chairpersons of the Medical-Dental Boards. 221 222 Although NAPOLCOM-Accredited Government Hospitals are also given the authority to conduct 223same, this task should be basically entrusted to PNBP Health Facilities in order to have more uniformity 224and less room for personal idiosyncrasy in the conduct of the examinations and in the preparation of 225reports. 226 227 In the event that PNP Health Facilities are not capable of satisfying this mandate, they will still 228bear the responsibility of receiving requests from the Police Units, making referrals to NAPOLCOM229Accredited Government Hospitals if warranted, rendering reports to requesting police offices and 230maintaining health records of the examinees.
231 232CONDUCT OF MEDICAL EXAMINATIONS: 233 234 Procedures used in the conduct of medical examinations is an internal affair of the Board to suit 235the number of examinees, physical arrangements of rooms, facilities, personnel, and other related problems. 236A check list is used to guide examinees from one examiner to another. Findings or results will be reported 237directly to the Chairman or Recorder. In no case should any finding or result be hand-carried by the 238examinee. Every Board will prepare an SOP on the conduct of medical examinations to include the 239designations and items for which each member is responsible. The Chairman will be the last one to sign 240after his review of the whole Medical Report. 241 242GENERAL INSTRUCTIONS FOR EXAMINATIONS: 243 244 1. The examinee will be carefully questioned about his past and present physical condition 245 including his family history. Special inquiry will be made regarding any serious illness, 246 injury or operation he may have had. Following any major surgical operation, the 247 examination, of an individual should be deferred for sufficient period of time to ensure 248 complete recovery without sequelae. The minimum period of time of deferment 249 following a major surgical operation should be at least three (3) months will depend upon 250 the condition for which operated and upon the discretion of the medical examiners. It is 251 especially important that all significant data be accurately recorded in the appropriate 252 paragraph of the report of physical examination. 253 254 2. Each examinee will be subjected to a thorough medical examination 255 including an X-ray of the chest, ECG, serological test for STD, drug test 256 and a urine examination including a microscopic examination. An 257 electrocardiogram will be made for all lateral entry, recruitment, annual PE 258 examinations if the examinee is 25 years of age or older, or, when indicated. 259 All medical officers engaged in making these examinations are enjoined to 260 exercise utmost care in these procedures to assure themselves that all 261 findings are fully and accurately recorded. Sufficient time must be given to 262 the examination to make certain that every detail is purposely carried out. 263 Each defect noted must be recorded in such a clear and complete manner 264 that no question as to its character, degree and significance can arise when 265 the report of the Board is reviewed. When an examinee is disqualified, the 266 cause must be clearly established and properly recorded in order to be 267 conclusive regarding the propriety of the classification. Symptoms of a 268 disease will not be noted as causes of disqualification if it is possible to 269 arrive at a definite diagnosis. Examinees will not be accepted subject to 270 performance of surgical operations for the removal or cure of defects. The 271 same physical standards will apply to all examinees regardless of purpose. 272 273 274 275 SECTION III 276 277 278 HEALTH PROFILE SYSTEM 279 280 281 GENERAL: 282 283 1. The HEALTH PROFILE SERIAL SYSTEM is based primarily upon the 284 functional ability of an individual to perform all police duties and activities, and 285 in relation to this performance, the functions of the various organ systems and 286 integral parts of the body are considered. Since the analysis of the individual’s 287 physical and mental status plays an important role in his future assignment and 288 welfare, not only the functional grading be executed with great care but also a 289 clear and accurate description of his physical and mental conditions are 290 essential. In developing the system, the human functions have been categorized 291 into six (6) factors in accomplishing and applying the profile system designated 292 as “PULHES”. The factors to be considered, the parts affected, and the bodily 293 function involved are as follows: 294 295 a. “P” = Physical capacity or stamina 296 297 Organic defects, age, build, strength, stamina, height, weight, ability, 298 energy, muscular coordination and similar factors. 299 300 Diseases and other conditions that may be aggravated by police duties. 301 302 This is the KEY FACTOR in the physical classification of the 303 examinee. 304
cardiovascular disease. “S” = Neuropsychiatric Emotional stability. a close relationship must exist between the attending medical officers and PE classification officers. pelvic girdle and lower back (sacral spine). Minor physical defects will not automatically down grade an individual because defects have different values in relation to performances of duties. “U” = Upper extremities Functional use of hands. strength. thoracic. P3 = may serve in operations and support capacities including ability to work for long periods of time and defend himself in close encounters. P2 = may be exposed to the same rigors as P1. c. “L” = Lower extremities Functional use. The “P” factor is to be used to indicate organic defects of a nature which may not necessarily be reflected in the other factors “U”. “R” = will be used to indicate that an individual has a remediable physical defect 377 which does not prevent utilization. P1 = may engage in fatiguing work. “H”. Free from any disease. asthma. Forty (40) years old and above. and others. 333 334 335 336 337 338 339 340 341 342 343 344 345 3. it is important to consider function and prognosis especially regarding the possibility of aggravation. Use exercise test. marching and prolonged hand-tohand fighting for long periods of time. The “P” is the key factor and is used to indicate the general health classification as follows: a. P4 = unqualified for police service as he / she fails to meet the criteria 368 of the first three classifications. range of motion and general efficiency of feet. a code letter or a combination of code letters will 374be used as a suffix where applicable as specified below: 375 376 a. personality and neuropsychiatric history and disorders will be considered. general efficiency and structural defect. Use exercise test. “L”. newgrowth. 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 4. lumbar) to include strength. range of motion. Is an individual has a higher number in one of the factors other than the “P”. In this connection. it follows in such a way that the “P” should always correspond to the highest number or may even be higher if systematic defects are present. Class I dental defects. but may have minor defects as slight limitation of movements. The determination of assignments in an administrative procedure. 369 370 371SUFFIXES TO SERIAL: 372 373 In order to make the profile serial informative. d.305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 b. legs. and “S”. arms. b. For ease of application and to assure uniformity of recording. Free from any disease. peptic ulcer. c. “H” = Hearing (including ear defects) The auditory acuity is to be considered as well as organic defects and lesions. “E”. Note defect. e. these regulations will be used as a guide for considering certain defects. The individual’s profile therefore must state whether or not the individual may be employed in certain duty positions. There are four (4) grades in each of the six (6) factors. On the basis of the medical officer’s report the classification officer may more readily assess the individual’s ability to fill certain duty positions. Examples: Hernia. shoulder girdle and spine (cervical. 2. While the defect must be given consideration in accomplishing the profile. 367 d. the correction of which would improve the 6 6 .
b. 406 407 408 409 410 411 412 413 414 415 416 417 7 7 . Strength. muscular coordination. running. For details 398see succeeding sections covering the different organ systems. for short periods. Mobility of effort for moderate muscular weakness or their joints. 399 400 401 402 403 404 PHYSICAL PROFILE SERIAL CHART 405 PROFILE “P” “U” “L” SERIAL PHYSICAL UPPER EXTREMITIES LOWER EXTREMITIES CAPACITY AND STAMINA Able to perform Bones. must be able to do normal. Able to perform sustained Defects causing moderate Defect causing moderate 3 effort for moderate interference with function but interference with function but periods under support capable of sustained effort for capable of sustained efforts conditions. range of motion and Strength. muscular weakness or periods under support Muscular skeletal defects other musculo-skeletal 2 conditions. pelvic strength. short periods. 386 c. 392 393 394 395PROFILE SERIAL CHART: 396 397 Below is the chart including key limiting characteristics of each factor in the profile. temporary in nature. shoulder girdle and back and lower back. 389 390 d. arms. “D” = will be used to indicate that the individual has a physical defect which 387 under current standards is permanently disqualifying and if in the service should 388 be immediately hospitalized for disposition.. No defects which prevent running. agility. general efficiency of upper and efficiency of foot.defects which do not prevent hand fighting for prolonged marching. including cervical. and continue standing for long periods. which do not prevent hand-to. climbing. “T” = will be used to indicate that the individuals has a remediable physical defect. stamina. muscles and joints maximum sustained effort normal. age. performing long marching 1 periods. periods. service Organic defects.381 378 379 380 382 383 384 385 general health and welfare of the individual. joints. which would prevent an immediate field/combat assignment. Thos e defect/s must be corrected or treated within three (3) months after the examination. “O” = will be used to indicate that the individual is physically qualified for 391 aircrew assignments. Below minimum Below minimum standards for Below minimum standards 4 standards for police police service. Must be capable of over extremely long hand-to-hand fighting. Slightly limited. Able to perform sustained Slightly limited joint mobility. climbing and digging. weight. factors. height. and Muscles Bones. and 5 function and similar thoracic lumbar vertebrae. Such individuals are temporarily disqualified and immediate measures must be taken for their treatment/hospitalization. range of movement build. energy. for police service. Diseases and other conditions that may be aggravated by police service/duty. or digging for prolonged period.
Visual acuity and Organic defects of the eyes and lids. this includes those individuals with any degree of defective visions in one eye. with visions in the other eye 20/100 correctable. Transient situational reaction. Meets acceptable Standards as prescribed in these regulations and visual acuity should not be less than 20/100 in each eye correctable to 20/40 provided the defective vision is not due to active progressive organic disease. Intelligence Performance History of post-psychiatric disorders and impairment of the functional capacity. from below 20/200.418 419 420 PROFILE SERIAL “H” HEARING OR EARS Auditory acuity 15/15 by whisper test. No intermediate grade. 1 2 Minimum hearing of 15/15 in one ear and not less that 8/15 in the other with no active or progressive organic disease. No Neurologic nor psychiatric disorder. Amount of external Precipitating stress. J3 up to J6 OU for near vision. No organic defects. OU for near vision. ‘S’ NEUROPSYCHITARIC No Neuropsychiatric disorder. Psychosis. Do not meet the standards for police service. severe Transient psychoneurosis (situational) PPSR and personality Disorders Marked degrees of character and behavior disorders Mental deficiency Type. Ability to distinguish red and green. Psychophysiologic system reaction or psychosomatic disorders. No organic disease of either eye exists. 423 424 425 426 427 428 429 8 8 . 421 422 Factors to be Evaluated Auditory acuity and organic defects of the audiosystem. Meets acceptable standards of these regulations with minimum vision of 20/20 in each eye correctable to 20/30 in one eye and 20/100 in the second eye. Minimum hearing of 8/15 in the other with no active progressive organic disease 3 Do not meet the standards for police service. if such Defect is not due to active or progressive organic disease. Predisposition as determined by the basic personality make-up. corrected with glasses to 20/20 in both eyes. For retention in the service. moderate or severe Chronic psychoneurosis. to no light perception. Psychoneurotic disorders. 4 ‘E’ VISION OR EYES Meets acceptable Ocular standards with a minimum vision of 20/40 in each eye. severity and duration of the psychiatric symptoms or disorders existing at the time the profile is determined. J1 or J2.
Obtain the height by placing horizontally. followed by complete inhalation. Female 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 WEIGHT: The applicant shall be weighed without shoes and clothes. a. This is for the purpose of remedial action.00 cms. Male b. sex. the chest development. in order to verify the maximum and minimum 9 9 . 157. MINIMUM STANDARDS FOR HEIGHT AND WEIGHT: TABLE No. a board of about 6x6x2 cms best permanently attached to the graduated board by a long cord. The tape should be approximately horizontal. Individuals with “T” and “D” suffixes will be evacuated immediately to the nearest PNP Health Service hospital/facility for treatment and/or disposition. Where a measurement rod is attached as part of the scales this may be used but should be checked for accuracy. SECTION IV GENERAL EXAMINATION INCLUDING HEIGHT. Any “R” remaining for more than six (6) months shall be cause for disciplinary or dispository action by the unit commander. noting the proportion and symmetry of the various parts of the body. A thorough general inspection of the entire body will be made. in firm contact with the top of the head square against the rod. HEIGHT: The height will be taken with the applicant without shoes with a measuring scale known to be accurate and will be recorded in meters and/or nearest centimeters. This will be done in a well-lighted room. the condition and tone of the muscles. The measuring rod will consist of a board at least 2 inches wide by 80 inches long. The measuring tape will be carefully adjusted around the chest. Drapes and gowns shall be used when appropriate. The purpose of the standard is to facilitate detection and disqualification of the unduly obese and to avoid disqualifying muscular. The applicant’s weight should be well distributed and in proportion to age. Weights shall be made on a standard set of scales that are known to be correct.00 cms. placed vertically. The candidate will then be directed to take several deep breaths. Physical examination of females shall be conducted with due regard for privacy and in the presence of a female nurse or female attendant.1 CATEGORY Minimum Height in Centimeters 162. The individual will stand erect with his back to the graduated rod.430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 REVISION OF PROFILE: The physical profiles of all individuals with “P” defects are reviewed by the unit medical officer every three (3) months. the character of the skin. The weight shall be recorded in kilograms. firmly fixed. with the upper edge of the tape just below the lower angles of the scapulas behind and the nipples in front. WEIGHT AND CHEST MEASUREMENTS GENERAL EXAMINATION: The examination will be conducted with the subject entirely without clothes and his/her shoes removed. DIRECTIONS FOR TAKING CHEST MEASUREMENTS: The candidate will be made to stand erect with his feet together and arms hanging loosely at the side. healthy applicants. height and skeletal structure. and the presence of any deformity or underdevelopment. The medical officer will insure that all such individuals receive medical/surgical treatment to remove the suffix. with accurate graduation of ¼ inch between 58 cm and the top end. eyes straight to the front. the general nutrition.
55 76.36 55.09 50.46 77.45 56.00 92.65 81.82 67.18 AGE 41-45 Stan Maxi dard 59.55 86.00 55.36 75.90 1.77 1.90 72.73 74.57 1.93 75.75 1.36 54.19 46.36 94.65 1.63 64.09 80.09 81.66 74.72 85.60 1.18 75.63 85.72 80.18 80.09 85.09 81.09 86.27 74.73 78.00 50.09 71.91 76.54 70.00 71.27 82.00 66.36 88.00 56.63 85.46 67.27 77.62 50.72 103.16 85.27 59.18 95.81 MIN CHEST 73.73 75.00 82.54 10 10 .45 71.72 1.35 62.00 106.45 108.81 53.18 69.00 78.27 63.72 53.18 95.91 73.09 73.72 1.99 74.46 75.70 1.00 61.00 77.82 1.18 104.27 84.93 74.18 91.36 52.18 59.27 89.45 93.27 79.27 56.55 66.55 61.27 79.09 111.36 52.84 77.64 73.00 71.27 58.77 517 518 Age 21-25 Minimum 45.09 61.64 72.45 72.64 65.45 61.82 79.82 104.82 63.47 78.15 64.27 95.09 86.26 Height in Meters 1.46 87.36 62.72 1.46 77.90 AGE 46-50 Stan Maxi dard 60.45 57.85 1.90 51.46 61.64 55.27 67.55 76.18 Standard 54.00 75.00 61.09 80.00 81.45 57.19 85.00 93.13 70.62 1.81 87.27 48.73 72.82 77.36 88.27 63.36 73.18 72.45 71.00 108.70 1.92 83.29 Standard 62.63 98.87 1.54 102.63 75.60 1.27 59.501 502 503 504 505 506 507 508 509 510 511 measurements.73 84.00 56.45 78.70 100.09 81.36 89.80 1.75 1.27 53.82 84.09 85.82 79.09 60. The chest measurement at expiration will be recorded in centimeters and fractions of a centimeter to quarters.82 77.54 99.18 55.60 1.55 60.18 54.63 79.27 96.36 57.18 64.55 Standard 55.09 Maximum 65.91 83.09 80.46 77.81 105.73 90.27 105.27 75.36 53.00 Height in Meters 1.91 72.09 65.45 66.00 73.61 67.27 79.15 80.55 57.90 78.05 87.55 76.18 110.64 60.64 85.54 81.55 107.18 59.18 76.00 60.45 106.09 67.73 72.36 109.54 70.55 97.72 109.27 74.91 88.09 75.36 AGE 51-60 Stan Maxi dard 61.91 74.54 1.36 70.55 81.00 55.57 1.63 77.91 93.82 90.90 Maximum 66.46 81.82 71.45 67.27 58.18 69.18 Maximum 69.27 AGE 31-35 Stan Maxi dard mum 56.62 84.64 75.54 56.82 72.92 74.64 65.91 82.72 64.54 1.72 54.27 63.57 76.54 Age 26-30 Minimum 46.09 60.20 76.81 58.91 99.73 79.93 1.82 62.27 110.82 Maximum 68.18 90.46 97.87 72.00 102.85 1.55 60.64 90.27 69.64 92.55 76.46 61.95 1.45 77.00 51.00 65.36 83.90 1.38 47. Great patience and care are often necessary to obtain correct results.18 70.00 87.00 67.74 79.52 1.18 65.73 59.37 63.55 93.73 90.80 1.36 57.67 1.36 76.30 108.27 64.09 86. The mobility is the difference between the measurements recorded on inspiration and expiration.36 83.09 86. which frequently cause greater inspiratory measurement than the actual lung capacity warrants.36 83.82 1.18 65.55 74.45 76.82 71.90 95.54 70.72 70.36 95.36 72.81 69.67 1. Care must be taken not to displace the tape and to avoid muscular contortions.82 58.82 68.00 71.73 105.81 67.45 103.27 77.67 1.94 76.80 80.36 78.73 80.00 87.18 100.00 51.36 62.36 62.18 50.62 1.27 100.73 79.64 70.56 83.90 101.45 100.09 101.55 98.54 55.18 75.55 80.20 76.2 THE STANDARDS FOR HEIGHT AND WEIGHT FOR MALES “WEIGHT ACCORDING TO AGE” Age 21-25 Age 26-30 Minimum 49.52 1.55 86.65 1.91 66.57 1.82 73.00 50.36 57.91 88.09 70.36 68.82 79.55 81.36 62.70 1.00 86.75 1.38 80.27 79.82 63.77 1.11 78.45 82.64 79.55 69. TABLE No.64 64.27 53.93 AGE 36-40 Stan Maxi dard 58.55 65.46 70.55 74.36 63.00 61.18 60.87 69.98 512 513 514 515 516 Maximum Chest Requirement 73 74 74 75 76 76 76 77 78 78 80 80 81 83 85 87 88 89 90 Height in Meters 1.72 75.73 74.55 70.27 69.91 88.51 76.36 Standard 51.36 52.00 51.61 64.18 60.19 63.64 91.48 56.62 1.00 88.60 106.86 48.45 82.65 1.87 1.27 84.13 97.18 68.64 Minimum 50.61 102.36 88.
64 91. muscular and evidently vigorous 524 and healthy.00 112.81 90.72 90. 541 542 543CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 544 545 a.27 115. the report will show 540in the detail the findings upon which recommendations for rejection is based.45 93. A minimum chest expansion of 1 ½ inches will be required. The candidate whose weight falls at the extremes of either the minimum or maximum 523 range is acceptable only when he is obviously active.36 92.54 1.00 116. 525 526 c.27 109.95 87.63 92. 521 522 b.72 90. Any deformity which is repulsive ore which prevents the proper functioning of any part 546to a degree that will interfere with police efficiency 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578 579 580 581 582 583 11 11 .30 110.54 111.18 116. 538and those who appear to be undesirable candidates because of excessive fat. 527 528 529 TABLE 5 530 531 THE STANDARDS FOR CHEST MEASUREMENT FOR WOMEN 532 533* Candidates entering the Police Service must not exceed Cup B. even though their 539measurements may come within the limits state in the above table.90 113.00 89. The standard weight for each height for the Group 26-30 is the ideal one to maintain 520 thereafter. 534 SIZE CMS 65 70 75 80 85 80 UNDERBREAST 63-67 58-72 73-77 78-82 83-87 88-92 OVER DIFF BREAST Cms Cup A 10 73-74 78-80 83-85 88-90 93-94 98-100 Cup B 13 76-78 81-83 86-88 91-93 96-98 101-103 Cup C 15 78-80 83-85 88-90 93-95 98-100 103-105 535 536 537NOTE: Medical examinees will recommend rejection of individuals who show poor physical development.09 88.09 117.1.90 113.81 519NOTE: a.98 89.90 90. In such instances.
even though their 617 measurements may come within the limits stated in the above Table. such as slender bones. All acute communicable diseases. Evidences of physical characteristics of congenital asthenia. weak ill629 developed thorax. 630 631 d. 619 620 621 CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 622 623 a. 625 626 b. All diseases and conditions which are not easily remediable or such that it tends to incapacitate 634 the individual physically such as: 635 636 637 (1) Chronic malaria or malarial cachexia 638 639 (2) Severe unciniriasis 640 641 (3) Leprosy.610 584 585 586 587 588 589 590 591 592 593 594 595 596 597 598 599 600 601 602 603 604 605 606 607 608 609 611 612 TABLE 5 THE STANDARDS FOR CHEST MEASUREMENT FOR WOMEN • Candidates entering the Police Service must not exceed Cup B SIZE IN CMS UNDERBREAST OVERBREAST CUP A CUP B CUP C 65 63-67 DIFF CMS 10 13 15 70 58-72 75 73-77 80 78-82 85 83-87 80 88-92 73-74 76-78 78-80 78-80 81-83 83-85 83-85 86-88 88-90 93-94 96-98 98-100 98-100 101-103 103-105 613 614 615 NOTE: Medical examiners will recommend rejection of individuals who show poor physical development. beri-beri. Any deformity which is repulsive or which prevents the proper functioning of any part to a 624 degree that will interfere with the police efficiency. sprue and scurvy 644 12 12 . visceptosis and poor constitution. Deficient muscular development due to deficient nutrition. 616 and those who appear to be undesirable candidates because of excessive fat. 632 633 e. the report 618 will show in detail the findings upon which recommendations for rejection is based. In such instances. 627 628 c. actinomycosis 642 643 (4) Pellagra.
food intolerance. history of operation for malignancy within the preceeding five(5) years. atrophic or hypertrophic arthritis. Hypo or Hyperfunction of endocrine glands (Examples: pituitary. The examination should be conducted 717in a well-lighted room. schistosomiasis Diabetes of any degree. Those cases without any stigma or complications definitely ascribable 697 to it and adequately controlled by oral hypoglycemics or minimal 698 amount of insulin (not more than 40 units per day). parathyroid. Chronic metallic poisoning Gout. Simmond’s disease Migraine (15) (16) (17) 677 (18) Hay fever. 681 682 a) dysfunctional uterine bleeding 683 b) pregnancy 684 c) dysmenorrheal 685 d) amenorrhea 686 687 (20) Immune Deficiency Syndrome as found by (+) HIV-Test. exercise and medicines and/or those 702 with complications definitely related to or ascribable to DM are classified as 703 unfit for further PNP services (Disability Separation). angioneurotic edema or other allergic manifestations 678 if more than mild in degree. pancreas. thrombocytopenic purpura Leukemia of all types Asthma Primary or secondary anemia Filariasis. 699 700 (b) Those cases who are in active PNP service and diagnosed to have NIDDP which 701 cannot be adequately controlled by diet. 688 689 (21) (a) PNP uniformed personnel who are in active police service diagnosed to have 690 NIDDM may be classified as Profile P3 if they fall under any of the following 691 categories: 692 693 i. 695 696 ii. adrenal. any anatomic abnormality must be resolved first prior to acceptance in the service even if said organ/s is/are functionally normal: auto-immune reaction. thyroid. chronic myositis or fibrosis. Likewise. rheumatoid arthritis Osteomyelitis Malignant disease of any kind in any location. 718 13 13 . 704 705 706 707 SECTION V 708 709 710 SKIN 711 712 713 714SKIN EXAMINATION: 715 716 The skin will be carefully inspected for presence of disease. preferable by daylight. 679 680 (19) Benign newgrowth condition in OB-Gyn which might interfere with police duties. Those cases which are adequately controlled by diet and exercise with 694 or without medications.645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Rheumatic fever within rhe previous five (5) years. etc.). Hemophilia. trypanosomiasis. borderline or suspected cases should undergo OGTT or HBAIC determination.
allergic dermatitis 726 727 b. 764 765 s. 730 731 d. oblique illuminations of the cornea. markedly disfiguring. 743 744 j. unless mild in degree 740 741 i. 751 752 m. 792 14 14 . confrontation test. 734 735 f. tuberculosis. The examination should include eversion of the eyelids. impetigo 738 739 h. Chronic urticaria and chronic angioneurotic edema 758 759 p. 789 and incident to the part of the chart at 45 degrees angle. 732 733 e. 749 750 l. Chronic trichopitosis or other chronic fungus infections which have not been amenable 755 top treatment. 746 747 k. Obscenes. psoriasis if more than slight degree. DISTANT VISION = A visual acuity will be determine at the distance of 20 feet or the 787 mirror equivalent under standard condition of illumination. placed 5 feet diagonally from the 20/20 line of the test object. presence of muscular imbalance. or those of long standing. Elephantiasis 736 737 g. Ichthyosis. Furuncolosis. or the show a tendency to break down and ulcerate. intraocular 778abnormalities including the detection of glaucoma. tonometry. or of syphilis. This includes disease of the eyelids. or exposed to 748 constant pressure. lupus. 766 767 768 SECTION VI 769 770 771 EYES 772 773 774EYE EXAMINATION: 775 776 Each eye and adnexa will be examined for presence of abnormality or disease either acute or 777chronic. Pemphigus. which is so. Acne on face or neck. light and spatial reaction of the 780pupils. The individual to be tested should be 791 examined without glasses. Actinomyocis: dermatitis.719 720 721 722 723CONDITIONS WHICH ARE CAUSES FOR REJECTION OR DISPOSITORY ACTION (P4): 724 725 Eczema. mycosis 728 729 c. 779digital palpation of the eye balls. This illumination is obtained 788 by using a 100 watts lamp. severe chronic seborrhoic dermatitis. Lamps must be shielded from 790 direct vision of the examinee by an opaque shade. infected or purulent. 782 783 784DETERMINATION OF THE VISUAL ACUITY: 785 786 a. or of 742 considerable extent. herpetiformis. Scabies. Chronic lichen planus. 756 757 o. Ulcerations of the skin not amenable to treatment. Color visual 781acuity test is required for all. Plantar warts on weight bearing areas. offensive or indecent tattooing. conjunctiva. Naevi or vascular tumors which are extensive. dermatitis factitia. Exfoliating dermatitis. deep or adherent scars that interfere with muscular movement or with the 745 wearing of PNP equipment. mycosis fungoides. 762 763 r. 760 761 q. pronounced as to be definitely unsightly. 753 754 n. Extensive. sclero-derma. opthalmoscopic survey of the optic media and retina. Pilonidal cyst if painful. malignancy or leprous origin. Vitiligo of the face of sufficient severity to be markedly disfiguring.
unless this deficiency is affected by the ability to 803 read equal number of letters in the 20/15 line. If 799 he could read the 30 feet type only. correctable to 20/30 in one eye and 20/100 in the second eye. 824 correctable with glasses to 20/20 in both eyes for near vision would be able to read J1 to 825 J2 with no correction. No organic disease of either eye exists. His acuity of vision is 796 recorded for each eye separately with the distance of 20 feet as numerator of a fraction 797 and the size of the type of the lowest line he can read correctly as the denominator. 840 841 d. 858 859 (6) Acute or chronic conjunctivitis. For near visions J6 to J8 correctable with 838 glasses to J1 to J3.=20/30 with . E3 = Meets acceptable standards of these regulations with minimum visions of 20/200 in 835 each eye. ptosis. 863 864 (8) Keratitis. inversion or eversion of the eyelids if uncorrectable.793 Each eye is examined separately. Able to recognize colors 826 using the ishihara test. if such defect is not due to active or progressive organic diseases. acute or chronic.S. Any 808 person having a visual acuity less than 20/20 in either eye will be given the necessary 809 examination such as refraction and to discover any organic defect of the eye. reading time.50 cyl axis 180 = 20/20 813 O. 828 829 b.0. 856 857 (5) Acute or chronic dacryocystitis. in which case the vision is recorded as 804 20/20 acuity for the left eye and is then tested using a different chart if there is a 805 suspicion that the examinee has memorized the letters of the chart. Any examinee having a visual acuity less than Jaeger 1 in either both eyes will be 819 subjected to further examination and refraction of any defect of the eye. NEAR VISION = Visual acuity will be determined without glasses at a distance of 14 816 inches from the eye to be examined covering the other eye with an occluder without 817 applying pressure using the Jaeger’s test type and with an illumination using a 100 watts 818 lamp. 820 821VISUAL PROFILE CLASSIFICATION: 822 823 a. For near 831 vision J3 to J5 correctable with glasses to J1 provided defective visions is not due to 832 active progressive organic disease. blepharospasm. including severe vernal conjunctivitis and 860 trachoma.=20/100 with – 2. E1 = To meet acceptable ocular standards with a minimum vision of 20/40 in each eye. the right eye first. 847 848 (2) Extensive destruction of the eyelids with impaired protection of the eye from 849 exposure. In case he can read all the 20 feet. The applicant is directed to read the 795 prints at the top of the chart of the prints as far as he can read. 852 853 (3) Trichiasis. the vision if recorded as 20/15 or 20/40. 833 834 c. 801 respectively. etc. except one or two letters. with 839 vision in the other eye 20/100 correctable to 20/20 with glasses. the vision if imperfect and is recorded as 20/30. E2 = Meets acceptable standards as prescribed in these regulations and visual acuity will 830 not be less than 20/100 in each eye correctable with glasses to 20/20 in each eye. Visual 810 acuity with refractive error will be recorded as follows. disfiguring cicatrices and adhesions of the eyelids to each other or to 850 the eyeball. 807 Prompt reading of the letters is required with 1 – 2 seconds per letter. 865 15 15 . extreme 851 lagophthalmos. covering the left eye completely with 794 an appropriate occluder without applying pressure. A normal color visions is required for entrance into the police 827 service. 861 862 (7) Recurrent or extensive pterygium. This 836 classification also includes those individuals with any degree of defective visions in one 837 eye from below 20/200 to no light perception. intractable or recurrent cornel ulcers. the visions 802 is recorded as 20/20 – 1 or 20/20 – 2. 811 812 DISTANT VISION: O.00 sph = 20/20 814 815 b. if he 800 reads the 15 feet type chart or 40 feet type chart.D. Reading the test 806 letters in the reverse order is another way of gauging the true vision of the examinee. E4 = Visual acuity below minimum standards for acceptance or the presence on non842 acceptable conditions enumerable below: 843 844NON-ACCEPTABLE (E4): 845 846 (1) Vision less than the minimum requirement. chronic severe blepharitis. 854 855 (4) Malignant growth. If he 798 reads the 20 feet type correctly. his vision is normal imperfect and is recorded as 20/20.
abnormal visual fields because of brain lesions.866 (9) Uveitis. Aphakia. 895 896 c. Degeneration of the eyeball when visual loss is below the minimum limits of 901 fitness or when the visions is correctable only by the use of contact lenses or 902 other corrective devices (telescopic lenses). and not corrected by isoikenic lenses. retinitis. 899 900 e. retinal degeneration or detachment. Ocular manifestations of endocrine or metabolic disorders no not in themselves 908 render the individual physically unfit. 868 869 (10) Opacities or dislocations of the lens. Anisokeinia: Subjective eye discomfort. Retinal Detachment. 870 871 (11) Permanent and well-marked strabismus lower than 20 degrees deviation. and difficulties in 938 form sense. Atrophy of the optic nerve. 910 911 h. 919 920 (b) When visual field in the better eye is less than 20. 913 914 i. organic. when chronic. 897 898 d. the residuals of complications 909 of the underlying disease make one physically unfit. 927 928 (2) BILATERAL: 929 930 Regardless of etiology. 890 891 (2) The diameter of the visual fields in the unaffected eye is less than 20 892 degrees. acute chronic or recurrent . 939 16 16 . 874 875 (13) All types of glaucoma. Chronic congestive glaucoma. 880 881EYE DEFECTS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 882SERVICE (Disability Separation): 883 884 a. functional disturbance. papilledema and optic atrophy. 925 progressive disease. 921 922 (c) When uncorrectable diplopia exists. Active eye disease or any progressive organic eye disease. 905 progressive. 877 878 (14) Any organic disease of the eye or adnexae not specified above which threaten 879 continuity of vision or impairment of visual function. etc. However. 893 894 b. and resistant to the treatment after six (6) months period. 867 optic neuritis. 931 932 933VISUAL DEFECTS WHICH ACRE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 934SERVICE (Disability Separation): 935 936 a. Diseases and infections of the ye. which affect the visual acuity or 886 visual field of an eye: 887 888 (1) The distant visions in the unaffected eye cannot be corrected to 20/20 889 degrees. 915 916 (1) UNILATERAL: 917 918 (a) When visions in the better eye cannot be corrected to 20/40. more than mildly symptomatic. 903 904 f. sensations of motion 937 sickness and other gastrointestinal disturbance. 906 907 g. any 876 tumor of the orbit. or newgrowth. neurologic symptoms. Residuals or complications of injury to the ye which are progressive or which 912 bring visions below the criteria of fitness. results of surgery and/or laser therapy. regardless of the 885 stage of the activity and resistant to treatment. bilateral. 872 873 (12) Nystagmus of any degree. 923 924 (d) When the detachment is the result of documented. regardless of the 926 condition of the better eye.
1013 17 17 940 . Visual fields contracted to less than 20 degrees. Their shape and symmetry 963are observed. place the examinee at 974 right angle to the examiner. using an accentuated whisper (residual air). 1000 1001 b. Reading should not be 995 over 30 decibels hearing levels. Thus. the 992 numerator is the distance in feet at which words are repeated by the examinee. 10/20 983 shows hearing impairment to such a degree that the examinee could only hear a 10 feet 984 distance the words which a normal ear can hear a 20 feet. Cerumen or other objects are removed from the ear canal if 965present in order to visualize the eardrum satisfactorily. the examinees 979 should approach foot by foot using the same tone but different word. 946 947 d. 949 950 e. 1006 1007 d. constant and in a 941 zone less than 20 degrees from the primary position. 996 997HEARING PROFILE CLASSIFICATIONS: 998 999 a. 1003 1004 c. Patency of the Eustachian tube is determined by 966insulation if obstruction of this structure is suspected. and “FEET” are spoken one at a time in a low. 967 968 969DETERMINATION OF AUDITORY ACUITY: 970 971 a. “ SISTER”. H2 = Minimum hearing of 15/20 in one ear and not less than 10/20 in the other. the numerator of which is the distance in feet at which the words are heard 982 by the examinee and the denominator is 20. No organic defects. who has a satisfactory prosthesis and who adjusts well to the wearing of the 945 prosthesis. 1009 1010NON-ACCEPTABLE EAR DEFECTS (H4): 1011 1012 (1) Hearing less than minimum requirements.b. H1 = Auditory acuity of 15/15 or 20/20 in both ears. If the examinee cannot hear the word at 20 feet. may be recommended for continuance. H4 = Those with non acceptable ear defects as enumerated below. H3 = Minimum hearing of 10/20 in one ear and less than 10/20 in the other. Night blindness: Of such a degree that the individual requires assistance for travel at 948 night. Binocular diplopia: Not correctable by surgery and which is severe. The same procedure 989 employed in the conversational voice test is used here but the distance is only 15 feet 990 between the examinee and the examiner. to 991 assure uniformed output of voice. 10/15 indicates that the 994 hearing of the examinee is diminished by 1/3 of a normal hearing. even 978 conversational voice. Loss of an eye: An individual whose loss of an eye was due to other progressive eye 944 diseases. thus 20/20 indicates a normal hearing. Whispered Voice Tests: 987 988 Hearing acuity is also determined by whispered voice. Words denoting low 977 tones like “SEVEN”. until it is repeated 980 correctly. Acuity of hearing is expressed as a fraction. The external auditory canals and tympanic membranes are inspected with reflected light and 964ear speculum by a self-illumination otoscope. and the 993 denominator is 15. and 976 directing him to repeat promptly words spoken by the examiner. with no 1005 active or progressive organic disease. with no 1002 active or progressive organic disease. with the ear to be tested toward the 975 examiner and the other ear closed by pressing the tragus firmly against the meatus. Examine the ears separately in a quite room. 942 943 c. The acuity of hearing is expressed 981 in a fraction. 20 feet distance. 951 952 953 954 SECTION VII 955 956 957 EARS 958 959 960EAR EXAMINATIONS: 961 962 The auricles will be examined by inspection under proper illumination. Conventional Voice Tests: 972 973 In determining hearing acuity by conversational voice. 985 986 b. 15/15 indicates a normal hearing. (less than 5/15 wv and 1008 10/20 cv).
1076 1077 b. suppurative. constant drainage from the mastoid cavity which is resistant to treatment requiring frequent dispensary care or hospitalization. Acute or chronic mastoiditis. if auditory is not available. 1045 d. and leukoplakia. untreated or resistant. CAUSE PHYSICAL AND FITNESS FOR FURTHER POLICE SERVICE Infections of the external auditory canal. ESOPHAGUS. 1051 1052 f. chronic and severe. 18 18 . NOSE. acute or chronic. 1066ultrasound. Mastoiditis. The 1068nasopharynx and oropharynx are examined with the aid of laryngeal mirrors. 1079 1080 c. Meniere’s syndrome. etc. of external auditory canal. LARYNX. chronic. following mastoidectomy. Perforation. 1040 1041 1042 1043 1044 Acute or chronic suppuration. 1070 1071 1072CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1073 1074 a. Total loss of an external ear. burn or disease. 1087 extensive adhesions of the soft palate to the pharyngeal walls. 1031 1032 1033 1034 b. 1081 1082 d. atrophy or hypertrophy of the tongues. dry and without any impairment of 1053 hearing is not considered to render an individual on active duty physically unfit. TRACHEA. Malignant tumors and benign tumors of the tongue interfering with its functions. unsightly mutilations of the lips and nose from 1075 wounds. Perforation of the tympanic membrane. speech or swallowing. chronic catarrhal otitis media. 1048 1049 e.1014 (2) 1015 1016 (3) 1017 1018 (4) 1019 1020 (5) 1021 1022 1023 (6) 1024 1025 (7) 1026 1027EAR DEFECTS THAT 1028(Disability Separation): 1029 1030 a. chronic. otitis media associated with hearing defects below requirements. 1085 1086 f. 1054 1055 1056 1057 SECTION VIII 1058 1059 1060 MOUTH. Harelip: Extensive loss of either lip. PHARYNX 1061 1062 1063METHODS OF EXAMINATION: 1064 1065 These organs will be examined by inspection and palpation. Reflected light will be employed to examine the nasal 1067cavities before and after the nasal mucosa is shrunk by the application of the vasoconstrictor. Transillumination of the 1069sinuses is done on individuals with rhinitis. severe recurring attacks requiring hospitalization of 1046 sufficient frequency to interfere with the performance of police duty or when the 1047 condition is not controlled by treatment. Otitis media. extensive loss of substance and ulceration of the hard and soft palate. Extensive ranula. FAUCES. partial loss. Severe Tinitus complicated by vertigo. paralysis of the soft palate. marked hypertrophy or atrophy. 1083 1084 e. Infection. dry or active. salivary fistula. resulting in the thickening and excoriation of the canal or chronic secondary infection requiring frequent and prolong medical treatment or hospitalization. Perforation of the tympanic membrane. resistant to treatment associated with 1050 impairment of hearing and necessitating frequent hospitalization. Malfunction of the acoustic nerve: Over 30 decibels hearing level by audiometer in the better ear. and hearing level in the better ear of 30 decibels or more by audiometry or a hearing level of 5/15 or below by whispered voice test. Severe atresia of the external auditory canal or tumors of this part. markedly disfiguring deformity of the organ. severe ulcerations. if audiometer is not available. or hearing level 5/15 feet or below by whispered voice test. Malformation. X-ray and other studies like CT-scan. 1035 1036 1037 1038 1039 c. will be employed if indicated. otitis media. adhesions of the 1078 tongue interfering with mastications. Marked stomatitis.
Esophagus: 1127 1128 (1) Achalasia 1129 1130 (2) Esophagitis. ESOPHAGUS. NOSE. ulceration or stricture or pronounced dilatation of the esophagus. regurgitation. 1145 1146 (3) Edema of glottis. Atrophic rhinitis. severe enough to cause frequent hospitalization 1136 and malnutrition. 1148 1149 (4) Stenosis of the larynx causing respiratory embarrassment upon slight 1150 exertion. resistant to 1144 treatment. 1151 1152 (5) Vocal cord paralysis associated with speech defect and inadequate 1153 airway. Tracheostomy 1117 1118 r. Nasal obstruction due to severe septal deviation. 1137 1138 b. 1098 1099 j. AND LARYNX (Disability Separation): 1125 1126 a. nasal polyps.1088 1089 g. 1103 1104 l. 1142 1143 (2) Sinusitis. PHARYNX. Pharyngeal deformities and malformations interfering with its functions. Hoarseness of any cause. 1101 1102 k. 1121 1122 1123CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE FOR DEFECTS OF THE 1124MOUTH. accompanied by audible whistling sound. severe and frequent attacks of 1100 hay fever (allergy). Loss of nose and nasal deformities interfering with speech and respiration. persistent. 1147 requiring tracheostomy. 1095 1096 i. hypertrophic rhinitis. 1091 1092 h. 1154 1155 1156 SECTION IX 1157 1158 1159 DENTAL EXAMINATION 1160 1161 19 19 . 1111 1112 o. 1105 1106 m. 1119 1120 s. Examinees with 1093 perforated nasal septum should be cleared from symphilitic infection and yaws before 1094 acceptance. extensive 1090 nasal ulceration. severe 1131 1132 (3) Esophageal diverticulum associated with obstruction. 1134 1135 (4) Esophageal stricture. Diverticulum. Tonsillar hypertrophy sufficient enough to interfere with speech. chronic recurrent obstructive edema of the glottis. and 1097 other causes sufficient to produce mouth breathing. Adenoid hypertrophy causing respiratory obstruction or associated with recurrent otitis 1107 media. 1115 1116 q. and 1133 malnutrition. 1108 1109 n. chronic sinusitis with polyps. deglutition and 1110 breathing. aphonia. foul fetid odor and 1141 anosmia. Nose and larynx: 1139 1140 (1) Atrophic rhinitis associated with severe crusting. Acute and chronic infection of the nasal accessory sinuses. 1113 1114 p. Chronic laryngitis. Perforated nasal septum. Paralysis of the vocal cords.
It supports a defective filling crown. the report of Medical Examination will carry an appropriate remark such as X1235 ray showing normally developed and erupting teeth.1162DENTAL PROVISIONS: 1163 1164 The teeth and surrounding tissues will be examined by an officer of the Dental Service. On the 1165Dental Health Record (accompanying the report of Physical Examination) all missing natural teeth will be 1166marked out with an “X” whether or not they are replaced by artificial appliances. it may be credited with possession of this tooth. all prosthetic dental 1167appliances will be indicated. Plaster casts will be made of both upper and lower teeth when malocclusions occur. 1189 1190 b. 1224 1225ADMISSION TO THE PHILIPPINE NATIONAL POLICE ACADEMY: 1226 1227 a. 1169 1170 1171 a. 1212 1213 (5) Marked malocclusion. It is left untreated and / or improperly filled non-serviceable 1195 teeth. 12 and 13 of the said form shall be 1168noted and duly recorded. 1206 1207 (2) Cleft palate. No candidate will be accepted unless he has a minimum of six (6) serviceable vital 1228 masticating teeth (bicuspids and molars) above and six (6) below serviceably opposing. as well as. There is destruction of the supporting tissues of the teeth 1198 resulting from gingivitis. Causes for Rejection: 1203 1204 (1) Failure to meet the standard of minimum requirements as in the number 1205 of serviceable vital teeth present. 1193 1194 d. 1208 1209 (3) Disfiguring spaces between anterior teeth. 1201 1202 b. In 1234 such case. who will be 1223 informed of such action. All conditions falling under Sections 11. 1179 1180 (3) Vital teeth properly filled with permanent fillings or well1181 crowned will be considered serviceable. 1216 1217 c. Definitions: 1172 1173 (1) The term “masticating teeth includes molar and bicuspid and the term “ incisors” 1174 include incisor and cuspid teeth. periodontoclasis. 1191 1192 c. 1184 1185 (4) A tooth will not be considered service if: 1186 1187 a. 1175 1176 (2) The term “opposing” means serviceable opposing teeth that 1177 can be brought into good functional occlusions by normal movements 1178 of the jaw may be considered serviceable opposing. A 1218 pencil mark will be drawn across both casts to denote centric occlusions. It is deciduous tooth. Dental Service Division of the HS. an X-ray of the third molar region will be taken and 1232 forwarded with the Medical Examination Report. 1210 1211 (4) Marked irregularity of the teeth. 20 20 . It has unfilled cavity. It fails to enter into serviceable occlusions with an opposing 1188 teeth. If a normal third molar properly 1233 positioned and developed is shown. and the 1219 candidate’s name will be placed on each cast. Casts and X1222 rays will be forwarded direct to the Chief. 1196 1197 e. In cases where insufficiency of teeth may be remedied by 1231 the eruption of third molars. A 1182 single tooth replacement by a standard method of fixed bridgework will 1183 be acceptable if the bridge is well constructed. devitalized 1221 teeth. 1199 1200 f. if otherwise acceptable. etc. 1214 1215 (6) Presence of unerupted impacted tooth. 1229 and also four (4) serviceable vital incisor teeth (incisors and cuspids) above and four (4) 1230 below serviceable opposing. any grow pathology of the supporting tissues of the teeth. X-rays of roots made of all the deciduous 1220 teeth showing clearly length of roots and any underlying unerupted tooth.
depression and deformity. 1251 1252 a. Presence of partially filled root canal. 1238 1239 c. Benign tumors or cysts which are big enough to interfere with the wearing of police 1309 uniform and equipment. 1301 1302 b. 1295 spinal cord or peripheral skull. Cervical lymph node involvement other than benign in character. 1253 1254 b. former injury. 1244 1245 1246ENTRANCE INTO THE AVIATION SECURITY GROUP: 1247 1248 1. 1300 Hodgkin’s disease. leukemia. 1289 1290 e. adherent scars with tendency to break down and ulcerate. All of the Dental provisions on the above cited will apply. Deformities of the skull of any degree associated with evidence of disease of the brain. Excessively large fillings covering vital teeth. 1307 1308 e. X-ray is required where bony defect is 1276suspected. 1261 1262 1263 1264 SECTION X 1265 1266 1267 HEAD AND NECK 1268 1269 1270 1271EXAMINATION OF THE HEAD FOR DEFECTS: 1272 1273 1274 The head is carefully examined by inspection and palpation. Other causes for rejection. 1255 1256 c. Adherent disfiguring scars. Tinea in any form. history of total thyroidectomy. A full mouth X-ray will be taken of all candidates for admission to the PNPA. Depressed fracture or loss of bony substance of the skull. 1277 1278 1279CONDITIONS OF THE HEAD WHICH ARE CAUSES FOR REJECTION (P4): 1280 1281 1282 a. 1293 1294 g. Imperfect ossification of the cranial bones. All tumors which are of sufficient size to interfere with the wearing of police headgear. 1283 1284 b. 1291 1292 f. The scalp and cranium are examined 1275for evidence of infection. 1249 1250 2. Presence of defective crown fillings. Thyroid gland hypertrophy from any cause. 1285 1286 c. 1305 1306 d. Hydrocephalus or microcephalus. 1287 1288 d. 21 21 .1236 1237 b. All of the Dental provisions on the above cited will apply. including cancer. 1296 1297NECK CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1298 1299 a. 1240 1241ENTRANCE INTO THE PNP – LATERAL ENTRY AND RECRUITMENT: 1242 1243 All of the Dental provisions on the above cited will apply. Thyroid or adenomatous goiter. tuberculosis and syphilis. Extensive cicatrices. 1257 1258ENTRANCE INTO THE PNP MARITIME GROUP: 1259 1260 All the requirements for the ground forces will apply. 1303 1304 c.
Persistent neuralgia. ulcerations. atrophy of 1342 a part of the face or lack of facial symmetry. 1363 1364ACCEPTABLE: 1365 1366 Physical Profile Classification “1” and “2”. 1370 1371 (2) Fracture of the coccyx (L2). fistulas. osseous cysts and extensive exostosis. 1315 1316 1317 1318 1319 1320 1321EXAMINATION OF THE FOR DEFECTS: 1322 1323 The neck will be examined by inspection and palpation. Extensive deformities like birth marks. 1375 1376 (4) Complaint of disease of the sacroiliac and lumbo-sacral joints which is 1377 unassociated with objective signs and symptoms (L2). it is not cause for rejection. 1372 1373 (3) Prominent scapulae not interfering with wearing of the uniform or police 1374 equipment (U2). 1313 1314 g. Torticollis. 1343 1344 c. Chronic arthritis. When indicated. Extremely repulsive facial appearance. 1350 1351 1352 SECTION XII 1353 1354 1355 SPINE AND PELVIS. paralysis. 1339 1340 b. hairy moles. Symmetry and the presence of deformity 1324should be well served. 1367 1368 (1) Lateral deviation of the spine of 10 degrees or less from the middle line. 1310 1311 f. badly reduced or recurrent dislocation of 1349 the temporo-mandibular joint. X-ray examination will be made. Congenital cyst of bronchial cleft origin or those developing from the remains of a 1312 thyroglossal duct. 1347 1348 e. with or without fistulous tracts. This is done in conjunction with nose.b. cervical rib. 1345 1346 d. if the 1369 mobility of weight-bearing power is good (P1). Cervical adenopathy if present. must be carefully evaluated to determine its cause 1325and extent. INCLUDING SACRO-ILIAC 1356 AND LUMBO-SACRAL JOINTS 1357 1358 1359EXAMINATIONS FOR DISEASES: 1360 1361 The spine will be examined by inspection and palpation. 1378 1379 (5) Fracture of the spine or pelvic bones which has healed without marked 1380 deformity and which has not interfered with the following of a useful vocation 1381 in civil life (L2). Ununited fractures. The mobility will be observed while the 1362candidate is performing appropriate exercise. 1382 22 22 . complete or partial ankylosis. however. and hypopharyngeal survey. tumors. 1328 1329 1330 SECTION XI 1331 1332 1333 FACE 1334 1335 1336CONDITIONS OF THE FACE WHICH ARE CAUSES FOR REJECTION (P4): 1337 1338 a. tic dolouroux. If the cpndition is 1326benign in character. is deferred 1327pending clearance of the adenopathy. ear. scars and 1341 mutilations due to injuries or surgical operations. Acceptance for police service.
deformed or missing toes. 1408 1409 e. 1450 1451 (8) Hallux valgus. if function of the 1454 foot is good (L2). pain on the lower extremities and 1400 limitation of motion which have not been amenable to treatment nor improved 1401 by assignment of limitations. 1414 1415 1416 SECTION XIII 1417 1418 EXTREMITIES 1419 1420 1421EXAMINATION FOR DEFECTS: 1422 1423 The extremities will be carefully examined for deformities. 1402 1403 c. unless severe (L2). Coxa Vara: More than moderate pain. following appropriate 1406 treatment or reliable measure of such a degree as to interfere with the satisfactory 1407 performance of police duty. pes 1425clavus. 1411 1412 f. old fractures and varicose veins. 1424edema and impaired function from any cause. 23 23 . deformity and rthritic changes. 1445 1446 (6) Flat foot unless accompanied with symptoms of weak foot or when the foot is 1447 weak on toes (L2). Disarticulation of hip joint. 1391 1392 b. provided it is asymptomatic and can be demonstrated by 1384 X-ray examination only (L1). Kyphosis: More than moderate.1383 (6) Spina-bifida occulta. 1442 1443 (5) Scars and deformities of moderate degree of the hand or hands which do not 1444 interfere with normal function (U1). 1440 1441 (4) Loss of the terminal phalanx of index finger (left or right) (U2). 1437 1438 (3) Entire loss of little finger (left or right) or loss of the distal two phalanges of any 1439 finger except index finger (U2). ingrowing nails. 1455 1456 (10) Ingrowing toe nails. 1398 1399 (3) Others: Associated with muscular spasm. Acquired anomalies: 1393 1394 (1) Dislocation of hip. unless severe in degree (U2) or L2). Physical Profile Classification “1” and “2”: 1432 1433 (1) Old recent fractures which have healed normally with no resulting impairment 1434 of function (U1 or L1). 1428 1429ACCEPTABLE: 1430 1431 a. 1385 1386 1387CONDTIONS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 1388SERVICE (Disability Separation): 1389 1390 a. and 1426bromoidrosis. unless severe (L2). 1448 1449 (7) Hammertoes which do not interfere with the wearing of police shoes (L1). When any deformity of the fee is found. or causing bad 1410 posture/appearance. The feet will be especially examined for pes planus. Abdominopelvic amputation. 1404 1405 d. 1435 1436 (2) Webbed fingers and toes. Scoliosis: Severe deformity with over ten (10) degrees deviation of the tips of spinous 1413 processes from the midline. 1452 1453 (9) Absence of one or two of the small toes or one or both feet. 1395 1396 (2) Spondylolisthosis or spondylosis: More than mild displacement and more than 1397 mild symptoms on normal activity. with sufficient objective findings. hyperhydrosis. interfering with function. corns. the strength of the feet should be ascertained by 1427having the candidate hop on the toes of that foot. clubfeet. bunions.
1513 1514 g. 1519 1520 i.1457 1458 (11) History of satisfactory surgical correction of dislocated semi-lunar cartilage or 1459 loose body in the knee. and there are no symptoms of internal 1464 derangement (L2). Obliteration of the transverse arch associated with permanent flexion of the small toes 1529 (claw toes). if 1496 not severe in degree. Varicose veins if severe in degree or if associated with edema or with present or previous 1521 ulcer of the skin. 1527 1528 k. 1491 1492 (9) Adherent scars of the skin and soft tissues of an extremity. if severe in degree. 1516 1517 h. Extensive. there is full active 1463 motion in flexion and extension. the knee ligaments are stable in lateral and antero-posterior 1461 directions in comparison with the normal knee. Loss of fingers in excess of minimum requirements. Disease of any bone joint healed with resulting functional impairment to a degree that 1512 will interfere with police service. 1487 1488 (8) Moderate deformities of one or both lower extremities which do not and have 1489 not interfered with functions to a degree to prevent the individual from 1490 following a vocation in civil life. 1472 1473 (3) Moderate deformities of one or both upper extremities which do not and have 1474 not interfered with function to a degree to prevent the individual from following 1475 a useful vocation in civil life. Muscle paralysis or contraction or atrophy which disturbs function to a degree which 1515 interferes with police service. 1483 1484 (7) Other defects of the foot which preclude the performance of all police duties but 1485 do not prevent the individual from wearing police shoes and which have not 1486 prevented him from following a useful vocation in civil life. 1494 1495 (10) Healed disease or injury of wrist or elbow with resulting limitation of motion. 1530 24 24 . 1510 1511 f. Physical Profile Classification “3” 1467 1468 (1) Total loss of little fingers in addition to total loss of any other one finger (except 1469 thumb) of one or both hands. 1506 1507 d. 1480 1481 (6) Slight claw toes not involving obliteration of the transverse arch and which do 1482 not interfere with the wearing of police shoes. Non-united fractures. 1504 1505 c. Loss of one or both thumbs. Pronounced cases of flat foot attended with decided eversion of the foot and 1525 marked bulging of the astragals are disqualifying regardless of the presence or absence of 1526 subjective symptoms. Tuberculosis of a bone or joint. Unreduced or recurrent dislocation of any of the major joints. if not incapacitating 1493 and not likely to breakdown. there is no weakness or atrophy 1462 of the thigh musculature in comparison with the normal side. 1465 1466 b. provided that one year has elapsed since operation 1460 without recurrence. Rigid foot or flat feet when accompanied with symptoms of weak foot or when the foot is 1524 weak on test. 1476 1477 (4) Loss of great toe. 1470 1471 (2) Webbed fingers or toes. 1478 1479 (5) Loss of dorsal flexion of great toe. 1497 1498 1499CONDITIONS WHICH ARE CAUSES FOR REJECTION (U4 or P4): 1500 1501 a. 1522 1523 j. 1508 1509 e. deep or adherent scars that interfere with muscular movements or with 1518 wearing of police equipment or that show a tendency to breakdown and ulcerate. 1502 1503 b.
1561 1562 v. there is no full active motion in flexion and extension. 1575 1576CONDITIONS WHICH ARE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE 1577SERVICE (Disability Separation): 1578 1579 a. Active osteomyelitis of any bone. 1553 1554 r. 1588 1589 2. 1571 1572 (1) Bunions if painful or sufficiently pronounced to interfere with function. 1557 1558 t. o. Knock knee or bow legs if severe in degree.1531 1532 l. or chronic arthritis from any cause. 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548 1549 1550 m. knee or ankle joint which interfere with function of weight-bearing power. the knee ligaments are not stable in the lateral and anteroposterior directions in comparison with the normal knee. Severe sprains. Plantar warts on weight bearing areas. 1555 1556 s. Benign tumors if sufficiently large to interfere with function. 1567 1568 y. 1559 1560 u. Amputations: 1582 1583 (a) Loss of fingers which precludes ability to clench fist. which has not been satisfactorily corrected by surgery. the X-ray shows pathology. Sciatica which is apparently intractable and disabling to the degree of interference with the function of walking and weight bearing power. or grasp an object. or there are other symptoms of internal derangement. 1585 1586 (b) Any loss greater than specified above to include hand. 1569 1570 z. 1563 1564 w.A total of 15 degrees (Extension-Flexion) 25 25 . Joint ranges of motion which do not equal or exceed the measurements listed 1590 below. 1573 1574 (2) Ingrowing toe nail if severe. Disease of the bone or of the hip. floating cartilage or other internal derangement in joint. Clubfoot of any degree. p. forearm or 1587 arm. Deformities due to fracture or other injury which interfere with function and weight bearing power. there is weakness or atrophy of the thigh musculature in comparison with the normal side. Range of motion limitations temporarily not meeting these standards 1591 because of disease or injury or remediable conditions do not make the individual 1592 physically unfit: 1593 1594 (a) Shoulder 1595 1596 Forward elevation to 90 degrees 1597 1598 (b) Elbow 1599 1600 Flexion to 100 degrees 1601 1602 Extension to 60 degrees 1603 1604 (c) Wrist . Perceptable lameness or limping. pick up a pin or 1584 needle. Upper Extremities: 1580 1581 1. n. 1551 q. Amputations of extremities in excess of those already cited. History of surgical correction of dislocated semi-lunar cartilage of loose body in knee. An authentic history of dislocated semi-lunar cartilage or loose body in knee. Abduction or pronation of the foot. or a substantiated history of osteomyelitis of any of the 1552 long bones of the extremities. 1565 1566 x. Chronic synovitis. Osteoarthritis or rheumatoid arthritis. Chronic edema of limb. if at the end of one year post-operative time.
1605 1606 (d) Hand – Pronation to the first quarter of the normal arc 1607 1608 3. 1617 (b) 1618Any loss great than specified above to include foot. 1672 1673 (c) Osteoarthritis: Frequent recurrences of the symptoms associated 1674 with impairment of function. or thigh. associated with persistent pain and marked 1666 loss of function. Joint ranges of motion which do not equal or exceed the measurement listed 1644 below. Loss of motor and sensory functions secondary to nerve injury on the median. Miscellaneous: 1661 1662 1. Feet: 1621 (a) Hallux valgus when moderately severe with exostosis or rigidity and 1622 pronounced symptoms. Arthritis: 1663 1664 (a) Arthritis due to infection (not including arthritis due to gonococcal 1665 infection or tuberculosis). 1623 1624 (b) Pes planus: Symptomatic. 1659 1660 c. more than moderate with pronation 1625 on weight bearing which prevents the wearing of police shoes or when 1626 associated with vascular changes. or severe with arthritis changes. 1668 1669 (b) Arthritis due to trauma: When surgical treatment fails or is 1670 contraindicated and there is functional impairment of the involved 1671 joints as to preclude the satisfactory performance of police duty. supported by X-ray. evidence and 1675 documented history of recurrent incapacity for prolonged periods. Lower Extremities: 1612 1613 1. 1631 1632 3. However. with moderate discomfort on 1629 prolonged standing or walking. 1636 1637 (b) If arthritis has supervened. range of motion limitations temporarily not meeting these 1645 standards because of disease or remedial conditions do not make the individual 1646 physically unfit. Knees: 1633 1634 (a) Residual instability following remedial measures. 1609 ulnar and radial nerves. 1627 1628 (c) Talipes Cavus when moderately severe. Ampuations: 1614 1615 (a) Loss of toes which precludes the ability to run or walk without a 1616 preceptable limp and to engage in fairly strenuous jobs. leg. with objective evidence and documented history of 1667 recurrent incapacity for prolonged periods. 1610 1611 b. 1676 26 26 . Shortening of an extremity which exceeds 2 inches. metatarsalgia. if more than 1635 moderate in degree. 1619 1620 2. 1647 1648 (a) Hip 1649 1650 Flexion to 90 degrees 1651 Extension to 10 degrees 1652 1653 (b) Knee: 1654 1655 Extension to 10 degrees 1656 Extension to 90 degrees 1657 1658 5. 1638 1639 (c) An individual who refuses necessary treatment will be considered 1640 physically unfit only this condition precludes performance of a police 1641 job. and which prevents the 1630 wearing of police shoes. 1642 1643 4.
1677 (d) Rheumatoid arthritis or rheumatoid myosities: Substantiated 1678 history of frequent recurrences and supported by objective and 1679 subjective findings. Chondromalacia: Severe. 1689 1690 5. does not render the individual physically unfit. 1705 1706 6. major joints in unfavorable position 1712 and condition. 1713 1714 (c) Contracture of joints: More than moderate. 1732 1733 8. 1686 1687 4. Muscles: 1722 1723 (a) Flaccid paralysis of one or more muscles: More than moderate loss 1724 of function which precludes the satisfactory performance of duty 1725 following surgical correction or if not remediable by surgery. 1710 1711 (b) Bony or fibrous ankylosis: Painful. and has not responded to treatment . 1737 1738 10. Chest expansion less than 1 ½ inches. limitation of motion and loss of 1709 function. Bursitis per se. 1740 1741 1742 SECTION XIV 1743 1744 1745 CHEST 1746 1747 1748CONDITIONS WHICH ARE CAUSES FOR REJECTION OR UNFITNESS (P4): 1749 1750 a. following fracture: When it interferes with function 1703 and has not responded to treatment and observation for an adequate 1704 period of time. excessive. manifested by frequent joint effusion. there is 1693 more than moderate malunion with marked deformity and more than 1694 moderate loss of function. 1716 1717 (d) Loose foreign bodies within a joint: Complicated by arthritis to such a 1718 degree as to preclude favorable results of treatment or not remediable 1719 and seriously interfering with functions. 1701 1702 (d) Callus. Ottoitis deformans (Paget’s disease): Involvement in single or multiple bones 1736 with resultant deformities or symptoms severely interfering with functions. Joints: 1707 1708 (a) Arthroplasty: Severe pain. 1697 non-union of a fracture interferes with adequate function. 27 27 . 1730 1731 (c) Progressive muscular dystrophy. 1695 1696 (b) Non-union of fracture: When after an appropriate healing period. 1698 1699 (c) Bone fusion defect: When manifested by more than moderate pain and 1700 loss of function. Ostoitis fibrosa cystica: Per se. confirmed. more than 1688 moderate interference with function or with severe residuals from surgery. 1734 1735 9. 1726 1727 (b) Spastic paralysis of one or more muscles: More than moderate or 1728 pronounced loss of functions which precludes the satisfactory 1729 performance of police duty. Calcification of cartilages does not per se render the individual physically unfit. 1682 1683 2. loss of function is severe 1715 and the condition is not remediable by surgery. 1684 1685 3. 1680 1681 (e) Gouty arthritis. Fractures: 1691 1692 (a) Malunion of fractures: When after appropriate treatment. 1720 1721 7. confirmed. Myotonia. does not render the individual physically 1739 unfit.
1808 1809 d. percussion and auscultation of the 1794chest. which may be 1803 elicited only after the expiratory cough. the sternum. or partial or complete dislocation 1765 of either end of the clavicle.1751 1752 b. Inactive pulmonary residues. subacute or chronic pulmonary disease to be recorded in detail. 1762 1763 (1) Old fracture of the clavicle where there is much deformity or interference with the 1764 carrying of police equipment. Scars of an old operation for empyema unless the examiner is assured that the respiratory 1777 function is entirely normal. the clavicles. The subject will be instructed to exhale completely 1804 with the mouth open. It must be borne in mind that a tuberculosis lesion may not produce abnormal physical signs. 1760 1761 e. Congenital malformation or acquired deformities which result in reducing the chest capacity 1753 and diminishing the cardiac respiratory function to such a degree as to interfere with vigorous 1754 physical exertion or that produce disfigurement when the applicant is dressed. Malignant tumors of the breast or chest wall and benign tumors which interfere with the 1772 wearing of a uniform or of police equipment. e and f: 1781 1782 1783 1784 SECTION XV 1785 1786 1787 LUNGS 1788 1789 1790 1791GENERAL CONSIDERATIONS: 1792 1793 The examination of the lungs will include inspection. A chest X-ray interpreted by a radiologist as normal chest without clinical findings and 1817 without a history of chronic pulmonary disease is classified P1. Therefore. 1818 1819 b. now inactive as 1820 demonstrated by chest X-ray six months after is P2. Old fractures of the rib with faulty union. 1766 1767 (2) Suppurative periostitis or caries or necrosis of ribs. limitation or inequality of the respiratory movements are to be noted. ununited fractures. Absence or faulty development of the clavicle. or mediastinum will be carefully checked to 1800 ascertain whether they persist or are only transitory. Particular attention will be focused upon the occurrence of the pulmonary rales. Pronounced contraction of the chest wall following pleurisy or empyema. 1773 1774 h. 1771 g. stationery 1821 and/or stable for a minimum period of 3 months confirmed by adequate clinical observation 1822 and serial chest X-rays are P3. 1769 1770 f. if interfering with functions. palpation. Careful inquiry will be made into the candidate’s medical history. 1823 1824 28 28 . to cough before inhaling and then to inhale deeply but quietly. 1798 1799 b. a. Rales are 1805 heard most often at the beginning of inhalation after such expiratory cough. Unhealed sinuses of the chest wall. 1778 1779THE CONDITIONS LISTED IN THE PRECEEDING PARAGRAPHS ARE ALSO FOR DISABILITY 1780SEPARATION EXCEPT CONGENITAL DEFORMITIES. 1796 1797 a. more particularly for any type of 1795acute. A small patch of 1806 persistent rales at the apex in the intrascapular area or in other parts of the chest may be the 1807 only evidence of tuberculosis shown by physical examination. Abnormal physical signs in the lungs. 1757 1758 d. the absence of abnormal signs does not exclude tuberculosis. 1801 1802 c. History of clinical tuberculosis not exceeding the minimal stage. d. Deformities of the chest or scapulae sufficient to interfere with the carrying of police 1759 equipment. 1810 In other words. 1813 1814ACCEPTABLE: 1815 1816 a. 1755 1756 c. 1775 1776 i. pleura. chest 1811 X-ray (14 x 17 film) is required for all applicants for police service. The acceptable 1812 interpretation for admission is NORMAL CHEST. the 1768 scapulae or the vertebrae. Frequency.
Active tuberculosis of any organ including pleurisy with effusion. pulsations in 1877 epigastric and hepatic regions. Palpate radials simultaneously noting any disparity. eyes of the arcus 1874 senilis. RAH. 1868 blood pressure determination. 1830 1831 b. abscess of the lungs. suprasternal notch (aneurysm) apex of the heart c. 1885 1886Auscultation = Auscultate in the second interspace to right sternum (aortic area). 1837 1838 e. pleura or mediastinum. provided examination shows recovery without disqualifying 1849 sequelae. and. 1856 1857 1858 1859 SECTION XVI 1860 1861 1862 HEART AND VASCULAR SYSTEM 1863 1864 1865METHODS OF EXAMINATION: 1866 1867 a. pulsations in right and left second interspaces and suprasternal 1876 notch. 1846 1847 i. Use palm of the hand and light pressure in 1881palpating. 1878 1879Palpate for thrills/btuits over the thyroid gland (goiter). 1828 negative sputum exam for AFB culture with normal ESR determination is considered 1829 acceptable (P2). or engage in equivalent exercise. 1892hop 100 times (or less when in doubt as to his condition) on one foot. 1872 1873 b. “barrel chest”. 1875 malformation of the chest. The second sound is most distinct normally at the base. d. character of precordial impulses. auscultation. 1842 1843 g. e. empyema. 1850 1851CONDITIONS ABOVE THAT ARE ELIGIBLE FOR DISBILITY SEPARATION: 1852 1853 Conditions which are causes for rejection (P4) para b. Inspection = Note especially color of the skin and mucous membranes. d. 1883 1884Palpate radial and posterior tibial pulse while auscultating. HPN. Tumor of the lungs. 1880(mitral stenosis). etc). and at the apex 1888whereve it may be located (mitral area) or if it cannot be located. Asthma of any degree. and base to the right sternum (aortic stenosis). 1897Observation of the degree of dyspnea. 1887left of sternum (pulmonic area). g and h and/or with stigmata ascribable to it (e. visible pulsations of vessels of the neck. have him f. Mycotic disease or residual cavitation therfrom. 1870 The applicant or candidate should be examined fully relaxed and comfortable in a well 1871 ventilated room with a good light. Doppler 1869 echocardiography and other more specialized or specific studies may be done if indicated. or extensive fibrosis of the lungs from any cause. pulmonary empyema. The response to this test furnishes a rough estimate of a myocardial efficiency. An 1896irregular or unduly rapid pulse after exercise may occur in the presence of vasomotor instability. f (if severe and resulting to 1854hospitalization). immediately after exercise and two 1894minutes later. hydatid cysts. Auscultation should be repeated immediately after 29 29 . palpation. Take the pulse rate before. Foreign body in the lungs. then in the left fifth interspace in the 1889midclavicular line. An individual may be accepted after a foreign body has been 1848 removed from the bronchus. Acute pleurisy or extensive chronic adhesive pleuritis. inactive by X-ray. 1840 1841 f.g. Chronic bronchitis. chest-X-ray and electrocardiography. 1855RVH. 1835 1836 d. as hard pressure may obliterate a thrill. percussion. clearing the floor by about 1 inch at 1893each hop. bronchiectasis. or other symptoms of circulatory failure should be 1898terminated abruptly if untoward symptoms are noted. location of point of maximum impulses. c. General = The examination should include inspection. emphysema. emphysema. The response may be considered adequate if the rate two minutes after exercise is within ten 1895beats of the initial rates. if no other cause can be determined. 1833 1834 c. pneumoconiosis. at level of fifth rib. Pneumothorax or hydrothorax. 1890 1891Pulse Rate = Using discretion and allowing for the age and general appearance of the applicant. second interspace to the e. enlargement of the thyroid gland. History of clinical tuberculosis or residues of pulmonary tuberculosis. Note location and character of the maximum apical 1882impulse. cyanosis. which is considered of 1832 tuberculosis origin. 1844 1845 h. pulsations and retraction in the back. Note disparity. cystic disease of the 1839 lungs. left lower sternum (tricuspid area).1825CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1826 1827 a.
diseases of the coronary 1920 arteries and myocardial injuries. create a “sector-shaped” cross 1937 section of the heart. This can be a 1951 sensitive method of determining right-to-left shunts such as atrial or ventricular spetal 1952 defects.blood. will produce tiny microbubbles 1950 that appear as very bright echo-densecloud on the echocardiogram. and recorded on still or cine information about structures like 1967 the coronary arteries. 1903 1904 g. in all types of physical examination. Bradycardia. not less than 50/minute in the presence of cardiac history 1901and the absence of abnormal physical or electrocardiographic findings should not be considered causes for 1902rejection. This can measure intracardiac pressures.1899exercise to detect murmurs previously inaudible. and (3) 1969 production of arrythmias. embolization in distal arteries. myocardial metabolism and myocardial damage with radio-pharmaceutical agents. The high definition 1931 of the recording system and the rapid rate at which pulses of sound are emitted 1932 (1000/second) allow cardiac structures and their motion to be defined with great 1933 accuracy. 1934 1935 (2) Cross-Sectional Echocardiography = In CSE. 1953 1954 k. 1940 1941 (3) Doppler Echocardiography – This uses the principle that the frequency of a reflected 1942 sound wave depends on the velocity of the flowing blood and the angle impact of the 1943 ultrasound waves on the blood elements. In doubtful cases. The difference between the emitted and the 1944 measured frequencies is the “Doppler frequency shift”. each produced by a single crystal. (ex. 1917 1918 i. into the intravascular space. 1961 l. 1928 1929 (1) M-Mode Echocardiography = The M-Mode “one dimensional” echocardiogram is 1930 actually two dimensions: distance from and on the horizontal axis. It can also detect intracardiac 1946 shunts. an 1900electrocardiogram should be made. The report will include the size and contour 1915 of the heart and great vessels. the procedure will be repeated morning and afternoon daily for three (3) consecutive 1911 days to enable the examiner to reach a definite conclusion. 1916 anteroposterior. Electrocardiography = The heart can be imaged with reflected ultrasound by the 1926 complimentary techniques of M-Mode. this procedure should only be used to obtain information 1970 which cannot be provided by non-invasive techniques. the degree of the accentuation of the aortic second 1908 sound. The presence and severity of 1945 valvular regurgitation can be estimated by Doppler study. 30 30 . recent exercise and 1907 digestion. CSE allows comples structural and functional relationships at 1938 estimating chamber volumes especially if there are segmental wall motion 1939 abnormalities. blood oxygen content or 1964 saturation in different chambers of the heart. lateral and oblique views with the barium swallow being used as indicated. Cardiac Catheterization = This is invasive cardiology and consists in invasively placing 1962 catheters within the right and left chambers of the heart from peripheral vessels under 1963 fluoroscopic guidance. cross sectional echocardiography (CSE or 2-D Echo). and contrast echocardiography. Cardiac catheterization is associated with the risks of: (1) damage to 1968 arteries and veins. Due regard must be given to the 1906 age of the applicant and to physiological causes such as excitement. Therefore. ex. (2) introduction of infection. Cardiovascular Roengenology = The chest X-ray taken at six (6) feet distance as prescribed 1914 elsewhere in these regulations will be examined. or 1949 indocyanine green dye). The condition of the arteries. saline. cardiac hypertrophies. When the pressure is considered 1910 doubtful. (2) Myocardial infarct imaging (Technitium – 99mm labeled phyrophosphate and 1959 Indium-III labeled antimyoson). 1927 Doppler technique in its various forms. or 2-D ECHO. and. Electrocardiography = The electrocardiogram is of particular value in the diagnosis of the 1919 cardiac arrythmias. 1912 1913 h. when indicated. 1924 1925 j. and (3) Radionuclide angiography or radionuclide 1960 ventriculography. This can be separated into three categories: 1957 (1) Myocardial perfusion imaging (Thallium – 201 imaging and stress testing with Thallium – 1958 201). Nuclear Cardiology = This is the study of cardiac function. This examination is also required for those already in the service. 1947 1948 (4) Contact Echocardiography = The injection of almost any liquid. Selective injection of radio1965 opaque contrast material or dye can be done so that patters of blood flow can be observed on a 1966 radiographic image intensifier. recumbent and standing positions. Blood Pressure = The blood pressure will be taken with the individual relaxed and 1905 comfortable in the sitting. if above 25 1923 years of age. 1956 special gamma cameras and computer systems. myocardial perfusion and blood 1955 flow. No 1909 applicant will be rejected as a result of a single reading. “Cardiac Flouroscopy” is advised. and the relation between the systolic and the diastolic pressure must be considered. The standard 12-lead electrocardiogram is required of all 1921 applicants for Lateral Entry and Recruitment and abnormal findings will be considered causes 1922 for rejection. and cardiac output. defects in conduction. In the presence of the pulse rate of 50/minute or under. multiple ultrasound 1936 beams (3-100).
Just at 2005the end of force expiration. 1980 also. and demands further study. confirmation of this diagnosis is a cause of rejection. it is accentuated by exercise. It is useful in the detection and quantification of ischemic heart 1974 disease(IHD). louder in the recumbent position and on expiration and largely or entirely 1988abolished by deep inspiration. rheumatic fever. (2) Treadmill exercise or bicycle provides non-invasive information 1976 about changes in rhythm. suggests the probability of 1995congenital septic defect. 1978 n. tuberculosis. 2028 2029 d. Those with ECG findings of incomplete RBB with a negative or normal stress test and 2030 without any other evidence of organic heart disease (P2). aortic dilatation. A loud systolic murmur (usually with 1994thrill) Maximal at the left of the sternum in the third and fourth spaces. (1) Master’s Test. It may referred to as exercise test. best in the left lateral decubitus and with the bell 2003stethoscope chest place. either single or two 1975 step or double two-step. with negative history of rheumatic fever or state (P1). rate and ventricular repolarization as the heart responds 1977 to exercise. as to whether there has been a history in the past of chorea. Sinus arrhythmia = This consists in a quickening of the pulse rate during inspiration and 2026 slowing during expiration and is best recognized with individual recumbent and breathing 2027 deeply verified further by negative MST (P1). Those already in the active police service with evidence of cardiovascular disease but whose 2033 cardiac reserve is adequate for moderate physical and mental activity and had no history of 2034 congestive heart failure. Presence of functional or physiologic murmurs will be verified further by echocardiography 1990(Droppler) to detect the presence of mitral valve prolapse and other structural defects of the heart. Those with normal cardiac size. 2006Frequently. conduction. with the patient erect and leaning slightly forward. tobacco. 2021 2022 b. Applicants with a heart of a normal size with slight systolic murmur considered physiologic 2023 (functional) and without evidence of organic heart pathology and verified by 2-D Echo color 2024 Doppler. is the commonest of all murmurs and is to be considered physiologic or 1989functional. varying in intensity with forced respiration. syphilis. diphtheria. phlebitis. Exercise Stress Testing (EST)= is a sensitive and informative examination of the 1972 cardiovascular response to exercise. 2008 2009CARDIAC ENLARGEMENT: 2010 2011 An apex beat located beyond the left mid-clavicular line or below the sixth rib indicates heart 2012enlargement sufficient to disqualify examinee for police service it this is supported by electrocardiographic 2013findings and X-ray evidence of abnormality of cardiac size of or contour. and habit-forming drugs. A faint 1991systolic murmur localized at the aortic area without thrill and followed by a normal second sound may be 1992considered normal. 2025 c. specially inquiry 1979 will be made in doubtful cases as to the use of alcohol. Any 2000diastolic murmur heard over any region of the pericardium is an evidence of organic heart disease. A slight aortic diastolic murmur. 2016 2017ACCEPTABLE: 2018 2019 a. chronic focal infections. Exercise electrocardiography may be.1971 m. contour and configuration by cardiovascular roentology 2020 and electrocardiographic interpretation of within normal limits. 1981 quinsy. or stenosis) . negative MST. The pre2001systolic (or diastolic) murmur of mitral stenosis may be confined to a small area at or just within the cardiac 2002apex and heard only in the recumbent position. A faint systolic murmur at 1996the apex. negative or normal 2D echocardiograph (P3). less well heard in the erect position than when 1997recumbent and unattended by cardiac enlargement or other evidence of heart disease. on the other hand. Other ECG tracing findings which may be considered TWNL in the absence of any other 2037 evidence of organic heart disease are: 2038 2039 (1) LVH by voltage criteria – correlated with chest X-ray results 2040 (2) Early repolarization changes 2041 (3) Clockwise and counterclockwise rorations 2042 (4) Non-specific ST-T wave changes 2043 (5) Sinus tachycardia 2044 (6) Sinus bradycardia 31 31 . gonorrhea. tonsillitis. it is more easily heard with the Bowle’s Bell stethoscopic chest piece. and other diseases of the blood vessel. but any aortic murmur of moderate intensity or louder probably indicates disease (for 1993example. interpretation must based on cumulative evidence of murmur of relatively slight deviation from 2007the normal. a slight to moderate 1987pulmonary systolic murmur. and enlargement should not be made a primary diagnosis unless careful examination 2015fails to reveal a cause. responding normally to exercise. general septic 1982 infection. 2035 2036 f. stress test. In addition to the general history elsewhere prescribed in these regulations. 2031 2032 e. 2004may be heard only along the left external border. 1983 1984MURMURS: 1985 1986 Given a heart of the normal size. or exercise 1973 electrocardiography. may be considered to 1998be physiologic (functional) but a moderate or loud apical systolic murmur which persist in all phases of 1999respiration and body position and is intensified by exercise is evidence of abnormality of the heart. The cause of such enlargement 2014should be sought for.
When necessary to confirm findings.2045 2046CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 2047 2048 a. Pericarditis. 2096 2097 s. Coronary heart / artery disease. A heart rate below 6f the history. History of rheumatic fever or chorea. 2083 2084 n. Ultrasound and other more specialized 2118 studies. 2086 2087 o. 2077 2078 k. 2051 2052 c. M. (A. physical examination. or an electrocardiogram shows the 2058 presence of AV-block. when systolic blood pressure is persistently less than 100 mm Hg in the 2067 sitting and standing positions. 2101 2102ALL CONDITIONS LISTED IN THE PRECEDING PARAGRAPHS ARE ELIGIBLE FOR 2103DISABILITY SEPARATION EXCEPT CONGENITAL CONDITIONS AND THOSE WHOC 2104SUCCESSFULLY PASSED THE EXERCISE TEST (MST OF 2-d ECHO-CARDIOGRAM COLOR 2105DOPPLER STUDIES). if marked and persistent or if symptomatic 2091 and taken in sitting and standing positions. 2098 2099 t. Congenital heart disease or deformity of the heart or great vessels. 2070 2071 h. Hypertension evidenced by a persistent systolic blood pressure of 150 mm Hg or more or a 2062 persistent diastolic blood pressure of 95 mm Hg or more if the candidate is over 25 years of 2063 age. Disease of any artery. and a persistent systolic blood pressure of 140 mm Hg or more. complete right or left bundle branch block. EGD. All valvular disease of the heart. auricular 2088 flutter. 2094 2095 r. 32 32 . 2100 varicosities of any extremity unless mild in degree. Aneurysms. 2049 2050 b. Arteriosclerosis disproportionate to age. 2106 2107 2108 SECTION XVII 2109 2110 2111 ABDOMINAL ORGANS AND WALLS 2112 2113 2114GENERAL CONSIDERATIONS: 2115 2116 a. 2073 2074 i. 2081 2082 m. auricular fibrillation. Arrythmia. Electrocardiographic evidence of paroxysmal tachycardia. 2092 2093 q. 2065 2066 f. etc). including angina pectoris. Inadequate arterial blood supply to any limb. a persistent diastolic 2064 blood pressure of 90 mm Hg or more if less than 25 years of age. M. myocarditis. Evidence of vasomotor instability or neurocirculatory asthenia if persistent on examination of 2085 not less than three (3) days. except sinus arrythmias and occasional extra systole. Cardiac enlargement as noted earlier. and P. endocarditis. Arterial hypotension. Orthostatic / arterial hypotension or tachycardia. 2060 2061 e. or myocardial insufficiency cardiomyopathy. or evidence of repeated thrombophlebitis in the past. Intermittent claudication if confirmed by peripheral vascular tests. examining physicians may avail themselves of 2117 fluoroscopy and roentogenology. A heart rate of 100 or over when persistent after repeated examinations in the recumbent 2053 position. 2079 2080 l. 2075 2076 j. or if with positive or abnormal stress test or other evidence of the heart 2059 disease. 2089 2090 p. Further studies may be due to arrive at a definite cause of tachycardia (thyroid 2055 studies. and recent or old coronary occlusion. CT Scan. 2056 2057 d. cardiac 2072 tumor or other myocardial diseases. Phlebitis and thrombophlebitis. 2068 2069 g. examination for three (3) days are considered adequate for such 2054 determination).
Examining physicians will make use of digital rectal examination of defects referable to the 2125 region and when necessary. which has not descended into scrotum. 2126 2127 d. Hernia. Proctitis or stricture or prolapse of the rectum. 2169 2170 c. Individual who are found to have parasites or eggs in their stools will have this condition 2128 indicated on the report of examination. ventral. proctoscopy will also be used. benign asymptomatic tumor of the abdominal wall if not more than 1 cm 2152 diameter (P1). In cases of suspected gastric or duodenal ulcer. 2184 2185 j. malarial smear for 2149 three consecutive determinations. Enlargement of the spleen associated with leukemia. 2166 umbilical. Authenticated history of surgical operations for gastric or duodenal ulcer. femoral. When examining physicians are able to command hospital facilities and the necessary 2121 diagnostic apparatus. Acute or chronic cholecystitis with or without cholelithiasis.I. or umbilical ring. inguinal which has descended into scrotum. 2132 2133 f. sufficient in size to produce symptoms. 33 33 . series and or 2135 EGD (Esophago – gastric duodenoscopy) will be done. Symptomatic situs invertus. recurrent. 2189 2190 l. 2123 2124 c. 2129 2130 e. 2143 2144 (2) Scar pain when found not associated with any disturbance in function of abdominal 2145 wall or contained viscera. Authenticated history of true intestinal obstruction of any kind. every effort will be made to obtain a 2134 trustworthy history including authentic medical records and if necessary. 2161 hernia. 2162 2163CONDITIONS WHICH ARE CAUSES FOR REJECTIONS (P4): 2164 2165 a. 2191 2192 m. small umbilical (patent umbilical ring) (P2). femoral. 2157 2158 (7) History of cholecystectomy. Megacolon. 2159 2160 b. 2171 2172 d. Splenectomy for any cause. Ulcer of the stomach or duodenum. or at the site of a 2131 scar is not necessarily indicative of hernia. 2177 2178 g. Hodgkins disease splenic anemia. 2136 2137ACCEPTABLE: 2138 2139 a. use test meals and chemical and 2122 microscopic examination of the stomach contents and stools. 2173 2174 e. Physical profile classification “1” and “2”: 2140 2141 (1) Small abdominal scars because of surgical operation or accident which show no hernia 2142 bulging (P1). they will within their discretion. and ulcerative colitis. G. External hemorrhoids. bone marrow studies. 2175 2176 f. or 2183 other disqualifying disease. 2155 2156 (6) Hernia. ileitis. 2153 2154 (5) Internal and external hemorrhoids if mild in degree and without pain or bleeding (P2). if large 2186 or accompanied with hemorrhage or protruding intermittently or constantly. post-operative. 2187 2188 k. if moderate or large in size. Internal hemorrhoids. Moderate impulse produced by cough at inguinal. Cirrhosis of the liver. asymptomatic situs invertus. inguinal. 2167 2168 b. provided there are no residual disqualifying sequelae (P2). Sinuses of the abdominal wall. moderate or great enlargement of the spleen of any cause. diverticulitis. 2146 2147 (3) Mild splenic enlargement without evidence of other disqualifying disease (P2) as 2148 verified by peripheral blood morphology.2119 2120 b. 2150 2151 (4) Small. 2181 2182 i. 2179 2180 h. Physical Profile Classification “3”: Hernia.
2264 2265 f. Achalasia (Cardiospasm) . Chronic disease of the liver.Dysphagia not controlled by dilation with continuous 2251 discomfort. Cirrhosis of the liver – Recurrent jaundice. chronic hypertrophic gastritis with repeated symptomatology and 2263 hospitalization and confimed by gastroscopic examination. Gastritis. sever. Alkaline Phosphatase. Have carrier states (normal looking individuals but are infectious). pancreas or spleen. Tests used for Liver diseases: 1. total bilirubin. Blood in the feces unless otherwise shown to be due to unimportant cause. 2235 2236 e. Viscerotosis other than mild.2218 2193 2194 2195 2196 2197 2198 2199 2200 2201 2202 2203 2204 2205 2206 2207 2208 2209 2210 2211 2212 2213 2214 2215 2216 2217 n. or inability to maintain weight. (Hepatitis B. 2245 2246 2247THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE (Disability 2248Separation): 2249 2250 a. 2266 symptoms persist. History of gastroenterostomy. Hepatitis B – HBs Ag 2219 Hbe Ag 2220 Anti – HBC 2221 Anti. t. marijuana. s. Fissure of the anus or proctitis ani. o. Hepatitis. B1 and B2 ]. and there is objective evidence of impairment of liver function. liver failure and hepatocarcinoma. ethanol). 2237 2238 u. Hepatitis A – if positive HAV. GIT malignancies. only a self limiting infectious liver disease 2. 34 34 . Drug test for the most commonly abused drugs / substance (shabu. 2252 2253 b. gastric resection of peptic ulcer. May cause possible contamination of PNP blood supply. 2233 2234 d. cicatrices or weakness of muscles of the abdominal walls sufficient to interfere with function. Hepatitis C – Anti. injuries.HCV 2225 2226 It is important to note that Hepatitis B and Hepatitis C: 2227 2228 a. Enlargement of the liver. 2241 2242 w. Have an expensive treatment modality. 2229 2230 b. p. 2261 2262 e. 2231 2232 c. 2243 2244 x. Positive AIDS (HIV) test. Lead to fulminant hepatitis (survival rate is < 10%). Hepatitis C) when after a reasonable time (6 months). q. SGPT. Jaundice or history of recurrent jaundice with positive Hepatitis B surface antigen test and elevated liver function test [ SGOT.HBc 2222 Anti-HBs Ag 2223 2224 3. r. Amoebic abscess residuals – Persistent abnormal liver function tests after appropriate 2254 treatment. Biliary dyskinesia – Frequent abdominal pain not relieved by simple medication or with 2257 periodic jaundice. ascites or demonstrable esophageal varices or 2260 history of bleeding therefrom. 2255 2256 c. 2239 2240 v. gallbladder. secondary to substance abuse (ethanol). 2258 2259 d. chronic. Lead to cirrhosis. partial resection of the intestines or operation for relief of intestinal adhesions. Wounds.
However. Colostomy. Proctopexy. an individual on active duty who is able to maintain weight. may be recommended for continuance of active duty (P3). have no signs of anemia. stricture with sever symptoms of obstruction characterized by intractable constipation. 2328 2329 2330 2331 2332 2333 2334 2335 2336 2337 2338 2339 2340 w. proctoplasty. Hernia: (1) Hiatal hernia: If after operation symptoms are not relieved by simple dietary or medical means. difficult bowel movements requiring the regular use of laxative or enema. h. vomiting and intractable constipation requiring frequent admission to the hospital. has good understanding of the disease. j. Xray evidence and EGD. have no significant abdominal pain. permanent. and diarrhea with repeated admission to the hospital. or if with more than mild symptoms of digestive disturbance or requiring insulin. Ulcerative colitis – Confirmed diagnosis thereof. average no more than three (3) bowel movements per day. q. and / or repeated surgical procedures. Pancreaticojejunostomy – If for cancer in the pancreas. or if more than mild symptoms of digestive disturbance and requiring insulin. have a good understanding of the disease. proctorrhaphy and proctotomy – If fecal incontinence remains after an appropriate treatment period. o. k. n. (2) If operative repair is contraindicated for medical reasons or when not amenable to surgical repair. or recurrent bleeding in spite of prescribed treatment. pain on defecation. p. t. Enterostomy. r. m. However. Ulcer: peptic. s. Pancreatectomy. Pancreatitis. y. vomiting and bleeding) in spite of good medical and surgical enlargement and supported by laboratory. a individuals on active duty who are able to maintain weight. permanent. Pancreaticoduodenostomy and Pancreaticogastrostomy – If for malignancy. and who can select their diet from the normal diet may be recommended for continuance of active duty (P3). nausea and vomiting. v. steatorrhea or disturbance of glucose metabolism requiring insulin. individuals on active duty who have had a partial gastrectomy and are able to exist on a normal diet without symptoms of indigestion or loss of weight may be recommended for continuance of active duty (P3). duodenal and gastric – Frequent recurrence of symptoms (pain. Peritoneal adhesion – Recurrent episodes of intestinal obstruction characterized by abdominal colicky pain. Regional – Confirmed diagnosis thereof.2270 2267 2268 2269 2271 2272 2273 2274 2275 2276 2277 2278 2279 2280 2281 2282 2283 2284 2285 2286 2287 2288 2289 2290 2291 2292 2293 2294 2295 2296 2297 2298 2299 2300 2301 2302 2303 2304 2305 2306 2307 2308 2309 2310 2311 2312 2313 2314 2315 2316 2317 2318 2319 2320 2321 2322 2323 2324 2325 2326 2327 g. Colectomy. or weight loss. Ileostomy. Gastrectomy – Per se. Chronic – Frequent abdominal pain of severe nature. Ileitis. without symptoms of ibdigestion. However. or requiring repeated hospitalization or surgical treatment. Chronic – Moderate to severe symptoms of bleeding. SECTION XVIII 35 35 . tenesmus. Gastroduodenostomy – Per se. Rectum. if permanent. Gastrostomy. painful defecation. x. i. partial – When more than mild symptoms of diarrhea remain or if complicated by colostomy. and who do not require frequent medical attention may be recommended for continuance of active duty (P3). u. individuals on active duty who have no complications. l. average no more than three (3) bowel movements per day. has no significant abdominal pain has no signs of anemia. if permanent. Proctitis.
2394 2395 b. 2374 2375ACCEPTABLE CONDITIONS: 2376 2377 a. pus or albumin in the urine. A glucose 2370 tolerance test will be made when indicated. 36 36 . elevated blood pressure. Urinalysis including test for albumin. the result will be correlated with a fasting blood sugar determination. enuresis. 2388 2389 f. Significant amount of blood. When indicated. Urethral stricture or urinary fistula. 2383 2384 d. infantile genital organs. but if albumin is persistently present. The term “Albumin” will not be ordinarily used 2355 as a cause for disqualification since the presence of albumin alone does not justify a diagnosis 2356 of nephritis. specific gravity. Hydrocele of the tunica vaginalis testis of moderate size (P3). Further search will be made to exclude late complications of syphilis. if possible. Acute and chronic cystitis. 2379 2380 b. diabetes mellitus or insipidus or renal glycosuria. 2407 2408 h. 2413 2414 k. 2403 2404 f.010. the underlying pathological condition will. Both sides of the scrotum will be palpated as well 2349 as the inguinal lymph nodes. When albumin is constantly or 2361 intermittently present. further observation of the candidate and repeated complete 2367 examinations are indicated. When albumin or casts are found in the urine. 2390 2391CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 2392 2393 a. The glans penis and corona will 2348 be exposed and the penis will be examined. incontinence or retention of urine. 2353 2354 b. Examination for the detection of STD will include inspection of the skin and genitalia for 2373 lesions. unless the presence of the albumin and casts is associated with the enlargement of 2359 the left heart. Mild albuminuria without casts which is proven by observation and repeated examinations to 2378 be temporary in character or orthostatic in type (P2). tumor of the kidney. Epispadias or hypospadias. Phimosis (P1). Procedures when albumin or casts are found. if persistent. 2411 2412 j. 2368 d. History of unilateral renal calculus with freedom from symptoms. 2385 2386 e. pyelitis. hydronephrosis. Procedure when glycosuria is detected: If glucose is found in the urine at the first 2369 examination. Hermaphroditism. the candidate will be retained 2357 under observation and daily complete examination of the urine will be made for at least five 2358 (5) days. absence of one 2398 kidney. sugar. tumors of the bladder. or other evidence of cardiovascular-renal disease of 2360 such a degree that the diagnosis maybe made immediately. and if X-ray is negative for 2387 calculi (P2). Vesical calculi. be determined 2362 and stated as the cause for rejection. 2405 2406 g. Floating kidney. contracted kidney. Procedure when specific gravity is abnormally low: When the specific gravity of the specimen 2366 first examined is below 1. 2401 2402 e. Search will be made fro evidence of STD and malformation. 2364 2365 c. 2371 2372 e. X-ray and other laboratory examinations 2352 will be conducted. The urine will be voided in the 2351 presence of one of the examiners. Varicocele of moderate size (P2).2341 GENITO-URINARY SYSTEM INCLUDING 2342 SEXUALLY TRANSMITTED DISEASES (STD) 2343 2344 2345METHODS OF EXAMINATION: 2346 2347 a. and 2350 a microscopic examination of the sediment will be made. 2409 2410 i. 2399 2400 d. Acute or chronic nephritis. Hypertrophy or absence of the prostate glands. 2396 2397 c. Absence or removal of one or both testicles from any cause. pyonephrosis. if large or painful or if found in the cord. Varicocele or hydrocele. renal calculi. 2381 2382 c. as shown by the 2363 origin cannot be determined. Amputation of the penis.
2476 2477 d. 2466 2467 (5) Kidney: 2468 2469 a. 2463 2464 (4) Incontinence of urine: Due to disease or defect not amenable to treatment and of 2465 such severity as to necessitate recurrent absence from duty. cerebro-spinal or visceral (P3). 2488 37 37 . 2449 2450THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE Disability 2451Separation): 2452 2453 a. Other complications of gonorrhea. the 2456 residual symptoms or complications may in themselves render the individual 2457 physically unfit. and not responsive to treatment. Cardiovascular. symptomatic and not responsive to 2470 treatment.2415 2416 2417 l. Gonorrheal arthritis. more than mild which has not responded 2484 to medical or surgical treatment. 2460 2461 (3) Enuresis. acute or chronic (P3). including acute urethritis. residual. Gonorrhea. 2422 2423 o. Obstructive uropathy resulting from frequent or recurrent infections or 2473 congenital anomally not responsive to treatment. Hydronephrosis: More than mild. Genito-urinary systems: 2454 2455 (1) Cystitis: Per se. 2433 2434NON-ACCEPTABLE (P4): 2435 2436 a. Freedom from active or chronic STD is required for entrance into the police force. (See Section XIX – NEUROLOGICAL AND PSYCHIATRIC 2462 DISORDERS). Pyelonephritis or pyelitis: Chronic. 2429 2430 b. 2458 2459 (2) Endometriosis. unless removed on account of malignant 2421 disease or tuberculosis (P2) or STD. Lymphogranuloma venereum (active). does not render the individual physically unfit. Chronic orchitis or epididymitis. 2471 2472 b. cerebro-spinal and visceral syphilis. Syphilis. moderate or severe. Cystic kidney (polycystic kidney). Hypoplasia of the Kidney: Symptomatic and associated with elevated blood 2481 pressure or frequent infection and not controlled by surgery. Absence of one testicle. Undesecended testicle. Calculus in kidney = Bilateral. except cardiovascular. 2431 2432 c. 2424 2425 2426ACCEPTABLE STD CONDITIONS: 2427 2428 a. bilateral and causing continuance of or 2478 frequency of symptoms. 2479 2480 e. However. 2482 2483 f. 2446 2447 f. Sexually transmitted diseases (STD). 2437 2438 b. 2444 2445 e. Preirenal abscess. 2474 2475 c. 2439 2440 c. and 2441 epididymitis. 2485 2486 g. Pronounced atrophy of or absence of both testicles. 2418 m. Stricture of the urethra. seminal vesiculitis. Confirmed positive serological reaction for syphilis who have had positive serology or other 2448 evidence of syphilis. of such a degree which interferes with 2487 performance of duty. uncomplicated. 2442 2443 d. 2419 2420 n.
A history related to 2537convulsions. Chronic glomerulonephritis. finger to nose. deviation to one side or the other. education and occupational attainments should be obtained. A person who has difficulty in 2533making satisfactory adjustment to stresses in life. Chronic nephritis. 2494 2495 k.. Certain conditions are immediately identified even without talking to or touching an 2544examinee. chronic. Investigation of the medical and social 2535histories not only gives a lead to the presence of any mental abnormalities but also gives insight into the 2536personality make-up of the individual and offers some ideas to his future police value. Pyonephrosis. is likely to break down under the stress of police life and 2534become an encumbrance to the PNP with its additional expenses. 2504 2505 b. e.g. heel to shin bone tests and the rapid pronation2558supination of the upper extremity for motor coordination. then it is considered 2556pathologically significant (Romberg’s positive). 2539 2540EXAMINATION FOR NEUROLOGICAL DISORDERS: 2541 2542 The examinee is observed as to his movements. the tremors of the extremities either at rest or involuntary activities as in 2546Parkinson’s Disease or Multiple Sclerosis and the slurred speech of Multiple White Matter Disease. 2496 2497 (6) Menopausal syndrome. gait. but if it involves movements of the feet to maintain balance. disturbances of consciousness. 2560The cranial nerves are next tested by making him identify the smell of tobacco powder through each nostril 2561and by having him follow with his eyes the examiner’s finger that is moved around elliptically about 12-16 2562inches from his face. Nephrosis. mannerism and behavior as soon as he comes 2543into examining area. the hemiplegic gat of post CVD. an individual suffering from a 2529neuropsychiatric disorder may appear “normal” even to a close observer. He or she is then told to stand up straight in the position except that the toes are brought 2553together. 2490 2491 i. The pupils are tested for light and accommodation. The examinee is 2557next made to perform the finger to finger. 2492 2493 j. Swaying to and fro to slight degree is normally noted especially when eyes are 2555closed in this position. Not unfrequently. The examinee is next told to get to the examining table and to lie face up. This test is done with eyes opened and 2552eyes closed. 2499 2500 (7) Strictures of the urethra or ureter: Severe and not amenable to treatment. 2508 2509 (2) Cystoplasty: Reconstruction is unsatisfactory if residual urine or infection persists.g. routine use of drugs and narcotics. deltoid. the palsies of the face and ocular 2545muscles in the brain tumors. either physiologic or artificial with more than mild mental 2498 and constitutional symptoms. abnormalities of gait. active and apparently healthy and who volunteer no complaints. A confrontation test is next performed for a rough 2559estimate of the fields of vision.2489 h. Diseases of this type may and frequently do exist in persons who are 2532strong. fainting spells. non-gonorrheal. efficiency and economy of the police service it is essential that individuals with 2528neurological and psychiatric disorders be excluded. 2501 2502 (8) Urethritis. 2554buttocks and extremities. The examinee is made to strip completely (women may be allowed to wear their bras and 2549panties during the examination period) for a good examination. Asymmetries are looked for especially in the palpebral and oral fissures of the face. The examinee is directed to walk in a 2550straight line. The 2547examinee is asked pertinent questions that may arise during the examination to clarify certain points noted 2548at the time. not responsive to treatment and necessitating 2503 frequent absences from duty. The minutest study may be 2530required to establish a diagnosis e. The hand grips are tested and compared. the ataxic or tabetic gait. Genito-urinary and Gynecological Surgery: 2506 2507 (1) Cystectomy. Look for he normal associated 2551movements. 2510 2511 2512 2513 2514 2515 2516 2517 2518 SECTION XIX 2519 2520 2521 NEUROLOGICAL AND PSYCHIATRIC DISORDERS 2522 2523 2524GENERAL: 2525 2526 2527 For the safety. convulsive disorders in between seizures or psychosis (manic 2531depressive) during lucid intervals. looking straight ahead and turning about briskly as required. 38 38 . taking not of its size and shape. head 2538injuries.
2590 2591 2592 c. 2626 2627 2628DIAGNOSTIC EXAMINATIONS FOR NEUROLOGICAL DISORDERS: 2629 2630 a. narcolepsy. The mouth is next opened. Meniere’s disease. post 2606 encephalitic syndrome. vibratory sense. the to expose his teeth 2564without moving the jaws for facial nerve palsy. 2595 2596NEUROLOGICAL CONDITIONS WHICH ARE GROUNDS FOR REJECTION OR SEPARATION 2597FROM THE POLICE SERVICE (S4). temperature. 2600 2601 b. Disability Separation): 2598 2599 a. weaknesses of movement if any. including 2621 spina bifida if associated with neurological manifestations and meningocele even if 2622 uncomplicated. post2613 traumatic cerebral syndrome. The head is next moved rapidly from side to side and forward. Those whose nervous system is deemed to be healthy as shown by a negative history and 2583 the absence of objective and subjective findings indicative of disorder or disease of the 2584 central. inability to perform quickly 39 39 . speech or 2634 defect in test phases and in all slurring and distortion of words in conversation. After testing for the cranial nerves. Hoffman’s. or Argyll-Robertson’s pupils. discrepancies in relating to facts of life. Gag reflex is tested for by touching the 2567oropharynx with an applicator with cotton. Certain variations from the normal which however are clearly shown to be within 2593 physiological limits such as minor tremors of the hand or eyelids during examination (S1 or 2594 S2). congenital malformation. 2568Shoulders are lifted voluntarily towards the ears. cerebellar and Freidreich’s ataxia. the sensibilities for 2569pain. The indicated laboratory tests and X-ray examinations 2577should be made. etc. cataplexy not controlled by medication. 2623 2624 h. Babinski’s. Residuals of trauma that are incapacitating: residuals of severe cerebral trauma. 2611 2612 e. Any form of paralysis or paresis which limits locomotion or ability to perform 2625 adequately as expected in general police service. Sydenham’s chorea. 2604 2605 c. The reflexes come next and the following are deemed adequate: 2571normal cremasteric and corneal for the superficial reflexes. irregular or 2633 sluggishly reacting pupils. facial tremor. do not call attention to the condition nor have prevented the individual from 2589 successfully following a useful vocation in life (S2 or S3). biceps. and psychomotor attacks. meningo-vascular syphilis.2563The examinee is asked to bite hard for the motor component of the trigeminal. Degenerative disorders: multiple sclerosis. 2620 operated and unoperated cerebrovascular diseases. 2579 2580ACCEPTABLE FOR OLICE SERVICE: 2581 2582 a. multiple neuritis. knee jerk and ankle clonus 2572for the deep tendon reflexes. Paroxysmal convulsive disorders and disturbances of consciousness: grand mal. 2574 2575 The life history of the examinee is reviewed with his and abnormal findings noted during the 2576examinations are correlated for proper evaluation. petit 2616 mal. atrophy. Neurosyphilis of any form: general paresis. the triceps. muscular atrophies and dystrophies of any type. cerebral 2603 arteriosclerosis. (using a tuning fork C-256 preferably) and two2570points discrimination are next noted. 2618 2619 g. athetoses. Had 2617 been admitted at the neurology ward three times (3x). Peripheral nerve disorders: chronic or recurrent neuritis or neuralgia of any intensity 2609 which is periodically incapacitating. and taste and sensory capabilities. position sense. peripheral and autonomic nervous system (S1). 2635 wring defects consisting of omission and distortions of letters. brain and spinal cord tumors. A good neurological examination is time-consuming for the beginner but one soon 2578develops his own style of examination that is reassuring and satisfying to him. 2602 Huntington’s chorea. Movement 2566of the uvula is noted by having the examinee say “AH” loudly. Miscellaneous disorders: recurrent spasmodic torticolis. neurofibromatosis that is 2610 disfiguring. Disabling residual infections: meningitis and brain abscess. paralysis agitans. tabes dorsalis. Gordon’s and Chaddock’s for the pathological 2573reflexes. touch. 2585 2586 b. Syphilis of the Central Nervous System: 2631 2632 (1) General paresis of meningoencephalitic syphilis. 2607 2608 d. defective 2636 memory. 2614 2615 f. Individuals with minor paralysis or paresis as those of the poliomyelitis or non-progressive 2587 disease of the peripheral nerves which do not interfere with normal locomotion or with 2588 police duties. tongue protruded to determine 2565deviation. tremors. Look for unequal. and.
2693 2694 2695 2696 2697 i. c. Clearly confined entities are sciatica and trigeminal neuralgias. The electroencephalograph is of great assistance in the diagnosis. numbness. The prominent diagnostic signs and symptoms are headaches. 2698 2699 2700 2701 2702 2703 2704 2705 2706 2707 2708 2709 j. simulation is possible in doubtful cases. suggest this diagnosis. Even mild manifestations disqualify. varying deep and superficial reflexes. he may attempt to conceal severe defects in order to gain entrance into the police service. The symptoms depend upon the cause or duration. exaggerated deep reflexes. history of mood changes or convulsions. e. Dystonia. Athetoses. absence or irregularity of abnormal reflexes. affecting various parts of the body. scotomata or bladder disturbances should arouse a suspicion of multiple sclerosis. positive Romberg’s ataxic gait especially when the eyes are closed. monotonous speech and typical gait. corneal hyposthesia. 2675 2676 2677 2678 2679 2680 2681 2682 2683 2684 2685 2686 2687 2688 2689 2690 2691 2692 f. Multiple sclerosis: A history of transitory weakness. or unsuccessful treatment with anti-convulsive drugs. The presence of optic atrophy. arthritis. even though mild. or irrational conduct or fugue. or change of personality is suggestive. d. the individual should be rejected. and in general. dull or apathetic. may show failing sexual power. knee jerk may be normal. In pseudo-hypertrophic forms. ocular palsies and facial paresis. tremors. Motor weakness may occur on one side of the body or in one extremity. if practicable. “spells”. Evidence of previous treatment and the injection of procaine into the nerve presumably affected are important diagnostic aids. involuntary movements. slight nystagmus. decrease or loss of muscle power. knee jerk. The history is usually of slow progression. others are hypertrophied. convulsions. tenderness of the muscles. If the syndrome is definite even though mild. Meningovascular or cerebro-spinal syphilis. Less common are suboocipital. face and head. Torticollis. Muscular Dystrophies: There is atrophy of the muscles in some forms. there is rapid fatigue of muscle power appearing first in the facial and extrinsic eye muscles and later becomes generalized. Such history will be verified. Neuralgias of other nerves are extremely rare. a statement will be made by the examining board stating the basis for the diagnosis. and malingering must be considered in the differential diagnosis.2637 2638 2639 2640 and accurately simple problems of addition and subtraction in mental arithmetic. Look for unequal sluggishly reacting pupils or Argyll-Robertson pupils. loss or diminution of reflexes. “lapses”. “dizziness” or fainting. infection or intoxication. They consist of pain. The mental state is normal. transient diplopia. sluggishness of movements. ataxia of one or more extremities. of being dazed. Neuritis. definite nystagmus. or of multiple attacks of loss of consciousness. Post-traumatic Cerebral Syndrome: A history of head injury followed by headache. but independent confirmation of such alterations should be thought possible. and also hysteria. Chronic Neuralgias: A history of severe. g. Chorea: These names are given to various types of irregular. sinusitis. sphincter disturbances and pains in the legs or back. Paralysis Agitans: Paralysis is recognized by masked frozen-like facies. some muscles are atrophied. papillary changes. ptosis. Multiple Neuritis: This may be associated with dietary deficiencies. 40 40 . The individual will be disqualified based on a brief history of such spells. or ataxia and euphoria are common manifestations. The presence of signs indicating a focal lesion. often associated with evidence of spastic paralysis. rigidity of the muscles. or a verified history. by a confirmatory medical record from a trustworthy source. stooped posture. overactive or underactive. sensory diminution or loss. 2641 2642 2643 2644 2645 2646 2647 2648 2649 2650 2651 2652 2653 (2) Tabes dorsalis (locomotor ataxia). but will not be used routinely. and the diagnosis will be made in extreme caution. fine tremors. constant or recurrent pain confined to the area of distribution of a single nerve or segment. usual and irregular series of short identical attacks of pain coming at intervals. A dull apathetic expression. abnormal sweatings are confirmatory evidence. and anesthetic areas of the skin. In Myasthenia Gravis. vasomotor changes. Paroxysmal Convulsive Disorders: look for deep scars on tongue. The mood may be of schizophrenic or neuroasthenic type. hypertrophy in others. Since no physical signs are pathognomonic. dizziness. it is necessary to discover if the individual has had spells of unconsciousness. scotomata. When the diagnosis is based wholly on the examinee’s statement. or of uncontrolled outbursts of rage. When an examinee is rejected for epilepsy. various causes of diminution or loss of motor power marked in distal parts of the extremities. (3) 2654 2655 2656 2657 2658 2659 2660 2661 2662 2663 2664 2665 2666 2667 2668 2669 2670 2671 2672 2673 2674 b. particularly in doubtful cases. intermittent. bursitis. brachial and glossopharyngeal neuralgias. unwinking eyes. without objective changes. Previous medical records should be sought. is cause for rejection. a Babinski’s or similar signs. h. in the absence of stigmata. loss of initiative. Even mild manifestations disqualify.
The accomplished NP Screening Form will be reviewed with the examinee and points of interest or items suggestive of certain disturbance will be clarified. “Are you nervous?”. Cerebro-vascular Accidents: Characteristically. The latter may be gathered together from various sources. The NP Screening Form is a time saver for the interviewer as well as for the examinee. Information is elicited as to whether the individual suffers any symptoms of psychiatric nature. or vasomotor symptoms are not disqualifying. The probable presence of some types of psychiatric disorders. A good therapeutic relationship between physician and patient must be established. If it is his first contact with it. following up questions for clarification. his physician. and as to whether he has been ill or poorly adjusted in the past and at present. The routine or habitual use of questions that are emotionally charged. other corroborative informants. or “Do you have headache or stomach trouble?”. The diagnosis disqualifies. The object of the neuro-psychiatric examinations is to 2719 2720 2721 2722 2723 2724 2725 2726 2727 2728 2729 2730 2731 2732 2733 2734 2735 2736 2737 2738 2739 2740 2741 2742 2743 2744 2745 2746 2747 2748 2749 2750 2751 2752 2753 2754 2755 2756 2757 2758 2759 2760 2761 2762 2763 2764 2765 2766 2767 2768 2769 2770 2771 2772 select individuals who are without psychiatric disorders and to determine the separation or retention of PNP personnel who manifest oddities in behavior. A single MSE may be sufficient in some cases. Thus a neuropsychiatric examination consisting of a few leading and suggestive questions such as “Do you worry?”. the onset is acute. Almost any focal disturbance may result. psychologically shocking. in bad taste and or not customarily used in comparable civilian examinations and practices will be avoided. referred to as Mental Status Examinations (MSE) which is a reliable diagnostic tool used to determine psychiatric disorders. 2714 2715 2716EXAMINATIONS FOR PSYCHIATRIC DISORDERS: 2717 2718 a. but also to favorable or positive data since a history of good adjustment in the past may be reasonably accepted as favoring a good adjustment in the police service as well. The evaluation of such factors in a policeman is accomplished by psychiatric examination and knowledge of his past history. Evidence of peripheral disease 2713 may be inconspicuous.2710 2711 k. he generally answers it without reservation and problem areas are brought to focus. Interview will begin with something that is obviously relevant to the immediate situation. the man himself. The examiner pays close attention to everything said and ask. Isolated signs such as nail biting. may c. in particular major psychoses and marked degree of feeblemindedness. The most successful approach is often one of straight forward professional inquiry coupled with real respect for the individual’s personality and due consideration for his feelings. is inadequate. slight tremor. Attention will be given not only to unfavorable or negative data in the history. the neuro-psychiatrist will carefully avoid unscientific methods which give inadequate or inaccurate data. The diagnosis of psychiatric disorders depends on whether an individual possesses qualities or patterns of behavior of such nature and severity as to have seriously handicapped him in the conduct of his private life and affairs and/or in his interpersonal relationships. The number of MSE conducted depends on the individual being evaluated. The psychiatric examination is done by clinical interviews. with or without 2712 unconsciousness. a. b. Positive answers to such questions are not themselves justifiable causes for rejection. 41 41 . Despite the handicap of time limitations. hospital and court records and other social service welfare agencies. Mental and personality difficulties are most clearly revealed in the subject’s behavior towards those to whom he feels relatively at ease.
All findings during the MSE must be summarized 2787 in paragraph form and included in the Neuro-Psychiatric Evaluation 2788 Report. Though a psychological test may confirm the diagnosis. 2781 attitude. As good 2777 Anamnesis should be prepared by the clinician. 2782 level of intelligence. For Lateral Entry: 2822 2823 1. delusions. Intelligence test (Note: IQ will not be reported as IQ points but in 2805 terms of range. behavior. Information Sheet with Auto-analysis 2824 2.2773 often be suspected by alert observation of the individual’s behavior if the 2774 examiner knows what to look for and what to regard as significant. Information Sheet with Auto-analysis 2804 2. orientation to time. For Recruitment: 2802 2803 1. thought content and preoccupation. IQ Tests 2825 (a) SRA FORM B 2826 (b) ACER Test of Reasoning Ability 2827 2828 3. affect. place and person. 2796 2797THE FOLLOWING TESTS SHALL BE ADMINISTERED AS INDICATED: 2798 2799 Criteria for qualifications as per interview and psychological tests: 2800 2801 a. speech. Not 86 but “Dull Normal” 2806 (a) CFT (Culture Fair Test 3) 2807 (b) SRA VERBAL FORM A/ SRA VERBAL FORM B 2808 2809 3. Personality tests: 2810 (a) Sentence Completion Test 2811 (b) Draw a Person Test (DAPT) 2812 (c) Hand Test 2813 (d) Law Enforcement Perception Questionnaire (LEPQ) 2814 (e) Applicants Risk Profiler (ARP) 2815 2816 ** Further Tests: 2817 a) Guilford-Zimmerman Temperament Survey 2818 b) Basic Personality Inventory 2819 c) Edwards Personal Preference Schedule (EPPS) 2820 2821 b. volition and 2785 judgment. At certain times. Personality Tests: 2829 (a) Sentence Completion test/ Rhodes RSCT/Industrial 2830 (ISCT) 2831 (b) DAPT (Draw A Person Test) 2832 (c) HT (Hand Test) 2833 (d) BPI (Basic Personality Inventory) 2834 (e) Law Enforcement Perception Questionnaire (LEPQ) 42 42 . one would not be able to suspect the presence of any morbid 2776 condition without some knowledge of the individual’s history. These could be glimpsed during the interview with or without 2786 asking direct questions. memory recall. 2778 2779 The examiner by this procedure can easily determine the person’s 2780 mental status by noting his general appearance. suicidal or 2784 homicidal ideations. In 2775 other cases. intellectual and emotional insight. presence of 2783 perceptual disturbances. 2789 2790 A battery of psychological tests may be requested by the 2791 psychiatrist which may be added to the NP report to make it 2792 comprehensive. a diagnosis may be made based only on the 2795 history and mental status examination. ideas of references. 2793 these tests may be incorporated in the report to supplement the psychiatric 2794 findings. Ex. mood.
2835 2836 2837 2838 2839 2840 2841 2842 2843 2844 2845 2846 2847 2848 2849 2850 2851 2852 2853 2854 2855 2856 2857 2858 2859 2860 2861 2862 2863 2864 2865 2866 2867 2868 2869 2870 2871 2872 2873 2874 2875 2876 2877 2878 2879 2880 2881 2882 2883 2884 2885 2886 2887 2888 2889 2890 2891 2892 2893 2894 2895 2896 (f) (g) Leadership Opinion Questionnaire Applicants Risk Profiler (ARP) ** Further Tests: a) Guilford Zimmerman Temperamental Survey (GZTS) b) Edwards Personal Preference Schedule (EPPS) c) 16PF c. Information Sheet with Autoanalysis IQ Test: SRA Personality Tests: (a) SIV (Survey of Interpersonal Value) (b) Sentence Completion Test (c) DAPT (Draw A Person Test) For PCO 1. 3. Clinical Case/Patient: 1. PIS (Personal Information Sheet with Auto-analysis IQ Test: *SRA A *Ravens Progressive Matrices Personality Tests: (a) Sentence completion Test (b) DAPT (Draw A Person Test) (c) GZTS (d) Hand Test (e) Applicants Risk Profiler (ARP) e. PNCO: (a) CFT (Culture Fair Test) (b) PIS (Personal Information Sheet) with Auto-analysis (c) SCT Sentence Completion Test 43 43 . IQ Tests: (a) ACER (b) SRA FORM A or B Personality Tests: (a) SIV .Survey of Interpersonal Values (b) LOQ (Leadership Opinion Questionnaire (c) Human relations Inventory 2. 3. 2. 2. Promotions: For PNCO 1. Reinstatement: 1. For Schooling: 1. Adult (a) (b) (c) Information Sheet IQ Tests: WAIS / Ravens Progressive Matrices (Depends on the Educational Attainment) Personality Tests: a) SSCT (Sack’s Sentence Completion test) b) DAPT (draw A Person test) c) BGVMT (Bender Gestalt Visual Motor test) d) TAT (Thematic Apperception test) e) Rorschach Inkblot Psychodiagnostic Test f. d.
he/she should also assess the subject’s foresight. 2939 Endorsement for retake of NP issued by PTD must be 2940 presented prior to accommodation for NP exam. 2937 3. the classification of 2950psychiatric disorders as carried in “DSM IV is used. For reinstatement purposes. Multi-axial diagnosis (axis I-V) is 2951used in writing the diagnosis. PCO: 2903 (a) PIS (Personal Information Sheet) with Auto-analysis 2904 (b) SCT Sentence Completion Test 2905 (c) DAPT (Draw A Person Test) 2906 (d) GZTS (Guilford Zimmerman Temperamental Survey) 2907 (e) Basic Personality Inventory (BPI) 2908 (f) LOQ 2909 2910 g. Firearms License /PTCFOR – (subject for the availability of funds) 2911 (a) IQ-RPM (Ravens Progressive Matrices) 2912 (b) PIS (Personal Information Sheet) with auto-analysis 2913 (c) DAPT (Draw A Person Test) 2914 (d) Hand Test or GZ (Guilford Zimmerman) 2915 (e) SSCT (Sack’s Sentence completion test) 2916 2917 h. retake is only allowed ONCE 2938 and may be requested after a lapse of three (3) months. HS) 2919 (a) IQ – any abstract test which will suit applicant’s 2920 educational attainment 2921 (b) PIS (Personal Information Sheet with Auto-analysis 2922 (c) DAPT (Draw A Person Test) 2923 (d) SCT Sentence Completion test 2924 (e) GZTS (Guilford Zimmerman Temperament Survey) 2925 (f) BPI (Basic Personality Profile) 2926 (g) Applicants Risk Profiler (ARP) 2927 2928 i. Final Interview – to be conducted by a psychiatrist/NP 2935 Screener 2936 2. Initial Interview – to be conducted by a psychologist 2934 b. For Bond: 2929 (a) Same as criteria for schooling. NP Clearance is VALID only for six (6) months. 2941 2942THE PSYCHIATRIC REPORT SHOULD GIVE DESCRIPTIVE DATA: 2943 2944 The NP Screener should evaluate not only the mental frame of the subject under 2945present environmental conditions but also his capacity to withstand the rigors of police 2946work. 2952 2953 2954 2955 2956DIAGNOSTIC CRITERIA: 2957 2958ACCPETABLE FOR POLICE SERVICE: 44 44 .2897 (d) DAPT (Draw A Person Test) 2898 (e) GZTS (Guilford Zimmerman Temperamental Survey) 2899 (f) Basic Personality Inventory (BPI) 2900 (g) EPI 2901 2902 2. reaction or 2947behavior to future stressors or problems. 2948 2949 For purposes of recording and proper communications. Among others. Employment: (PNP and other Government Agencies – Second Priority. 2930 2931 Addendum: 2932 1. Applicants undergo two (2) interviews: 2933 a. 2918 secure request from office and subject for approval by Dir.
Stuttering or stammering of a degree which has not prevented the man 2985 from successfully following a useful vocation in civilian life (S3) 2986 2987NON-ACCEPTABLE CONDITIONS FOR POLICE SERVICE: 2988 2989 Those found to be suffering from any psychiatric disorder to include personality 2990disorder as listed in DSM-IV or those by whose behavior the examiner considers as sex 2991perverts (S4). aside from having no neurologic or 2962psychiatric disorders. 3020 or. if there is lack of improvement of symptoms after six 45 45 . possess personality type appropriate and desirable for police 2963service (S1). Organic 3012 mental disorder due to alcohol or psychoactive substance 3013 cannot be used as basis for complete disability discharge 3014 (CDD) but can be grounds for separate for separation 3015 from police service. Separation through medical channels with recommendation for Disability 2998 Separation: 2999 3000 (1) Psychotic Disorders whether classified or otherwise not 3001 elsewhere classified which manifested themselves during 3002 service and necessitated outpatient treatment or 3003 hospitalization for definitive care and management. Knowledge about personal-social characteristics in the 2967 individual policeman should provide answers to the following questions: 2968 (1) Who is driven to police service and who is turned off? 2969 (2) Who adjusts well to police training and who barely 2970 passes/drop out? 2971 (3) Who perseveres under the stress of unfamiliar tasks and 2972 situational demands and who quits under fire? 2973 (4) Who is proposed for promotion and who is passed over? 2974 (5) Who is admitted to specialized police training? 2975 (6) Who makes a career of the police service and who 2976 leaves? 2977 (7) Who has a high need for achievement? 2978 (8) Who has a need for job and financial stability? 2979 (9) Who has a high need for conforming? 2980 (10) Who has a high need for authoritarianism? 2981 (11) Who shows good social adaptability and interpersonal 2982 relations? 2983 2984 B.2959 2960 The objective of NP Screening which is a combination of psychiatric interview 2961and psychological test is to select individuals who. 3016 3017 (3) Psychoneurotic disorders shall be considered as basis for 3018 unfitness for further police service if there is persistence 3019 and severity of symptoms so as to require hospitalization. The 3004 practice of returning such persons with a history of 3005 psychosis to duty status upon recovery from the psychotic 3006 episode shall be discontinued. 2992 2993CONDITIONS FOR SEPARATION FROM THE POLICE SERVICE EITHER 2994THROUGH MEDICAL CHANNELS (DISABILITY SEPARATION) OR THROUGH 2995ADMINISTRATIVE OR NON-MEDICAL CHANNELS: 2996 2997 a. 3007 3008 (2) Organic mental disorder of whatever cause which renders 3009 the individual physically or mentally unfit to render 3010 further police service due to obvious and apparent defects 3011 as determined by a police neuro-psychiatrist. 2964 2965 A. There are personality factors considered very important in Police 2966 Psychology.
3069 3070 (6) Ineptitude: Applicable to those persons best described as 3071 inept due to lack of general adaptability. etc. Other indecent acts or offenses. Latent or overt homosexuality. He may 3031 be classified under S3. Lewd lascivious acts. In most 3039 instances. an individual is recommended for 3048 administrative discharge for reasons of unsuitability and unfitness and 3049 when it has been determined that the individual police record is 3050 characterized by one or more of the following: 3051 3052 (1) Frequent incidents of a discreditable nature with police or 3053 civil authorities. 3078 3079BASIC MAJOR PARAMETERS USED IN SCREENING FOR QUALIFICATIONS 3080ARE THE FOLLOWING: 3081 3082 1) Effective intelligence 46 46 . defective attitude 3075 and inability to expend effort constructively which is not 3076 due to physical or mental disease which may warrant a 3077 disability discharge through medical channels. 3058 c. 3054 3055 (2) Sexual perversions including but not limited to: 3056 a. stroke. the disorder is manifested by a lifelong pattern of action or 3040 behavior (acting out) rather than by mental or emotional symptoms. with 3038 minimal subjective anxiety and little or no sense of distress. epilepsy. organic diseases of the brain (chronic epidemic encephalitis. 3059 d. 3064 3065 (4) An established pattern for shirking from and avoiding 3066 police duties. Indecent exposure. 3028 3029 (5) Adjustment disorders do not render an individual in the 3030 police service as unfit for further police service. 3060 e. Separation through administrative or non-medical channels (Summary 3036 Dismissal Proceedings). 3046 3047 Under this category. a child. 3057 b. want of 3072 readiness or skill. Police personnel found to be with 3044 personality disorders and psychoactive substance-use disorders shall 3045 immediately be recommended as not suited for further police service. 3073 3074 (7) Apathy (lack of appropriate interest). or assault upon. or a very protected environment. 3041 Occasionally.3021 (6) months of continuous hospitalization and/or 3022 treatment.) will produce pictures resembling 3043 character or behavior disorders. 3042 head injuries. unreadiness or inability to learn. Indecent acts with. 3067 3068 (5) An established pattern showing failure to pay just debts. sick in quarters 3027 status. Personality disorders are characterized by 3037 developmental or pathological trends in the personality structure. 3034 3035 b. 3061 3062 (3) Drug addiction or the characterized use of inhibition of 3063 habit-forming narcotic drugs or marijuana. due to the possibilities of 3032 recurrence of similar difficulties under stressful 3033 situations. etc. 3023 3024 (4) Somatoform disorders manifested by persistent signs and 3025 symptoms after maximum benefits of hospitalization or 3026 which require repeated hospitalization.
3124 difficulty. acceptance of responsibilities. depreciation. self-evoked cooperation. reprimand 3127 punishment. 3110 (2) No psychiatric disorder. confusion.3083 2) Motivation for assignment 3084 3) Emotional stability 3085 4) Tolerance for stress 3086 5) Social relation 3087 6) Security 3088 7) Leadership qualities 3089 8) Energy and Initiative 3090 9) Manner of appearance 3091 10) Absence of neurologic and psychiatric disorders 3092 3093DIAGNOSTIC CRITERIA: 3094 3095 For purposes of these regulations. slow promotion. and good 3115 impulse control. genuine interest in police assignments and real 3112 interest in rendering police service. For Reinstatement and Recruitment Applicants: 3105 3106 (1) Effective average intelligence (IQ Range of 90 and above). work overload. ability to 3107 follow orders. hard work. poor living/sleeping quarters. disappointments and failures. team-play . Strain. frustration. 3113 (4) Emotional stability. For Lateral Applicants: 47 47 . 3138 (9) Energy and initiative: high activity level. insufficient diet. The ability not to be easily provoked to anger should be 3116 present. 3128 3129 (6) Social relation: ability to get along well with others. Physical discomfort: unfavorable climate. good work 3137 attitudes and values. ability to govern disturbing emotions. Neglect. 3120 b. no unfavorable or 3142 distracting mannerisms. 3117 (5) Tolerance for stress: 3118 3119 a. late 3122 nightshifts. sense of commitment. weather. dedication and loyalty. 3132 (7) Security: Ability to keep secrets. pressure of time. References to be used 3097are “The American Handbook of Psychiatry” by Arriete: “Practical Clinical Psychiatry:” 3098by Noyes. 3140 (10) Manner of appearance: Pleasing general appearance. “Comprehensive Textbook of Psychiatry” by Kaplan and Freedom (3 3099volumes). steadiness and 3114 endurance under pressure. reasonably aggressive. zest. discretion. Authority. organizing 3136 and administering ability. goodwill. imposed tasks. Physical danger. good comprehension and adequate 3109 verbal & written communication skills. does not need 3108 more than usual supervision or support. 3130 tact. can start work 3139 without being told. environmental 3121 conditions. acceptable voice 3141 quality and speech. and freedom from annoying 3131 traits. reference to standard textbooks of Clinical 3096Psychiatry shall be availed of at all times for diagnostic purposes. 3125 d. Ability to keep 3133 confidential matters to self. 3123 c. 3126 e. Synopsis Textbook of Psychiatry by Kaplan and DSM-IV 3100 3101THE CRITERIA FOR QUALIFICATIONS AS PER INTERVIEW AND 3102PSYCHOLOGICALS: 3103 3104 a. bombings and other physical threats. caution. absence of physical disabilities. criticism. effort. 3134 (8) Leadership qualities: Possess good moral/spiritual values and strong sense 3135 of integrity. arbitrary commands. freedom from neurotic tendencies. 3143 3144 b. 3111 (3) Motivation for assignment. gunfire. has the capacity to do tasks usually required. freedom from disturbing prejudices.
3145 3146 3147 3148 3149 3150 3151 3152 3153 3154 3155 3156 3157 3158 3159 3160 3161 3162 3163 3164 3165 3166 3167 3168 3169 3170 3171 3172 3173 3174 3175 3176 3177 3178 3179 3180 3181 3182 3183 3184 3185 3186 3187 3188 3189 3190 3191 3192 3193 3194 3195 3196 3197 3198 3199 3200 3201 3202 3203 3204 3205 3206 (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Effective average intelligence (IQ Range of 100 and above). resourcefulness. team-play. reasonably aggressive. few or transient neurotic symptoms. High degree of integrity. and use of prohibited drugs. satisfactory physical qualifications. freedom from disturbing prejudices. steadiness and endurance under pressure. High morale/motivation for assignment and in continued rendering of police service. c. Possess self-confidence. freedom from neurotic tendencies. can start work without being told. Absence of personality disorders and psychiatric disorders. (1) (2) (3) (4) e. with no serious disturbance of life adjustment. capacity of making sound decisions. should have ability to supervise and manage personnel and be a good role model. No psychiatric disorder. Emotional stability: Ability to govern disturbing emotions. Manner of appearance: pleasing general appearance. Security: Ability to keep secrets. acceptable voice quality and speech. In life and work performance. For Possession of Firearms/Carrying of Firearms: At least average intelligence (IQ 90 and above). tact. Ability to keep confidential matters to self. drinking. things and ideas. ability to select strategic goals and the most efficient means of attaining them. No symptoms of disability. absence of physical disabilities. and good judgment in dealing with people. freedom from annoying traits. Character development. no unfavorable or distracting mannerisms. Social relations: ability to get along well with others. and mistresses. zest and effort. able to sustain good ability and effectiveness. Has sustained or improved security-consciousness. Shows progressive emotional maturity and character development. caution. Absence of vices like gambling. History of good emotional adjustment. zest. good work attitudes and values. Energy and initiative: high activity level. Absence of symptoms of instability (emotional or psychological) under pressure. Energy and initiative: Has sustained high activity level. Has maintained and developed more leadership qualities in addition to those cited above. For Supply Accountable and Bonded Officers: Qualifications for Lateral Entry Officers. Has maintained adequate intellectual capacity required by present position and function. quick practical thought. discretion. Has maintained good social relations. In addition. honesty and trustworthiness. (1) 48 48 . goodwill. Motivation for assignment: genuine interest in police work and in rendering police service. acceptance of responsibilities. sense of commitment. originality. For Annual Physical Examination (APE) and Promotion: No psychiatric disorder. self-evoked cooperation. Leadership capacity: Possess good moral/spiritual values and stress sense of integrity. good analytical and reasoning ability. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) d. organizing and administering ability. dedication and loyalty. effort. Tolerance for stress (same as criteria as for reinstatement and recruitment applicants).
For clinical Referrals: The criteria for interview and psychological 3238 evaluation will depend upon the nature of the case and the needs of the requesting 3239 party. flexibility and adaptability especially under stress. 3225 3226 g. 3230 (3) No personality disorder. 3220 (2) For Non-Officer rank: at least low average intelligence (IQ 90 and above). A person gifted with histrionic talent and who has a considerable degree 3261 of knowledge and skill at his command may be able to simulate a physical or 3262 mental condition to such perfection that physicians may sometimes be deceived.3207 (2) No psychiatric disorder. For retirement: No neurotic nor psychotic ideations. 3234 3235 h. 3223 (5) Shows genuine interest to learn and the ability and willingness to reecho 3224 what was learned from schooling. For Civilian Employment: 3227 3228 (1) Effective intelligence relative to the position applied for. 3212 (6) Good sense of responsibility and sound judgment. 3236 3237 i. 3240 3241 SECTION XX 3242 3243 MALINGERING 3244 3245DEFINITION: 3246 3247 The malingerer is one whose complaints of bodily disorders and whose 3248 behavior or acts are simulations of some physical or mental disease for the 3249 definite purpose of attaining an end which is more satisfactory to him or of 3250 seeking an escape from a fear-infested situation. 3222 (4) Good interpersonal relationship: must act as an ambassador of goodwill. 3233 (6) Good work ethics. It is likewise encountered among those 3253 policemen about to retire. However. namely: 3268 49 49 . 3210 (4) Absence of personality disorder. 3232 (5) Good social relations. 3254 3255 The simulation of neuroses and of physical disorders includes a wide 3256 variety of problems which must be differentiated from the ordinary neuroses as 3257 well as from physical illness. 3214 (8) Good social relations. For disorder to be classed as true malingering. 3229 (2) No neuro-psychiatric disorder . 3215 3216 f. 3263 3264DIFFERENTIATION: 3265 3266 a. 3211 (5) Good moral character. 3208 (3) No neurologic disorders especially seizure disorders and movement 3209 disorders. Malingering is encountered in a 3251 number of situation but more frequently during the preliminary examination and 3252 early training periods of police service. 3221 (3) Emotional stability. 3213 (7) Emotional stability and good impulse control. simulation is always in keeping with the 3258 extent of knowledge possessed by the individual regarding the particular disorder 3259 from which he pretends to suffer and therefore constantly changes its methods and 3260 maladies. it must fulfill three (3) 3267 conditions. For Foreign and Local Schooling: (to include deployment for UN 3217 Mission) 3218 3219 (1) For officers: at least middle average intelligence (IQ 105 and above). 3231 (4) Good moral character.
The loss of this important support obtained 50 50 . the individual may conclude that the standards are wrong or that higher authority condoned or even approves of such deviation. insecure and apprehensive and those with organic brain disorders where there has been a definite change in personality. (4) The psychoneurotic suffering from hysteria who believes in the reality of a disability. If deviations from acceptable standards of behavior are allowed to go unchallenged by those in leadership roles. and over emphasis on symptoms of fatigue. For practical purpose these reactions may be divided into the following: (1) Malingering for the purpose of attaining a definite end by simulation of a disease by one who has no past history of similar patterns of reaction but who is making an attempt to escape an emergency (temporary reaction). These reactions. which on the surface appears to be a definite simulation. One feigns his symptoms as a bluff and hopes to get away with it. or superior. This includes hypochondriacs and individuals suffering from conversion disorders or neuro-circulatory asthenia (NCA). (2) The individual is consciously aware of what he is doing and of the motive responsible for his attitude. criminality. When confronted with case of malingering the observer will try to ascertain how much of what constitutes the dual picture is well acted drama and consciously done. the individual is dependent on some degree upon group pressure for support and his actions are largely determined by group standards of acceptable behavior. In all social units including the PNP. the psychopathic may be retarded. may become worse during investigation or attempted correction. sexual perversion. hoboes and queer social misfits. requires special investigation. (5) Malingering or reactions considered to be malingering may appear in those who are basically psychoneurotic. and. how much is true in part and more or less unconscious. In intelligence. but he is incapable of adjustment under ordinary life conditions. including a number of cranks. (3) Malingering as a manifestation of psychopathic or sociopathic behavior. (2) Malingering to the extent of exaggerating or capitalizing on conditions of symptoms that are present for the purpose of avoiding service. It is well known that there is a large group of individuals whose ability to adjust to unfavorable stress is strengthened or weakened by the prevailing attitudes of their associates. It is believed that a firm. extremists. etc. The ranks of psychopathic personalities contain many persons having an irresistible tendency to alcoholism. Some of these psychoneurotics unconsciously exaggerate more or less their symptoms to gain their end thus emphasizing the questions of how much is associated with a change in personality. of average endowment. b. The confusion of hysteria with true malingering is not infrequently made by those who consider nearly all hysterics as malingerers with symptoms that could be controlled voluntarily.3269 3270 3271 3272 3273 3274 3275 3276 3277 3278 3279 3280 3281 3282 3283 3284 3285 3286 3287 3288 3289 3290 3291 3292 3293 3294 3295 3296 3297 3298 3299 3300 3301 3302 3303 3304 3305 3306 3307 3308 3309 3310 3311 3312 3313 3314 3315 3316 3317 3318 3319 3320 3321 3322 3323 3324 3325 3326 3327 3328 3329 3330 (1) No obvious or frank disease or personality disorder is present. drug addiction. (3) He is fixed in carrying out a purpose towards a preconceived result. frequently confused with pure malingering. This includes an enlargement on minor physical ailments or on relatively insignificant diseases. just and positive leadership is the most effective aid in the prevention of psychiatric disabilities. emphasizing mild personality problems or neuroses. They are dependent upon the support afforded them by those people in their immediate environment and particularly by such authoritarian figures as their leaders. This is seen in individuals suffering from Factitious Disorder.
Tachycardia and thyrotoxicosis may be temporarily induced by ingestion 3358 of drugs such as thyroid extracts. 3368 Mechanical and chemical irritants may be used to cause inflammation on 3369 about practically all the body surfaces. 3336 3337 c. 3360 Cantharides may be taken to cause albuminuria. Psychosis = rarely feigned by individuals and usually by a silly. An appearance of hemoptysis may be 3364 produced by adding blood. hospital observation is necessary with verification 3382 of the past records. The skin may be irritated 3362 by various substances. Similarly.3331 from authority may further increase the individual’s conflict between his 3332 wishes (to escape unfavorable stress) and his misbehavior. Jaundice may be simulated by 3370 taking picric acid. Eggs. History of 3385 inconsistent. There is a special need for 3350 the physical examination to be thorough in this group. foolish 3381 type. Artificial jaundice may be recognize by demonstration 3371 of picric acid in the urine. The detection and management of malingerers simulating medical diseases 3348 depend upon the absence of positive findings in an individual who present 3349 the general characteristics of the malingerer. 3344 3345FEIGNED MEDICAL DISEASE: 3346 3347 a. it is conceivable that the added 3334 conflictual. Similarly. ordinary indications of suffering is absent. It should be kept in mind that it is even more 3340 difficult for a healthy person to feign disease than it is for a sick person 3341 to simulate and accentuate signal symptoms but he is practically always 3342 unable to feign the entire picture of the disease he has selected and thus 3343 experts can usually detect omissions. 3365 Sometimes. Absence of other 3386 symptoms usually accompanied by pains complained of. either human or animal. Among these five (5) groups. Absence of 3387 objective or evidence of localized pain. When this 3333 situation is not dealt with promptly. 3356 3357 b. In cases of doubt. 3389 c. Note behavior when the registrant 3388 believes himself unobserved. may be added 3359 to urine. Epilepsy = Men who have sustained head injuries may claim fits. discrepancies and contradictions. Anesthesia = complaint of anesthesia itself creates a suspicion of 3390 malingering as most patients with anesthesia are ignorant of it. merely water is added. Pain and hyperesthesia = The most common of all complaints. coloring matter may be added to the stools. 3372 3373 3374 3375 3376 3377 3378FEIGNED NERVOUS OR MENTAL ILLNESS: 3379 3380 a. Some of the 3351 cardiac cases at first regarded as malingerers may later be found to have 3352 mitral stenosis or bacterial endocarditis. proper tests may show 3353 the existence of peptic ulcer in those suspected of feigning digestive 3354 abnormalities. albumin or sugar. the typical members are readily 3338 distinguished but intermediate and doubtful cases make the 3339 differentiation difficult. Petit mal 51 51 . Mental deficiency is frequently feigned specially by 3383 illiterates. to the sputum. 3384 b. These 3392 complaints may be in reference to grand mal or petit mal. Those who can vomit voluntarily what 3366 they swallow use the same means to create the appearance of 3367 hematemesis. Canned milk may be utilized to simulate urethral discharge. Cathartics may be taken to bring about purging or 3363 to simulate chronic diarrhea. psychological burden placed upon any personality under stress 3335 may precipitate a psychoneurotic response. The estimation of the reality of rheumatic pain is always a 3355 different matter. 3391 d. Digitalis and strephantus 3361 may be taken to cause abnormal heart findings.
both 3418 mutilation and suicide. strappings. 3402 3403FEIGNED SURGICAL CONDITIONS: 3404 3405 a. Such accidents are recognized to occur in mentally associated 3421 stated such as amnesia or fugues. are symptoms of grossly abnormal mental status 3419 and many of these mental conditions are not classified as psychotics 3420 (insanity). either by incomplete or 3423 successful suicides. Wounds are rarely self-inflicted when 3411 witnesses are present. 3444 3445 b.3393 attacks are spoken of as fainting attacks. organic diseases of the 3401 vertebrae can and will be excluded if necessary by X-ray. where 90% of all accidents 3417 occur in 16% of the workers. Others would cut off their fingers and toes. 3448 3449 “S” NEUROPSYCHIATRIC No neuropsychiatric disorder P1 No Neurologic nor Psychiatric disorder. which will include a careful 3439 history of their previous behavior and adjustment record and a complete 3440 physical. Some may 3408 cut their hands albeit with care for this purpose. he will definitely not be accepted. All men suspected of malingering will be subjected 3438 immediately to a thorough psychiatric survey. In all cases therefore. In cases of this kind. knee jerks are lost and the Babinski reflexes 3395 may be present. 3399 f. 3426 3427SIMULATED DEFECTS OF VISION AND HEARING CAN BE DETERMINED BY 3428TESTS PRESCRIBED IN THE SECTIONS FOR EYES AND EARS: 3429 3430BED WETTING: 3431 3432 Bonafide severe enuresis substantiated by a physician’s affidavit or other 3433acceptable documentary evidence is cause for unconditional rejection. 3396 e. but its existence creates confusion as in 3397 malingering. 3434 3435GENERAL CONSIDERATIONS: 3436 3437 a. Crutches. Observations in the 3441 hospital may be required. Retention of urine may 3409 be simulated. Included under these are old scars and injuries of the bones. Whenever it appears to an examining physician that an 3446 individual is endeavoring to escape service by malingering. consequently it is almost impossible to be certain of 3412 malingering in some cases. 3407 usually on the right side. Individuals with psychoneurosis of 3422 certain types are known to attempt self destruction. fracture and 3406 orthopaedic conditions. Stiff Backs -= Stiff back is a frequent symptom of hysteria immobilization 3400 among affected men. The motivation in self-inflicted wounds is a complicated psychological 3415 phenomenon. 52 52 . The question to be decided is whether the individual is too 3398 seriously affected with neurosis to work as a policeman. neurological and laboratory evaluation. if otherwise 3447 mentally and physically fit. In grand mal attacks. Hysteria = Not feigned in itself. Most self-destructive attempts. 3414 b. or trusses may be used to give 3410 the appearance of disability. braces. Suspected malingerers found suffering from 3442 definitive psychoneurosis and others in whom signs of mental disorders 3443 are detected will be rejected from the police service. A type of personality is recognized as “accident prone” as 3416 attested by long experience in industrial plants. to disqualify themselves for service. Substance may be injected under the skin to 3413 create abscesses. there is loss 3394 of pupil response to light. not only is it essential to 3424 exclude the self-inflicted wound as a symptomatic expression of mental 3425 illness but it is also necessary to prove intent to evade duty.
Attention should be directed to symmetry of form and mass. 3479 53 53 . 3450 3451 3452 3453 3454 3455 SECTION XXI 3456 3457 3458 EXAMINATION OF FEMALES 3459 3460 3461EXTREME CARE SHOULD BE TAKEN TO ENSURE PRIVACY DURING EXAMINATIONS. 3467 3468 3469 3470THOROUGH BREAST EXAMINATION: 3471 3472 Inspection of the breast should be done first with patient sitting erect with her arms raised. Table I and Section IV. Identify presence Precipitating stressors of external P4 Predisposition as determined by the basic personality make-up or pre-morbid personality Intelligence Performance. EXAMINATION 3463WILL BE CONDUCTED IN THE PRESENCE OF A FEMALE ATTENDANT. 3462FEMALE PATIENTS WILL WEAR A SURGICAL GOWN AFTER DISROBING. History of previous psychiatric disorders and impairment of the functional capacity. severity and duration of the psychiatric symptoms or disorders existing at the time the profile is determined. TABLE 3). – marked deterioration of intellectual or mental faculties severe memory impairment. Palpation of the lateral portion 3476of the breast is then performed with the patient’s arms at her side. 3464 3465 3466HEIGHT AND WEIGHT STANDARDS (See Section IV. The 3473supraclavicular areas and the axillae are then palpated with the patient sitting erect and in supine positions. Severe Transient psychoneurosis (situational) PPSR and personality Disorders Marked degrees of character and behavior disorders Organic Mental Disorders of any Causes Mental deficiency State the type. Psychosis. whether there is any retraction or 3478dimpling of the skin. 3475The medial portion is initially examined first with the patient’s arms raised. retraction or inversion of one or both nipples. Psychoneurotic disorders. moderate or severe Major Mood Disorders (Unipolar or Bipolar) Chronic psychoneurosis.P2 P3 No intermediate grade Transient situational reaction. The ducts and nipples should be 3477compressed. Adjustment Disorder Psychosomatic disorders. 3474Masses in the breast are best determined by palpation with the flat surface rather than the tips of the fingers.
They should however at 3525 least satisfy the required exercise standard without weights for service support candidates (P3) 3526 except female PNPA candidates. 3548 3549 h. lymphopathia venereum. The size. If the hymen is not intact or admits one 3511finger with ease. If the hymen is intact or admits one finger with difficulty. femoral or umbilical. absence of one or both mammary glands. may be revealed. 3546 3547 g. Good light is essential. The patient is then asked to raise her head and cough. 3529 3530 3531NON-ACCEPTABLE: (P4) 3532 3533 a. In familial hirsutism. distortion. Information as to the size. and umbilical eversion. 3486 3487 Both groins are inspected and palpated. congenital or acquired such as inguinal. in any part of the female reproductive organs. Labia majora and minora are inspected for ulcerations. History of previous major operations. Vaginitis: cervicitis that is not recurrent or remediable be medications. Dysmenorrhea which interfere with active PNP service. Hermaphrodism. 3484dilated veins. the simplest method is to place the 2 vaginal fingers under the cervix and elevate it and the 3516uterine corpus toward the abdominal wall. chest. 3498 3499 The patient is instructed to urinate prior to examination. Females are not expected to have same strength and stamina as men. suggests the possibility of disturbed 3505ovarian or adrenal function or both. Cervis is inspected for erosions or masses or polyps. Growths and masses in the breast. 3544 3545 f. Amenorrhea not due to physiological cause. or papillomatus growths. 3508 3509 The condition of the hymen is assessed. discoloration. ovarian new growth. 3541 3542 e. so called buboes. chancroid. 3520 3521 3522ACCEPTABLE: 3523 3524 a. striae. shape and position. position and tenderness are noted. hair may extend into abdominal wall toward the 3503umbilicus similar to the male excutcheon.3480 3481EXAMINATION OF THE ABDOMEN: 3482 3483 Examination of the abdomen is done by inspection. The buttocks should be just beyong end 3497of the table. 3550 3551CONDITIONS FOR DISABILITY SEPARATION: 3552 54 54 . The patient should be asked to raise her head and cough. Enlargement of superficial inguinal nodes may be associated 3488with STD. granuloma. Extensive distribution of hair under the abdomen. 3506furuncles. 3491 3492 3493PELVIC EXAMINATION: 3494 3495 The pelvic examination should be carried out with the patient on an examining table with the legs 3496supported in stir-ups and adequately abducted (lithotomy position). The adnexal areas are also palpated. Metorrhagia. The external hand is gently placed on the abdomen with the 3517fingers flat and is moved about from below the umbilicus to the symphysis. 3519mobility. 3510rectal examination is done to assess the female reproductive organs. 3534 3535 b. if associated 3504with abdominal hair on the face. Absence of the portion of the reproductive organs. 3527 3528 b. congenital 3540 abnormalities in number. who shall satisfy P1 Profile. 3538 3539 d. Note for pruritus vulvae suggestive of monilial or trichomonas 3507vaginitis. noting the presence of scars. To palpate 3515the uterus. and other body surfaces. Hernia. vaginal speculum is inserted without lubrication and a small amount of vaginal discharge 3512is obtained for gram staining. consistency. masses. The internal 3513examination is done where abnormalities of the vagina is noted and consistency of the cervix is determined. 3490careful examination should be performed for detection of inguinal and femoral areas. 3514Normal position of the uterus is anteversion with some anteflexion of the corpus on the cervix. and varying degrees of 3489ulceration. cervicitis and vaginitis (recurrent). 3536 3537 c. such as syphilis. 3518shape and consistency is determined. shape. 3500 3501 Observe the distribution of the pubic hair as well as its color and texture. It is darker and coarser than 3502the remainder of the body hair. 3543 uterine tumors. this will 3485delineate hernia or diastasis recti.
Endometriosis. 3579 3580 h. Hysterectomy. 3602 3603 b. disability separation. Oophorectomy when following treatment and convalescent period. Item 1 Last name. Item 11 Date and place of birth. 3614 3615 g. 3555 3556 b. Item 5 Purpose of examination.3553 a. middle name (complete). 3597 3598 3599GENERAL INSTRUCTIONS FOR FILLING UP RME FORM: 3600 3601 a. the residual 3554 symptoms or complications may in themselves render the individual physically unfit. 3574 3575 (3) Symptomatic neurosyphilis in any form. either physiologic or artificial with more than mild mental and 3559 constitutional symptoms. 3624 3625 l. 3606 3607 d. 3610 annual PE. 3568 3569 g. retirement. Menopausal syndrome. lateral entry. 3572 3573 (2) Atrophy of the optic nerve due to syphilis. Item 10 Assignment 3622 3623 k. does not make an individual physically unfit. 3562 3563 e. relationship and address of next kin. Item 9 Years of PNP service 3620 3621 j. Item 8 Age 3618 3619 i. 3560 3561 d. State whether for recruitment. residual 3564 symptoms or complications may render the individual physically unfit. first name. All reports of medical examination will be based one the provisions of these regulations and 3593 will be rendered in the Report of Medical Examination Form. Item 3 Badge/ID number. Item 4 Home address. per se. Item 12 Name. however. there remain more than 3567 mild mental or constitutional symptoms. 3612 3613 f. per se. 3604 3605 c. 3557 3558 c. discharge. RECORDS AND RESCISSION 3587 3588 3589FORMS USED: 3590 3591 3592 a. 3576 3577 (4) Complications or residuals of venereal disease of such chronicity or degree that the 3578 individual is incapable of performing useful police duty. Item 7 Sex 3616 3617 h. 3594 3595 b. Item 2 Rank. 3565 3566 f. 3608 3609 e. Auto-Immune Disease System (AIDS) 3581 3582 3583 3584 SECTION XXII 3585 3586 REPORTS. 3611 report of pregnancy. Item 6 Date of exam. Sexually transmitted diseases: 3570 3571 (1) Aneurysm of the aorta due to syphilis. Examination of the civilian employees will be based on the standards prescribed by the Civil 3596 Service Commission and reported on the same form prescribed for PNP personnel. Cystitis. etc. promotion. However. does not render the individual physically unfit. Cystectomy or enucleation. 3626 55 55 .
x. pp. n.3627 3628 3629 3630 3631 3632 3633 3634 3635 3636 3637 3638 3639 3640 3641 3642 3643 3644 3645 3646 3647 3648 3649 3650 3651 3652 3653 3654 3655 3656 3657 3658 3659 3660 3661 3662 3663 3664 3665 3666 3667 3668 3669 3670 3671 3672 3673 3674 3675 3676 3677 3678 3679 3680 3681 3682 3683 3684 3685 3686 3687 3688 3689 3690 3691 3692 3693 3694 3695 3696 3697 3698 3699 3700 m. Identifying body marks especially moles and pigmented areas. aa. hh. and Scalp Nose Sinuses Mouth and Throat Ears Whispered Voice Test Eyes Vision (Distant. bb. jj. u. Near) Color Vision Heart. r. ex: PNPGH. GU System. Include statement on cardiac configuration. Vascular System Lungs and Chest Abdomen / Viscera Anus and Rectum Endocrine system. dd. For females. v. Item 40 Item 41 Item 42 Item 43 Item 44 Item 45 Item 46-49 - 56 56 . should include statement of examination of prostate. should include character of menses and parity. Neck. oo. kk. Should enter final readings of medical specialists in the areas concerned. Upper Extremities Lower Extremities Spine and musculo-skeletal system Skin and Lymphatics. p. cc. tt. Should be completely filled up as required by regulations and the official dental form. Weight (Stripped) in kilograms. Item 13 Item 14 Item 15 Item 16 Item 17 Item 18 Item 19 Item 20 Item 21 Item 22 Item 23 Item 24 Item 25 Item 26 Item 27 Item 28 Item 29 Item 30 Item 31 Item 32 Item 33 Item 34 Item 35 Item 36 Item 37 Item 38 - Examining facility. w. Height (Bare Feet) in cm or meters. ll. t. Build Color of Hair Color of Eyes Head. gg. Vascular System BP Dental Classification. Requesting office. qq. Pelvic. ee. ss. o. For males. Include previous subtotal thyroidectomy and other operations with dates. ff. mm. y. Item 39 nn. q. s. Face. z. ii. Should attach an NP Examination Report properly signed by a PNP Psychiatrist/NP Screener. rr. Neurologic Pschiatric.
The Medical-Dental Board. If not. discharge. Item 55 Overall Physical Evaluation.3701 3702 uu. he affixes his signature to the final PE form. Philippine National Police 3759 3760 3761 RESTRICTED 3762 3763 3764 3765 3766 3767 3768 3769 3770 3771 3772 3773 3774 57 57 . the Chief of 3724 PE Section and the Dental Officer of the respective HS unit. Describe every abnormality in 3708 detail. All Reports Of Medical Examinations (RME) should be signed by the Chairman. 3732 3733 3734ACTION OF THE DIRECTOR. special training/course and Disability Separation. Item 52 History/summary of defects noted. State whether FIT or UNFIT for police 3718 service. Specify kind of tests done. and employment of 3731 civilians. HEALTH SERVICE: 3735 3736 The Director. 3719 3720 3721REPORTS OF MEDICAL – DENTAL BOARDS: 3722 3723 a. 3730 annual PE. inconsistent with this Circular are hereby rescinded. 3740 3741 SECTION XX111 3742 RESCISSION 3743 3744 All memo circulars and directives. State whether the PE fulfills the purpose for which 3712 undertaken. Use back 3709 page if necessary. 3710 3711 xx. 3725 3726 b. E. H. 3750 3751 3752 3753 3754 3755 3756 OSCAR C CALDERON 3757 POLICE DIRECTOR GENERAL 3758 Chief. If any. 3705 3706 ww. Item 54 Physical Profile Serial classification. U. enter in the NOTES space 3707 provided for at the right side of the form. Item 51 Other tests. 3703 3704 vv. Fill the corresponding spaces for 3715 the P. NHQ PNP reviews RME forms for purposes of lateral entry. One copy is 3739retained in his office for personnel health records file. Item 50 Drug Test. he writes the new 3738classification and recommendation diagonally across the front of the forms and signs it. retirement. 3716 3717 zz. The Medical-Dental Board of the HS unit reviews RME forms for purposes of recruitment. Item 53 Recommendation. and S. 3713 3714 yy. If he 3737concurs with the reports. 3745 3746 SECTION XXIV 3747 EFFECTIVITY 3748 3749 This Circular shall take effect immediately after publication. local schooling. PNCO promotions. 3728 3729 c. 3727 officers’ promotions. L. Health Service is the reviewing officer of the Reports of Medical Examinations. schooling abroad. Enter pertinent item number before each comment.
3775 3776 3777 3778 3779 3780 3781 3782 3783 3784 3785 3786 58 58 .