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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:

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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.

b.

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”.

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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

When Done

Made By

Examining Bd

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

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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.

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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

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Use exercise test. Forty (40) years old and above. Class I dental defects. and others. a code letter or a combination of code letters will 374be used as a suffix where applicable as specified below: 375 376 a. Is an individual has a higher number in one of the factors other than the “P”. Minor physical defects will not automatically down grade an individual because defects have different values in relation to performances of duties. shoulder girdle and spine (cervical. newgrowth. cardiovascular disease. these regulations will be used as a guide for considering certain defects. 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. P4 = unqualified for police service as he / she fails to meet the criteria 368 of the first three classifications. pelvic girdle and lower back (sacral spine). The individual’s profile therefore must state whether or not the individual may be employed in certain duty positions. it is important to consider function and prognosis especially regarding the possibility of aggravation. “S” = Neuropsychiatric Emotional stability. marching and prolonged hand-tohand fighting for long periods of time. In this connection. 333 334 335 336 337 338 339 340 341 342 343 344 345 3. “L”. P2 = may be exposed to the same rigors as P1. peptic ulcer. “U” = Upper extremities Functional use of hands. lumbar) to include strength. range of motion and general efficiency of feet.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. The “P” is the key factor and is used to indicate the general health classification as follows: a. “E”. Free from any disease. range of motion. While the defect must be given consideration in accomplishing the profile. Note defect. There are four (4) grades in each of the six (6) factors. b. “R” = will be used to indicate that an individual has a remediable physical defect 377 which does not prevent utilization. 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. 2. Use exercise test. the correction of which would improve the 6 6 . c. e. personality and neuropsychiatric history and disorders will be considered. “H” = Hearing (including ear defects) The auditory acuity is to be considered as well as organic defects and lesions. 367 d. For ease of application and to assure uniformity of recording. arms. d. but may have minor defects as slight limitation of movements. c. 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”. 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 4. legs. strength. Free from any disease. The determination of assignments in an administrative procedure. thoracic. Examples: Hernia. “H”. and “S”. “L” = Lower extremities Functional use. a close relationship must exist between the attending medical officers and PE classification officers. P1 = may engage in fatiguing work. P3 = may serve in operations and support capacities including ability to work for long periods of time and defend himself in close encounters. asthma. 369 370 371SUFFIXES TO SERIAL: 372 373 In order to make the profile serial informative. general efficiency and structural defect.

pelvic strength. or digging for prolonged period. 392 393 394 395PROFILE SERIAL CHART: 396 397 Below is the chart including key limiting characteristics of each factor in the profile. climbing and digging.381 378 379 380 382 383 384 385 general health and welfare of the individual. performing long marching 1 periods. muscular weakness or periods under support Muscular skeletal defects other musculo-skeletal 2 conditions. range of movement build. for police service. temporary in nature. including cervical.. service Organic defects.defects which do not prevent hand fighting for prolonged marching. 386 c. which do not prevent hand-to. and 5 function and similar thoracic lumbar vertebrae. joints. 389 390 d. running. b. weight. factors. “T” = will be used to indicate that the individuals has a remediable physical defect. height. energy. muscular coordination. No defects which prevent running. muscles and joints maximum sustained effort normal. For details 398see succeeding sections covering the different organ systems. shoulder girdle and back and lower back. 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. Such individuals are temporarily disqualified and immediate measures must be taken for their treatment/hospitalization. Diseases and other conditions that may be aggravated by police service/duty. for short periods. “O” = will be used to indicate that the individual is physically qualified for 391 aircrew assignments. age. stamina. Mobility of effort for moderate muscular weakness or their joints. climbing. Able to perform sustained Slightly limited joint mobility. short periods. must be able to do normal. periods. Thos e defect/s must be corrected or treated within three (3) months after the examination. 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. which would prevent an immediate field/combat assignment. and Muscles Bones. “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. and continue standing for long periods. agility. 406 407 408 409 410 411 412 413 414 415 416 417 7 7 . arms. 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. Strength. Slightly limited. range of motion and Strength. general efficiency of upper and efficiency of foot.

severity and duration of the psychiatric symptoms or disorders existing at the time the profile is determined. if such Defect is not due to active or progressive organic disease. 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. severe Transient psychoneurosis (situational) PPSR and personality Disorders Marked degrees of character and behavior disorders Mental deficiency Type. 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. 4 ‘E’ VISION OR EYES Meets acceptable Ocular standards with a minimum vision of 20/40 in each eye. Intelligence Performance History of post-psychiatric disorders and impairment of the functional capacity. No organic defects. 421 422 Factors to be Evaluated Auditory acuity and organic defects of the audiosystem. No organic disease of either eye exists. 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. corrected with glasses to 20/20 in both eyes. Psychoneurotic disorders. Psychophysiologic system reaction or psychosomatic disorders. No intermediate grade. Visual acuity and Organic defects of the eyes and lids. Minimum hearing of 8/15 in the other with no active progressive organic disease 3 Do not meet the standards for police service. moderate or severe Chronic psychoneurosis. OU for near vision. ‘S’ NEUROPSYCHITARIC No Neuropsychiatric disorder. from below 20/200. J3 up to J6 OU for near vision. J1 or J2. 423 424 425 426 427 428 429 8 8 . For retention in the service. to no light perception.418 419 420 PROFILE SERIAL “H” HEARING OR EARS Auditory acuity 15/15 by whisper test. with visions in the other eye 20/100 correctable. this includes those individuals with any degree of defective visions in one eye. Amount of external Precipitating stress. Psychosis. Predisposition as determined by the basic personality make-up. Transient situational reaction. No Neurologic nor psychiatric disorder. Do not meet the standards for police service. Ability to distinguish red and green.

followed by complete inhalation. 157.00 cms. This is for the purpose of remedial action. Physical examination of females shall be conducted with due regard for privacy and in the presence of a female nurse or female attendant. The purpose of the standard is to facilitate detection and disqualification of the unduly obese and to avoid disqualifying muscular. the character of the skin. with the upper edge of the tape just below the lower angles of the scapulas behind and the nipples in front. Obtain the height by placing horizontally.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.00 cms. This will be done in a well-lighted room. MINIMUM STANDARDS FOR HEIGHT AND WEIGHT: TABLE No. The weight shall be recorded in kilograms. WEIGHT AND CHEST MEASUREMENTS GENERAL EXAMINATION: The examination will be conducted with the subject entirely without clothes and his/her shoes removed. The measuring rod will consist of a board at least 2 inches wide by 80 inches long. DIRECTIONS FOR TAKING CHEST MEASUREMENTS: The candidate will be made to stand erect with his feet together and arms hanging loosely at the side. eyes straight to the front. placed vertically. the general nutrition. in order to verify the maximum and minimum 9 9 . healthy applicants. the condition and tone of the muscles. and the presence of any deformity or underdevelopment.1 CATEGORY Minimum Height in Centimeters 162. with accurate graduation of ¼ inch between 58 cm and the top end. the chest development. a board of about 6x6x2 cms best permanently attached to the graduated board by a long cord. Any “R” remaining for more than six (6) months shall be cause for disciplinary or dispository action by the unit commander. a. noting the proportion and symmetry of the various parts of the body. Male b. firmly fixed. SECTION IV GENERAL EXAMINATION INCLUDING HEIGHT. The measuring tape will be carefully adjusted around the chest. Individuals with “T” and “D” suffixes will be evacuated immediately to the nearest PNP Health Service hospital/facility for treatment and/or disposition. The candidate will then be directed to take several deep breaths. The individual will stand erect with his back to the graduated rod. The medical officer will insure that all such individuals receive medical/surgical treatment to remove the suffix. A thorough general inspection of the entire body will be made. height and skeletal structure. Where a measurement rod is attached as part of the scales this may be used but should be checked for accuracy. 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. Drapes and gowns shall be used when appropriate. in firm contact with the top of the head square against the rod. The tape should be approximately horizontal. Weights shall be made on a standard set of scales that are known to be correct. 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. sex. The applicant’s weight should be well distributed and in proportion to age.

64 65.37 63.00 51.85 1.72 80.54 Age 26-30 Minimum 46.57 1.63 75.45 67.00 75.80 1.00 87.27 58.36 83.36 57.82 1.00 78.90 AGE 46-50 Stan Maxi dard 60.91 72.99 74.19 85.27 59.45 103.77 1.46 87.87 69.00 71.00 65.00 106.19 63.09 61.72 64.73 72.73 80.55 86.00 55.00 Height in Meters 1.45 57.91 83.13 97.55 86.20 76.54 70.27 74.57 1.73 84.45 108.72 103.18 69.91 82.38 80.27 84.27 69.00 71.90 78.65 1.18 95.27 89.90 51.90 1.82 77.36 62.36 52.54 56.93 AGE 36-40 Stan Maxi dard 58.45 57.15 80.18 104.55 97.36 109.27 79.93 1.55 76.36 83.29 Standard 62.30 108.72 85.81 58.65 81.27 59. The mobility is the difference between the measurements recorded on inspiration and expiration.18 65.64 64.63 64.57 1.82 71.18 100.64 85.00 92.91 99.52 1.19 46.27 AGE 31-35 Stan Maxi dard mum 56.55 Standard 55.45 93.27 58.65 1.18 64.70 1.72 53.73 79.09 60.27 48.46 97.45 71.70 1.00 87.00 73.54 70.45 77.73 78.55 69.57 76.18 95.93 74.2 THE STANDARDS FOR HEIGHT AND WEIGHT FOR MALES “WEIGHT ACCORDING TO AGE” Age 21-25 Age 26-30 Minimum 49.91 88.09 81.45 71.00 61.45 66.55 80.82 104.82 77.36 52.27 64.64 65.63 85.61 67.72 75.64 Minimum 50.26 Height in Meters 1. Care must be taken not to displace the tape and to avoid muscular contortions.80 1.60 1.82 79.81 69.72 109.82 1.09 70.72 1.36 75.73 59.98 512 513 514 515 516 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 1.77 1.27 53.73 75.27 63.36 63.18 50.55 81.09 81.09 111.18 Standard 54.91 93.81 53.00 88.45 100.36 AGE 51-60 Stan Maxi dard 61. The chest measurement at expiration will be recorded in centimeters and fractions of a centimeter to quarters.72 70.36 57.09 73.82 63.75 1.27 77.36 62.91 88.67 1.18 59.85 1.63 77.09 Maximum 65.18 70.36 88.63 85.46 67.81 87.91 76.82 Maximum 68.00 60.00 108.54 81.46 75.18 68.73 72.52 1.46 77.18 59.64 79.18 91.55 74.36 55.55 98.00 51.36 89.82 62.54 1.62 84. which frequently cause greater inspiratory measurement than the actual lung capacity warrants.36 Standard 51.55 61.64 70.09 85.51 76.64 60.36 95.54 55.66 74.90 72.45 56.72 1.45 61.70 100.00 61.75 1.18 75.46 70.36 54.62 1.92 74.70 1.73 90.27 95.00 93.00 61.60 1.09 85.36 73.36 88.18 72.92 83.54 102.75 1.64 73.55 107.15 64.27 56.55 60.00 66.09 75.46 81.62 1.90 1.73 74.81 67.18 55.55 65.61 102.36 62.09 101.27 79.94 76.55 76.72 1.00 67.82 72.64 91.27 77.87 1.18 54.00 50.00 102.18 80.55 60.62 1.00 81.45 82.91 74.18 60.47 78.55 81.46 61.90 95.54 10 10 .82 68.27 110. TABLE No.00 86.27 84.27 96.36 62.56 83.27 69.45 106.61 64.09 71.90 Maximum 66.27 105.18 69.09 80.87 1.87 72.09 86.64 55.36 70.00 77.36 76.90 101.09 81.36 57.35 62.82 79.91 73.46 77.54 70.86 48.00 71.45 82.73 90.27 53.82 84.27 100.82 63.00 51.36 88.00 50.18 60.60 1.18 110.27 74.36 53.55 70.16 85.27 79.54 1.05 87.09 80.36 78.45 76.09 80.09 50.95 1.55 66.84 77.77 517 518 Age 21-25 Minimum 45.64 75.11 78.55 76.45 78. Great patience and care are often necessary to obtain correct results.82 71.00 55.64 72.72 54.27 67.18 AGE 41-45 Stan Maxi dard 59.46 61.73 74.82 73.27 63.501 502 503 504 505 506 507 508 509 510 511 measurements.09 86.74 79.67 1.81 MIN CHEST 73.54 99.18 76.36 52.80 80.27 82.67 1.82 79.18 75.36 94.73 105.36 72.00 56.93 75.36 68.13 70.09 86.55 57.55 76.82 58.81 105.09 65.64 92.63 98.91 66.63 79.36 83.09 86.45 72.38 47.18 90.91 88.09 67.55 74.65 1.73 79.18 65.46 77.60 106.55 93.48 56.00 82.62 50.09 60.27 63.64 90.82 90.82 67.18 Maximum 69.27 79.20 76.27 75.00 56.

00 89. 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 .18 116.00 116.90 113.64 91.63 92. In such instances. 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. the report will show 540in the detail the findings upon which recommendations for rejection is based.09 88.30 110.81 90.72 90.36 92. A minimum chest expansion of 1 ½ inches will be required. 538and those who appear to be undesirable candidates because of excessive fat.54 1.98 89. 525 526 c.90 113. even though their 539measurements may come within the limits state in the above table.00 112. The standard weight for each height for the Group 26-30 is the ideal one to maintain 520 thereafter.45 93. 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.95 87.27 115.27 109.54 111.81 519NOTE: a.1. The candidate whose weight falls at the extremes of either the minimum or maximum 523 range is acceptable only when he is obviously active.72 90.90 90. 521 522 b. 541 542 543CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 544 545 a.09 117. muscular and evidently vigorous 524 and healthy.

such as slender bones. the report 618 will show in detail the findings upon which recommendations for rejection is based. 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. 632 633 e. 627 628 c. 619 620 621 CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 622 623 a. 616 and those who appear to be undesirable candidates because of excessive fat. All acute communicable diseases. weak ill629 developed thorax.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. 630 631 d. Evidences of physical characteristics of congenital asthenia. Deficient muscular development due to deficient nutrition. actinomycosis 642 643 (4) Pellagra. In such instances. beri-beri. visceptosis and poor constitution. even though their 617 measurements may come within the limits stated in the above Table. sprue and scurvy 644 12 12 . 625 626 b. 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.

parathyroid. 695 696 ii. Simmond’s disease Migraine (15) (16) (17) 677 (18) Hay fever. Those cases which are adequately controlled by diet and exercise with 694 or without medications.). 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). schistosomiasis Diabetes of any degree. The examination should be conducted 717in a well-lighted room. 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. trypanosomiasis. thyroid. atrophic or hypertrophic arthritis. 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.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. pancreas. 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. 718 13 13 . angioneurotic edema or other allergic manifestations 678 if more than mild in degree. chronic myositis or fibrosis. etc. Chronic metallic poisoning Gout. 679 680 (19) Benign newgrowth condition in OB-Gyn which might interfere with police duties. borderline or suspected cases should undergo OGTT or HBAIC determination. rheumatoid arthritis Osteomyelitis Malignant disease of any kind in any location. thrombocytopenic purpura Leukemia of all types Asthma Primary or secondary anemia Filariasis. 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. history of operation for malignancy within the preceeding five(5) years. Hypo or Hyperfunction of endocrine glands (Examples: pituitary. 699 700 (b) Those cases who are in active PNP service and diagnosed to have NIDDP which 701 cannot be adequately controlled by diet. 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). food intolerance. preferable by daylight. Hemophilia. adrenal. Likewise.

Ulcerations of the skin not amenable to treatment. Pemphigus. which is so. malignancy or leprous origin. 753 754 n. Color visual 781acuity test is required for all. herpetiformis. confrontation test. 756 757 o. 751 752 m. or those of long standing. DISTANT VISION = A visual acuity will be determine at the distance of 20 feet or the 787 mirror equivalent under standard condition of illumination. mycosis 728 729 c. 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. opthalmoscopic survey of the optic media and retina. 746 747 k. Vitiligo of the face of sufficient severity to be markedly disfiguring. pronounced as to be definitely unsightly. intraocular 778abnormalities including the detection of glaucoma. or exposed to 748 constant pressure. dermatitis factitia. or of 742 considerable extent. 789 and incident to the part of the chart at 45 degrees angle. Chronic urticaria and chronic angioneurotic edema 758 759 p. Chronic trichopitosis or other chronic fungus infections which have not been amenable 755 top treatment. mycosis fungoides. Ichthyosis. or the show a tendency to break down and ulcerate.719 720 721 722 723CONDITIONS WHICH ARE CAUSES FOR REJECTION OR DISPOSITORY ACTION (P4): 724 725 Eczema. conjunctiva. Extensive. infected or purulent. Exfoliating dermatitis. tuberculosis. 792 14 14 . 760 761 q. Chronic lichen planus. 732 733 e. Furuncolosis. Lamps must be shielded from 790 direct vision of the examinee by an opaque shade. offensive or indecent tattooing. allergic dermatitis 726 727 b. Naevi or vascular tumors which are extensive. Acne on face or neck. 779digital palpation of the eye balls. 762 763 r. impetigo 738 739 h. psoriasis if more than slight degree. Actinomyocis: dermatitis. deep or adherent scars that interfere with muscular movement or with the 745 wearing of PNP equipment. light and spatial reaction of the 780pupils. tonometry. presence of muscular imbalance. Obscenes. 764 765 s. Scabies. 734 735 f. This includes disease of the eyelids. markedly disfiguring. 782 783 784DETERMINATION OF THE VISUAL ACUITY: 785 786 a. 743 744 j. sclero-derma. severe chronic seborrhoic dermatitis. 749 750 l. Pilonidal cyst if painful. oblique illuminations of the cornea. Elephantiasis 736 737 g. placed 5 feet diagonally from the 20/20 line of the test object. 730 731 d. The examination should include eversion of the eyelids. The individual to be tested should be 791 examined without glasses. This illumination is obtained 788 by using a 100 watts lamp. Plantar warts on weight bearing areas. unless mild in degree 740 741 i. or of syphilis. lupus.

the vision if imperfect and is recorded as 20/30. 801 respectively. E1 = To meet acceptable ocular standards with a minimum vision of 20/40 in each eye. In case he can read all the 20 feet. 865 15 15 . correctable to 20/30 in one eye and 20/100 in the second eye. 828 829 b. 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. acute or chronic. 854 855 (4) Malignant growth. ptosis. If he 798 reads the 20 feet type correctly. The applicant is directed to read the 795 prints at the top of the chart of the prints as far as he can read. including severe vernal conjunctivitis and 860 trachoma. if he 800 reads the 15 feet type chart or 40 feet type chart.50 cyl axis 180 = 20/20 813 O. For near visions J6 to J8 correctable with 838 glasses to J1 to J3. etc. 856 857 (5) Acute or chronic dacryocystitis. 807 Prompt reading of the letters is required with 1 – 2 seconds per letter.793 Each eye is examined separately. disfiguring cicatrices and adhesions of the eyelids to each other or to 850 the eyeball. 820 821VISUAL PROFILE CLASSIFICATION: 822 823 a. intractable or recurrent cornel ulcers. 858 859 (6) Acute or chronic conjunctivitis. 863 864 (8) Keratitis. blepharospasm. Reading the test 806 letters in the reverse order is another way of gauging the true vision of the examinee. except one or two letters. the visions 802 is recorded as 20/20 – 1 or 20/20 – 2. the right eye first. Visual 810 acuity with refractive error will be recorded as follows. 847 848 (2) Extensive destruction of the eyelids with impaired protection of the eye from 849 exposure. chronic severe blepharitis. if such defect is not due to active or progressive organic diseases. 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.D. A normal color visions is required for entrance into the police 827 service. 833 834 c. inversion or eversion of the eyelids if uncorrectable. No organic disease of either eye exists. 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. If 799 he could read the 30 feet type only.=20/100 with – 2. the vision if recorded as 20/15 or 20/40. 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. 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. extreme 851 lagophthalmos. 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. For near 831 vision J3 to J5 correctable with glasses to J1 provided defective visions is not due to 832 active progressive organic disease.=20/30 with . E3 = Meets acceptable standards of these regulations with minimum visions of 20/200 in 835 each eye. reading time. 852 853 (3) Trichiasis.00 sph = 20/20 814 815 b. covering the left eye completely with 794 an appropriate occluder without applying pressure. 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.0. 840 841 d. Able to recognize colors 826 using the ishihara test. with 839 vision in the other eye 20/100 correctable to 20/20 with glasses. his vision is normal imperfect and is recorded as 20/20. 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.S. 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. unless this deficiency is affected by the ability to 803 read equal number of letters in the 20/15 line. 861 862 (7) Recurrent or extensive pterygium. 811 812 DISTANT VISION: O.

regardless of the 885 stage of the activity and resistant to treatment. more than mildly symptomatic. 903 904 f. 919 920 (b) When visual field in the better eye is less than 20. Active eye disease or any progressive organic eye disease. papilledema and optic atrophy. sensations of motion 937 sickness and other gastrointestinal disturbance.866 (9) Uveitis. bilateral. acute chronic or recurrent . regardless of the 926 condition of the better eye. 868 869 (10) Opacities or dislocations of the lens. the residuals of complications 909 of the underlying disease make one physically unfit. etc. 910 911 h. 939 16 16 . Residuals or complications of injury to the ye which are progressive or which 912 bring visions below the criteria of fitness. Ocular manifestations of endocrine or metabolic disorders no not in themselves 908 render the individual physically unfit. Diseases and infections of the ye. 872 873 (12) Nystagmus of any degree. 906 907 g. 897 898 d. neurologic symptoms. Anisokeinia: Subjective eye discomfort. 880 881EYE DEFECTS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 882SERVICE (Disability Separation): 883 884 a. when chronic. and resistant to the treatment after six (6) months period. Aphakia. 913 914 i. or newgrowth. 895 896 c. 899 900 e. 890 891 (2) The diameter of the visual fields in the unaffected eye is less than 20 892 degrees. 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. 923 924 (d) When the detachment is the result of documented. 870 871 (11) Permanent and well-marked strabismus lower than 20 degrees deviation. 927 928 (2) BILATERAL: 929 930 Regardless of etiology. and not corrected by isoikenic lenses. and difficulties in 938 form sense. 925 progressive disease. 874 875 (13) All types of glaucoma. any 876 tumor of the orbit. 921 922 (c) When uncorrectable diplopia exists. Atrophy of the optic nerve. Chronic congestive glaucoma. Retinal Detachment. organic. retinal degeneration or detachment. 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). abnormal visual fields because of brain lesions. 893 894 b. 867 optic neuritis. 931 932 933VISUAL DEFECTS WHICH ACRE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 934SERVICE (Disability Separation): 935 936 a. 905 progressive. 915 916 (1) UNILATERAL: 917 918 (a) When visions in the better eye cannot be corrected to 20/40. retinitis. results of surgery and/or laser therapy. 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. functional disturbance. However.

Night blindness: Of such a degree that the individual requires assistance for travel at 948 night. 1013 17 17 940 . 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. and the 993 denominator is 15. Examine the ears separately in a quite room. 15/15 indicates a normal hearing. 985 986 b. and “FEET” are spoken one at a time in a low. Conventional Voice Tests: 972 973 In determining hearing acuity by conversational voice. 942 943 c. 1009 1010NON-ACCEPTABLE EAR DEFECTS (H4): 1011 1012 (1) Hearing less than minimum requirements. 967 968 969DETERMINATION OF AUDITORY ACUITY: 970 971 a. the 992 numerator is the distance in feet at which words are repeated by the examinee. H1 = Auditory acuity of 15/15 or 20/20 in both ears. (less than 5/15 wv and 1008 10/20 cv). Reading should not be 995 over 30 decibels hearing levels. If the examinee cannot hear the word at 20 feet. Cerumen or other objects are removed from the ear canal if 965present in order to visualize the eardrum satisfactorily. 10/15 indicates that the 994 hearing of the examinee is diminished by 1/3 of a normal hearing. Binocular diplopia: Not correctable by surgery and which is severe. to 991 assure uniformed output of voice. H4 = Those with non acceptable ear defects as enumerated below. 1000 1001 b. The acuity of hearing is expressed 981 in a fraction.b. No organic defects. until it is repeated 980 correctly. even 978 conversational voice. 949 950 e. place the examinee at 974 right angle to the examiner. Loss of an eye: An individual whose loss of an eye was due to other progressive eye 944 diseases. the numerator of which is the distance in feet at which the words are heard 982 by the examinee and the denominator is 20. Acuity of hearing is expressed as a fraction. 946 947 d. using an accentuated whisper (residual air). Visual fields contracted to less than 20 degrees. Patency of the Eustachian tube is determined by 966insulation if obstruction of this structure is suspected. 1006 1007 d. thus 20/20 indicates a normal hearing. Words denoting low 977 tones like “SEVEN”. may be recommended for continuance. “ SISTER”. Whispered Voice Tests: 987 988 Hearing acuity is also determined by whispered voice. the examinees 979 should approach foot by foot using the same tone but different word. 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. constant and in a 941 zone less than 20 degrees from the primary position. 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. The external auditory canals and tympanic membranes are inspected with reflected light and 964ear speculum by a self-illumination otoscope. Their shape and symmetry 963are observed. with the ear to be tested toward the 975 examiner and the other ear closed by pressing the tragus firmly against the meatus. and 976 directing him to repeat promptly words spoken by the examiner. with no 1002 active or progressive organic disease. H2 = Minimum hearing of 15/20 in one ear and not less than 10/20 in the other. 996 997HEARING PROFILE CLASSIFICATIONS: 998 999 a. 20 feet distance. with no 1005 active or progressive organic disease. who has a satisfactory prosthesis and who adjusts well to the wearing of the 945 prosthesis. 1003 1004 c. Thus. H3 = Minimum hearing of 10/20 in one ear and less than 10/20 in the other.

X-ray and other studies like CT-scan. markedly disfiguring deformity of the organ. dry or active. Total loss of an external ear. CAUSE PHYSICAL AND FITNESS FOR FURTHER POLICE SERVICE Infections of the external auditory canal. Marked stomatitis. Meniere’s syndrome. etc. will be employed if indicated. Reflected light will be employed to examine the nasal 1067cavities before and after the nasal mucosa is shrunk by the application of the vasoconstrictor. 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. chronic catarrhal otitis media. following mastoidectomy. chronic and severe. unsightly mutilations of the lips and nose from 1075 wounds. ESOPHAGUS. Severe Tinitus complicated by vertigo. chronic. LARYNX. severe ulcerations. if audiometer is not available. Severe atresia of the external auditory canal or tumors of this part. partial loss. TRACHEA. Mastoiditis. 1051 1052 f.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. marked hypertrophy or atrophy. 1070 1071 1072CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1073 1074 a. 1035 1036 1037 1038 1039 c. adhesions of the 1078 tongue interfering with mastications. Harelip: Extensive loss of either lip. 1031 1032 1033 1034 b. Malignant tumors and benign tumors of the tongue interfering with its functions. and leukoplakia. Otitis media. suppurative. if auditory is not available. 1083 1084 e. Perforation of the tympanic membrane. NOSE. 1045 d. otitis media. 1048 1049 e. extensive loss of substance and ulceration of the hard and soft palate. untreated or resistant. 1066ultrasound. constant drainage from the mastoid cavity which is resistant to treatment requiring frequent dispensary care or hospitalization. dry and without any impairment of 1053 hearing is not considered to render an individual on active duty physically unfit. Extensive ranula. 1085 1086 f. speech or swallowing. Transillumination of the 1069sinuses is done on individuals with rhinitis. 1054 1055 1056 1057 SECTION VIII 1058 1059 1060 MOUTH. paralysis of the soft palate. 1079 1080 c. 1076 1077 b. acute or chronic. Perforation of the tympanic membrane. Infection. resulting in the thickening and excoriation of the canal or chronic secondary infection requiring frequent and prolong medical treatment or hospitalization. 1040 1041 1042 1043 1044 Acute or chronic suppuration. 18 18 . 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. Acute or chronic mastoiditis. PHARYNX 1061 1062 1063METHODS OF EXAMINATION: 1064 1065 These organs will be examined by inspection and palpation. FAUCES. burn or disease. 1087 extensive adhesions of the soft palate to the pharyngeal walls. Perforation. 1081 1082 d. of external auditory canal. atrophy or hypertrophy of the tongues. The 1068nasopharynx and oropharynx are examined with the aid of laryngeal mirrors. chronic. Malformation. 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. or hearing level 5/15 feet or below by whispered voice test. otitis media associated with hearing defects below requirements. salivary fistula.

severe 1131 1132 (3) Esophageal diverticulum associated with obstruction. 1111 1112 o. 1142 1143 (2) Sinusitis. extensive 1090 nasal ulceration. foul fetid odor and 1141 anosmia. accompanied by audible whistling sound. 1095 1096 i. deglutition and 1110 breathing. 1105 1106 m. Diverticulum. Perforated nasal septum. chronic sinusitis with polyps. Esophagus: 1127 1128 (1) Achalasia 1129 1130 (2) Esophagitis. Acute and chronic infection of the nasal accessory sinuses. regurgitation. 1134 1135 (4) Esophageal stricture. Tracheostomy 1117 1118 r. 1113 1114 p. Examinees with 1093 perforated nasal septum should be cleared from symphilitic infection and yaws before 1094 acceptance. ESOPHAGUS. 1137 1138 b. severe and frequent attacks of 1100 hay fever (allergy). 1108 1109 n. resistant to 1144 treatment. Pharyngeal deformities and malformations interfering with its functions. PHARYNX. Adenoid hypertrophy causing respiratory obstruction or associated with recurrent otitis 1107 media. 1145 1146 (3) Edema of glottis. 1119 1120 s. 1098 1099 j. Hoarseness of any cause. 1101 1102 k. aphonia. 1154 1155 1156 SECTION IX 1157 1158 1159 DENTAL EXAMINATION 1160 1161 19 19 . Tonsillar hypertrophy sufficient enough to interfere with speech. Paralysis of the vocal cords. Nasal obstruction due to severe septal deviation. ulceration or stricture or pronounced dilatation of the esophagus. persistent. AND LARYNX (Disability Separation): 1125 1126 a.1088 1089 g. 1103 1104 l. hypertrophic rhinitis. NOSE. 1121 1122 1123CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE FOR DEFECTS OF THE 1124MOUTH. Loss of nose and nasal deformities interfering with speech and respiration. 1151 1152 (5) Vocal cord paralysis associated with speech defect and inadequate 1153 airway. 1148 1149 (4) Stenosis of the larynx causing respiratory embarrassment upon slight 1150 exertion. chronic recurrent obstructive edema of the glottis. severe enough to cause frequent hospitalization 1136 and malnutrition. 1091 1092 h. 1115 1116 q. 1147 requiring tracheostomy. Chronic laryngitis. Nose and larynx: 1139 1140 (1) Atrophic rhinitis associated with severe crusting. Atrophic rhinitis. nasal polyps. and 1097 other causes sufficient to produce mouth breathing. and 1133 malnutrition.

and the 1219 candidate’s name will be placed on each cast. It is left untreated and / or improperly filled non-serviceable 1195 teeth. It has unfilled cavity. as well as. Dental Service Division of the HS. In 1234 such case. who will be 1223 informed of such action. 1191 1192 c. 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. Plaster casts will be made of both upper and lower teeth when malocclusions occur. 1229 and also four (4) serviceable vital incisor teeth (incisors and cuspids) above and four (4) 1230 below serviceable opposing. 1179 1180 (3) Vital teeth properly filled with permanent fillings or well1181 crowned will be considered serviceable. X-rays of roots made of all the deciduous 1220 teeth showing clearly length of roots and any underlying unerupted tooth. It is deciduous tooth. 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. any grow pathology of the supporting tissues of the teeth. If a normal third molar properly 1233 positioned and developed is shown. periodontoclasis. if otherwise acceptable. 1184 1185 (4) A tooth will not be considered service if: 1186 1187 a. Definitions: 1172 1173 (1) The term “masticating teeth includes molar and bicuspid and the term “ incisors” 1174 include incisor and cuspid teeth. 1169 1170 1171 a. There is destruction of the supporting tissues of the teeth 1198 resulting from gingivitis. the report of Medical Examination will carry an appropriate remark such as X1235 ray showing normally developed and erupting teeth. 1210 1211 (4) Marked irregularity of the teeth. It supports a defective filling crown. 1189 1190 b. It fails to enter into serviceable occlusions with an opposing 1188 teeth. All conditions falling under Sections 11. 1216 1217 c. all prosthetic dental 1167appliances will be indicated. 1193 1194 d. 1206 1207 (2) Cleft palate. A 1182 single tooth replacement by a standard method of fixed bridgework will 1183 be acceptable if the bridge is well constructed.1162DENTAL PROVISIONS: 1163 1164 The teeth and surrounding tissues will be examined by an officer of the Dental Service. 1208 1209 (3) Disfiguring spaces between anterior teeth. 1224 1225ADMISSION TO THE PHILIPPINE NATIONAL POLICE ACADEMY: 1226 1227 a. 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. 1214 1215 (6) Presence of unerupted impacted tooth. devitalized 1221 teeth. 1201 1202 b. In cases where insufficiency of teeth may be remedied by 1231 the eruption of third molars. it may be credited with possession of this tooth. A 1218 pencil mark will be drawn across both casts to denote centric occlusions. Casts and X1222 rays will be forwarded direct to the Chief. 20 20 . 12 and 13 of the said form shall be 1168noted and duly recorded. 1212 1213 (5) Marked malocclusion. etc. 1199 1200 f. 1196 1197 e. Causes for Rejection: 1203 1204 (1) Failure to meet the standard of minimum requirements as in the number 1205 of serviceable vital teeth present. an X-ray of the third molar region will be taken and 1232 forwarded with the Medical Examination Report.

1257 1258ENTRANCE INTO THE PNP MARITIME GROUP: 1259 1260 All the requirements for the ground forces will apply. Benign tumors or cysts which are big enough to interfere with the wearing of police 1309 uniform and equipment. Deformities of the skull of any degree associated with evidence of disease of the brain. All of the Dental provisions on the above cited will apply. Extensive cicatrices. tuberculosis and syphilis. 1277 1278 1279CONDITIONS OF THE HEAD WHICH ARE CAUSES FOR REJECTION (P4): 1280 1281 1282 a. 1253 1254 b. 1291 1292 f. including cancer. 1255 1256 c. A full mouth X-ray will be taken of all candidates for admission to the PNPA. 1283 1284 b. All of the Dental provisions on the above cited will apply. 1307 1308 e. Presence of partially filled root canal. former injury. The scalp and cranium are examined 1275for evidence of infection. 1240 1241ENTRANCE INTO THE PNP – LATERAL ENTRY AND RECRUITMENT: 1242 1243 All of the Dental provisions on the above cited will apply. 1295 spinal cord or peripheral skull. 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. Imperfect ossification of the cranial bones. Cervical lymph node involvement other than benign in character. 1300 Hodgkin’s disease. Presence of defective crown fillings. adherent scars with tendency to break down and ulcerate. 1296 1297NECK CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1298 1299 a. X-ray is required where bony defect is 1276suspected. depression and deformity. 1238 1239 c. 1285 1286 c. 1251 1252 a. Adherent disfiguring scars. 1289 1290 e. All tumors which are of sufficient size to interfere with the wearing of police headgear. Thyroid gland hypertrophy from any cause. Thyroid or adenomatous goiter. Depressed fracture or loss of bony substance of the skull. Other causes for rejection. 1287 1288 d. Hydrocephalus or microcephalus. Excessively large fillings covering vital teeth. history of total thyroidectomy. 1305 1306 d. 1303 1304 c.1236 1237 b. Tinea in any form. 1244 1245 1246ENTRANCE INTO THE AVIATION SECURITY GROUP: 1247 1248 1. 1301 1302 b. 21 21 . 1293 1294 g. leukemia. 1249 1250 2.

1315 1316 1317 1318 1319 1320 1321EXAMINATION OF THE FOR DEFECTS: 1322 1323 The neck will be examined by inspection and palpation. ear. When indicated. paralysis. and hypopharyngeal survey. Symmetry and the presence of deformity 1324should be well served. 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). 1343 1344 c. INCLUDING SACRO-ILIAC 1356 AND LUMBO-SACRAL JOINTS 1357 1358 1359EXAMINATIONS FOR DISEASES: 1360 1361 The spine will be examined by inspection and palpation. tic dolouroux. 1328 1329 1330 SECTION XI 1331 1332 1333 FACE 1334 1335 1336CONDITIONS OF THE FACE WHICH ARE CAUSES FOR REJECTION (P4): 1337 1338 a. scars and 1341 mutilations due to injuries or surgical operations. 1310 1311 f. 1372 1373 (3) Prominent scapulae not interfering with wearing of the uniform or police 1374 equipment (U2). X-ray examination will be made. 1382 22 22 . ulcerations. osseous cysts and extensive exostosis. Extremely repulsive facial appearance. The mobility will be observed while the 1362candidate is performing appropriate exercise. if the 1369 mobility of weight-bearing power is good (P1). Torticollis. Persistent neuralgia. 1370 1371 (2) Fracture of the coccyx (L2). Ununited fractures. it is not cause for rejection. 1347 1348 e. 1375 1376 (4) Complaint of disease of the sacroiliac and lumbo-sacral joints which is 1377 unassociated with objective signs and symptoms (L2). must be carefully evaluated to determine its cause 1325and extent. complete or partial ankylosis. 1367 1368 (1) Lateral deviation of the spine of 10 degrees or less from the middle line. with or without fistulous tracts. Congenital cyst of bronchial cleft origin or those developing from the remains of a 1312 thyroglossal duct. tumors. Acceptance for police service. however. fistulas. cervical rib. badly reduced or recurrent dislocation of 1349 the temporo-mandibular joint. Cervical adenopathy if present. Chronic arthritis. is deferred 1327pending clearance of the adenopathy. 1345 1346 d. This is done in conjunction with nose. If the cpndition is 1326benign in character. 1313 1314 g. Extensive deformities like birth marks. atrophy of 1342 a part of the face or lack of facial symmetry. 1350 1351 1352 SECTION XII 1353 1354 1355 SPINE AND PELVIS. 1363 1364ACCEPTABLE: 1365 1366 Physical Profile Classification “1” and “2”.b. hairy moles. 1339 1340 b.

1424edema and impaired function from any cause. deformed or missing toes. deformity and rthritic changes. 1450 1451 (8) Hallux valgus.1383 (6) Spina-bifida occulta. corns. or causing bad 1410 posture/appearance. with sufficient objective findings. 1408 1409 e. interfering with function. provided it is asymptomatic and can be demonstrated by 1384 X-ray examination only (L1). 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). 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). unless severe in degree (U2) or L2). the strength of the feet should be ascertained by 1427having the candidate hop on the toes of that foot. 1402 1403 c. 1385 1386 1387CONDTIONS WHICH ARE CAUSES OF PHYSICAL UNFITNESS FOR FURTHER POLICE 1388SERVICE (Disability Separation): 1389 1390 a. Kyphosis: More than moderate. 1442 1443 (5) Scars and deformities of moderate degree of the hand or hands which do not 1444 interfere with normal function (U1). old fractures and varicose veins. following appropriate 1406 treatment or reliable measure of such a degree as to interfere with the satisfactory 1407 performance of police duty. Disarticulation of hip joint. and 1426bromoidrosis. When any deformity of the fee is found. unless severe (L2). unless severe (L2). 1414 1415 1416 SECTION XIII 1417 1418 EXTREMITIES 1419 1420 1421EXAMINATION FOR DEFECTS: 1422 1423 The extremities will be carefully examined for deformities. bunions. ingrowing nails. pes 1425clavus. Abdominopelvic amputation. 23 23 . 1440 1441 (4) Loss of the terminal phalanx of index finger (left or right) (U2). 1395 1396 (2) Spondylolisthosis or spondylosis: More than mild displacement and more than 1397 mild symptoms on normal activity. 1455 1456 (10) Ingrowing toe nails. 1391 1392 b. 1428 1429ACCEPTABLE: 1430 1431 a. 1452 1453 (9) Absence of one or two of the small toes or one or both feet. 1404 1405 d. 1448 1449 (7) Hammertoes which do not interfere with the wearing of police shoes (L1). clubfeet. hyperhydrosis. if function of the 1454 foot is good (L2). Coxa Vara: More than moderate pain. The feet will be especially examined for pes planus. 1445 1446 (6) Flat foot unless accompanied with symptoms of weak foot or when the foot is 1447 weak on toes (L2). 1411 1412 f. 1398 1399 (3) Others: Associated with muscular spasm. 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. pain on the lower extremities and 1400 limitation of motion which have not been amenable to treatment nor improved 1401 by assignment of limitations. Acquired anomalies: 1393 1394 (1) Dislocation of hip.

1476 1477 (4) Loss of great toe. if severe in degree. 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. 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. Varicose veins if severe in degree or if associated with edema or with present or previous 1521 ulcer of the skin. Obliteration of the transverse arch associated with permanent flexion of the small toes 1529 (claw toes). there is full active 1463 motion in flexion and extension. 1522 1523 j. if not incapacitating 1493 and not likely to breakdown. 1513 1514 g.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). Muscle paralysis or contraction or atrophy which disturbs function to a degree which 1515 interferes with police service. provided that one year has elapsed since operation 1460 without recurrence. 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. Loss of fingers in excess of minimum requirements. 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. 1519 1520 i. 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. 1502 1503 b. 1504 1505 c. if 1496 not severe in degree. 1465 1466 b. 1497 1498 1499CONDITIONS WHICH ARE CAUSES FOR REJECTION (U4 or P4): 1500 1501 a. there is no weakness or atrophy 1462 of the thigh musculature in comparison with the normal side. Unreduced or recurrent dislocation of any of the major joints. 1508 1509 e. 1516 1517 h. Non-united fractures. 1510 1511 f. Disease of any bone joint healed with resulting functional impairment to a degree that 1512 will interfere with police service. 1530 24 24 . 1494 1495 (10) Healed disease or injury of wrist or elbow with resulting limitation of motion. Loss of one or both thumbs. 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. Tuberculosis of a bone or joint. Extensive. 1491 1492 (9) Adherent scars of the skin and soft tissues of an extremity. 1527 1528 k. 1470 1471 (2) Webbed fingers or toes. 1506 1507 d. Rigid foot or flat feet when accompanied with symptoms of weak foot or when the foot is 1524 weak on test. 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. 1478 1479 (5) Loss of dorsal flexion of great toe. the knee ligaments are stable in lateral and antero-posterior 1461 directions in comparison with the normal knee.

the X-ray shows pathology. Clubfoot of any degree. knee or ankle joint which interfere with function of weight-bearing power. floating cartilage or other internal derangement in joint. if at the end of one year post-operative time. n. Plantar warts on weight bearing areas. Chronic edema of limb. 1553 1554 r. o. Abduction or pronation of the foot. 1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548 1549 1550 m. 1551 q. An authentic history of dislocated semi-lunar cartilage or loose body in knee.1531 1532 l. 1567 1568 y. pick up a pin or 1584 needle. Chronic synovitis. or a substantiated history of osteomyelitis of any of the 1552 long bones of the extremities. History of surgical correction of dislocated semi-lunar cartilage of loose body in knee. Amputations of extremities in excess of those already cited. there is weakness or atrophy of the thigh musculature in comparison with the normal side. Amputations: 1582 1583 (a) Loss of fingers which precludes ability to clench fist. p. or there are other symptoms of internal derangement. Severe sprains. Upper Extremities: 1580 1581 1. there is no full active motion in flexion and extension. 1561 1562 v. Sciatica which is apparently intractable and disabling to the degree of interference with the function of walking and weight bearing power. 1588 1589 2. 1585 1586 (b) Any loss greater than specified above to include hand. 1573 1574 (2) Ingrowing toe nail if severe. Knock knee or bow legs if severe in degree. or chronic arthritis from any cause. Disease of the bone or of the hip. 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 . 1559 1560 u. Benign tumors if sufficiently large to interfere with function. forearm or 1587 arm. Deformities due to fracture or other injury which interfere with function and weight bearing power. 1555 1556 s. Joint ranges of motion which do not equal or exceed the measurements listed 1590 below. 1565 1566 x. 1571 1572 (1) Bunions if painful or sufficiently pronounced to interfere with function. 1557 1558 t. the knee ligaments are not stable in the lateral and anteroposterior directions in comparison with the normal knee. Osteoarthritis or rheumatoid arthritis. or grasp an object.A total of 15 degrees (Extension-Flexion) 25 25 . 1563 1564 w. Active osteomyelitis of any bone. 1575 1576CONDITIONS WHICH ARE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE 1577SERVICE (Disability Separation): 1578 1579 a. which has not been satisfactorily corrected by surgery. Perceptable lameness or limping. 1569 1570 z.

if more than 1635 moderate in degree. leg. Miscellaneous: 1661 1662 1. However. 1610 1611 b. supported by X-ray. 1619 1620 2. more than moderate with pronation 1625 on weight bearing which prevents the wearing of police shoes or when 1626 associated with vascular changes. 1672 1673 (c) Osteoarthritis: Frequent recurrences of the symptoms associated 1674 with impairment of function. Joint ranges of motion which do not equal or exceed the measurement listed 1644 below. Shortening of an extremity which exceeds 2 inches. Lower Extremities: 1612 1613 1. 1636 1637 (b) If arthritis has supervened. with objective evidence and documented history of 1667 recurrent incapacity for prolonged periods. 1617 (b) 1618Any loss great than specified above to include foot. Knees: 1633 1634 (a) Residual instability following remedial measures. 1623 1624 (b) Pes planus: Symptomatic. associated with persistent pain and marked 1666 loss of function. range of motion limitations temporarily not meeting these 1645 standards because of disease or remedial conditions do not make the individual 1646 physically unfit. and which prevents the 1630 wearing of police shoes. 1627 1628 (c) Talipes Cavus when moderately severe. or severe with arthritis changes. 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. 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. 1642 1643 4. or thigh. 1659 1660 c. 1609 ulnar and radial nerves. evidence and 1675 documented history of recurrent incapacity for prolonged periods. Arthritis: 1663 1664 (a) Arthritis due to infection (not including arthritis due to gonococcal 1665 infection or tuberculosis).1605 1606 (d) Hand – Pronation to the first quarter of the normal arc 1607 1608 3. 1631 1632 3. 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. Loss of motor and sensory functions secondary to nerve injury on the median. Feet: 1621 (a) Hallux valgus when moderately severe with exostosis or rigidity and 1622 pronounced symptoms. metatarsalgia. 1676 26 26 . 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. with moderate discomfort on 1629 prolonged standing or walking.

1737 1738 10. major joints in unfavorable position 1712 and condition. and has not responded to treatment . does not render the individual physically unfit. confirmed. 1698 1699 (c) Bone fusion defect: When manifested by more than moderate pain and 1700 loss of function. there is 1693 more than moderate malunion with marked deformity and more than 1694 moderate loss of function. 1730 1731 (c) Progressive muscular dystrophy. 1710 1711 (b) Bony or fibrous ankylosis: Painful. 1740 1741 1742 SECTION XIV 1743 1744 1745 CHEST 1746 1747 1748CONDITIONS WHICH ARE CAUSES FOR REJECTION OR UNFITNESS (P4): 1749 1750 a. 1713 1714 (c) Contracture of joints: More than moderate. Calcification of cartilages does not per se render the individual physically unfit. 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. Ottoitis deformans (Paget’s disease): Involvement in single or multiple bones 1736 with resultant deformities or symptoms severely interfering with functions. 1720 1721 7. does not render the individual physically 1739 unfit. excessive. 1689 1690 5. manifested by frequent joint effusion. 1684 1685 3. 1701 1702 (d) Callus. loss of function is severe 1715 and the condition is not remediable by surgery. Ostoitis fibrosa cystica: Per se. 1697 non-union of a fracture interferes with adequate function.1677 (d) Rheumatoid arthritis or rheumatoid myosities: Substantiated 1678 history of frequent recurrences and supported by objective and 1679 subjective findings. more than 1688 moderate interference with function or with severe residuals from surgery. 27 27 . 1686 1687 4. 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. Fractures: 1691 1692 (a) Malunion of fractures: When after appropriate treatment. 1682 1683 2. following fracture: When it interferes with function 1703 and has not responded to treatment and observation for an adequate 1704 period of time. 1734 1735 9. Myotonia. 1705 1706 6. 1732 1733 8. confirmed. Joints: 1707 1708 (a) Arthroplasty: Severe pain. 1695 1696 (b) Non-union of fracture: When after an appropriate healing period. Chondromalacia: Severe. 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. 1680 1681 (e) Gouty arthritis. Bursitis per se. limitation of motion and loss of 1709 function. Chest expansion less than 1 ½ inches.

1755 1756 c. 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. subacute or chronic pulmonary disease to be recorded in detail. 1773 1774 h.1751 1752 b. 1757 1758 d. or mediastinum will be carefully checked to 1800 ascertain whether they persist or are only transitory. pleura. 1796 1797 a. the absence of abnormal signs does not exclude tuberculosis. Particular attention will be focused upon the occurrence of the pulmonary rales. 1808 1809 d. d. Malignant tumors of the breast or chest wall and benign tumors which interfere with the 1772 wearing of a uniform or of police equipment. 1766 1767 (2) Suppurative periostitis or caries or necrosis of ribs. 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. Pronounced contraction of the chest wall following pleurisy or empyema. It must be borne in mind that a tuberculosis lesion may not produce abnormal physical signs. 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. limitation or inequality of the respiratory movements are to be noted. 1769 1770 f. ununited fractures. Careful inquiry will be made into the candidate’s medical history. the 1768 scapulae or the vertebrae. Deformities of the chest or scapulae sufficient to interfere with the carrying of police 1759 equipment. the clavicles. chest 1811 X-ray (14 x 17 film) is required for all applicants for police service. 1818 1819 b. Scars of an old operation for empyema unless the examiner is assured that the respiratory 1777 function is entirely normal. Unhealed sinuses of the chest wall. which may be 1803 elicited only after the expiratory cough. if interfering with functions. 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. 1798 1799 b. palpation. 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. The acceptable 1812 interpretation for admission is NORMAL CHEST. Therefore. Inactive pulmonary residues. to cough before inhaling and then to inhale deeply but quietly. Rales are 1805 heard most often at the beginning of inhalation after such expiratory cough. 1762 1763 (1) Old fracture of the clavicle where there is much deformity or interference with the 1764 carrying of police equipment. 1801 1802 c. the sternum. a. History of clinical tuberculosis not exceeding the minimal stage. more particularly for any type of 1795acute. 1810 In other words. 1778 1779THE CONDITIONS LISTED IN THE PRECEEDING PARAGRAPHS ARE ALSO FOR DISABILITY 1780SEPARATION EXCEPT CONGENITAL DEFORMITIES. now inactive as 1820 demonstrated by chest X-ray six months after is P2. 1813 1814ACCEPTABLE: 1815 1816 a. The subject will be instructed to exhale completely 1804 with the mouth open. or partial or complete dislocation 1765 of either end of the clavicle. percussion and auscultation of the 1794chest. Frequency. 1771 g. Absence or faulty development of the clavicle. 1823 1824 28 28 . 1775 1776 i. Abnormal physical signs in the lungs. Old fractures of the rib with faulty union. 1760 1761 e.

pulmonary empyema. 1870 The applicant or candidate should be examined fully relaxed and comfortable in a well 1871 ventilated room with a good light. Active tuberculosis of any organ including pleurisy with effusion. The response to this test furnishes a rough estimate of a myocardial efficiency. e. have him f. Chronic bronchitis. 1897Observation of the degree of dyspnea. emphysema. 1840 1841 f. 1828 negative sputum exam for AFB culture with normal ESR determination is considered 1829 acceptable (P2). as hard pressure may obliterate a thrill. 1883 1884Palpate radial and posterior tibial pulse while auscultating. 1868 blood pressure determination. 1855RVH. clearing the floor by about 1 inch at 1893each hop. 1880(mitral stenosis). provided examination shows recovery without disqualifying 1849 sequelae. pulsations and retraction in the back. Doppler 1869 echocardiography and other more specialized or specific studies may be done if indicated. at level of fifth rib. enlargement of the thyroid gland. emphysema. or engage in equivalent exercise. 1887left of sternum (pulmonic area). empyema. f (if severe and resulting to 1854hospitalization). suprasternal notch (aneurysm) apex of the heart c. etc). auscultation. then in the left fifth interspace in the 1889midclavicular line. second interspace to the e. Mycotic disease or residual cavitation therfrom. Note location and character of the maximum apical 1882impulse. or extensive fibrosis of the lungs from any cause. d. 1885 1886Auscultation = Auscultate in the second interspace to right sternum (aortic area). eyes of the arcus 1874 senilis. left lower sternum (tricuspid area). pulsations in 1877 epigastric and hepatic regions. hydatid cysts. History of clinical tuberculosis or residues of pulmonary tuberculosis. “barrel chest”. HPN. 1850 1851CONDITIONS ABOVE THAT ARE ELIGIBLE FOR DISBILITY SEPARATION: 1852 1853 Conditions which are causes for rejection (P4) para b. 1856 1857 1858 1859 SECTION XVI 1860 1861 1862 HEART AND VASCULAR SYSTEM 1863 1864 1865METHODS OF EXAMINATION: 1866 1867 a. 1892hop 100 times (or less when in doubt as to his condition) on one foot. location of point of maximum impulses. 1875 malformation of the chest. d. which is considered of 1832 tuberculosis origin. 1872 1873 b. character of precordial impulses. General = The examination should include inspection. pleura or mediastinum. chest-X-ray and electrocardiography. 1830 1831 b. or other symptoms of circulatory failure should be 1898terminated abruptly if untoward symptoms are noted. 1837 1838 e. Acute pleurisy or extensive chronic adhesive pleuritis. Pneumothorax or hydrothorax. visible pulsations of vessels of the neck. Note disparity. if no other cause can be determined. Use palm of the hand and light pressure in 1881palpating. Take the pulse rate before. 1835 1836 d. cystic disease of the 1839 lungs. 1842 1843 g. An 1896irregular or unduly rapid pulse after exercise may occur in the presence of vasomotor instability. RAH. 1844 1845 h. Inspection = Note especially color of the skin and mucous membranes. and base to the right sternum (aortic stenosis). and at the apex 1888whereve it may be located (mitral area) or if it cannot be located.1825CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 1826 1827 a. Tumor of the lungs. pneumoconiosis. The response may be considered adequate if the rate two minutes after exercise is within ten 1895beats of the initial rates. 1846 1847 i. The second sound is most distinct normally at the base. Auscultation should be repeated immediately after 29 29 . 1833 1834 c. bronchiectasis. An individual may be accepted after a foreign body has been 1848 removed from the bronchus. immediately after exercise and two 1894minutes later. pulsations in right and left second interspaces and suprasternal 1876 notch.g. and. 1878 1879Palpate for thrills/btuits over the thyroid gland (goiter). abscess of the lungs. c. Palpate radials simultaneously noting any disparity. palpation. cyanosis. inactive by X-ray. Foreign body in the lungs. percussion. 1890 1891Pulse Rate = Using discretion and allowing for the age and general appearance of the applicant. Asthma of any degree. g and h and/or with stigmata ascribable to it (e.

1961 l.1899exercise to detect murmurs previously inaudible. (2) Myocardial infarct imaging (Technitium – 99mm labeled phyrophosphate and 1959 Indium-III labeled antimyoson). This can be a 1951 sensitive method of determining right-to-left shunts such as atrial or ventricular spetal 1952 defects. this procedure should only be used to obtain information 1970 which cannot be provided by non-invasive techniques. diseases of the coronary 1920 arteries and myocardial injuries. and. This can measure intracardiac pressures. and (3) Radionuclide angiography or radionuclide 1960 ventriculography. and contrast echocardiography. Bradycardia. cross sectional echocardiography (CSE or 2-D Echo). In doubtful cases. It can also detect intracardiac 1946 shunts. The presence and severity of 1945 valvular regurgitation can be estimated by Doppler study. Due regard must be given to the 1906 age of the applicant and to physiological causes such as excitement. This can be separated into three categories: 1957 (1) Myocardial perfusion imaging (Thallium – 201 imaging and stress testing with Thallium – 1958 201). 1956 special gamma cameras and computer systems. multiple ultrasound 1936 beams (3-100). 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. 1916 anteroposterior. 1934 1935 (2) Cross-Sectional Echocardiography = In CSE. an 1900electrocardiogram should be made. 1947 1948 (4) Contact Echocardiography = The injection of almost any liquid. Nuclear Cardiology = This is the study of cardiac function. Therefore. and cardiac output. (ex. and (3) 1969 production of arrythmias. will produce tiny microbubbles 1950 that appear as very bright echo-densecloud on the echocardiogram.blood. “Cardiac Flouroscopy” is advised. 1917 1918 i. 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. 1912 1913 h. 1903 1904 g. This examination is also required for those already in the service. or 1949 indocyanine green dye). 30 30 . if above 25 1923 years of age. No 1909 applicant will be rejected as a result of a single reading. The report will include the size and contour 1915 of the heart and great vessels. the degree of the accentuation of the aortic second 1908 sound. 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. when indicated. ex. blood oxygen content or 1964 saturation in different chambers of the heart. 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. the procedure will be repeated morning and afternoon daily for three (3) consecutive 1911 days to enable the examiner to reach a definite conclusion. or 2-D ECHO. and the relation between the systolic and the diastolic pressure must be considered. When the pressure is considered 1910 doubtful. 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. The condition of the arteries. myocardial metabolism and myocardial damage with radio-pharmaceutical agents. recumbent and standing positions. In the presence of the pulse rate of 50/minute or under. each produced by a single crystal. in all types of physical examination. Blood Pressure = The blood pressure will be taken with the individual relaxed and 1905 comfortable in the sitting. Cardiovascular Roengenology = The chest X-ray taken at six (6) feet distance as prescribed 1914 elsewhere in these regulations will be examined. and recorded on still or cine information about structures like 1967 the coronary arteries. 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. create a “sector-shaped” cross 1937 section of the heart. Electrocardiography = The heart can be imaged with reflected ultrasound by the 1926 complimentary techniques of M-Mode. defects in conduction. 1924 1925 j. cardiac hypertrophies. 1928 1929 (1) M-Mode Echocardiography = The M-Mode “one dimensional” echocardiogram is 1930 actually two dimensions: distance from and on the horizontal axis. lateral and oblique views with the barium swallow being used as indicated. embolization in distal arteries. The difference between the emitted and the 1944 measured frequencies is the “Doppler frequency shift”. myocardial perfusion and blood 1955 flow. Cardiac catheterization is associated with the risks of: (1) damage to 1968 arteries and veins. recent exercise and 1907 digestion. into the intravascular space. (2) introduction of infection. CSE allows comples structural and functional relationships at 1938 estimating chamber volumes especially if there are segmental wall motion 1939 abnormalities. saline. 1953 1954 k. Electrocardiography = The electrocardiogram is of particular value in the diagnosis of the 1919 cardiac arrythmias. 1927 Doppler technique in its various forms.

1980 also. (2) Treadmill exercise or bicycle provides non-invasive information 1976 about changes in rhythm. or stenosis) . 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). and habit-forming drugs. Just at 2005the end of force expiration. It may referred to as exercise test. A loud systolic murmur (usually with 1994thrill) Maximal at the left of the sternum in the third and fourth spaces. general septic 1982 infection. 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). 2028 2029 d. rheumatic fever. less well heard in the erect position than when 1997recumbent and unattended by cardiac enlargement or other evidence of heart disease. aortic dilatation. and enlargement should not be made a primary diagnosis unless careful examination 2015fails to reveal a cause. either single or two 1975 step or double two-step. negative or normal 2D echocardiograph (P3). Those with normal cardiac size. 1981 quinsy. tonsillitis. 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. and demands further study. it is accentuated by exercise. phlebitis. but any aortic murmur of moderate intensity or louder probably indicates disease (for 1993example. varying in intensity with forced respiration. Any 2000diastolic murmur heard over any region of the pericardium is an evidence of organic heart disease. contour and configuration by cardiovascular roentology 2020 and electrocardiographic interpretation of within normal limits. negative MST. Exercise Stress Testing (EST)= is a sensitive and informative examination of the 1972 cardiovascular response to exercise. 2004may be heard only along the left external border. with the patient erect and leaning slightly forward. with negative history of rheumatic fever or state (P1). 2031 2032 e. as to whether there has been a history in the past of chorea. suggests the probability of 1995congenital septic defect. rate and ventricular repolarization as the heart responds 1977 to exercise. stress test. The cause of such enlargement 2014should be sought for. 2016 2017ACCEPTABLE: 2018 2019 a. A slight aortic diastolic murmur. 1983 1984MURMURS: 1985 1986 Given a heart of the normal size. confirmation of this diagnosis is a cause of rejection. 2025 c. A faint systolic murmur at 1996the apex. (1) Master’s Test. Exercise electrocardiography may be. is the commonest of all murmurs and is to be considered physiologic or 1989functional. tobacco. 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. 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. conduction. best in the left lateral decubitus and with the bell 2003stethoscope chest place. interpretation must based on cumulative evidence of murmur of relatively slight deviation from 2007the normal. diphtheria. In addition to the general history elsewhere prescribed in these regulations. 2006Frequently. and other diseases of the blood vessel. 2035 2036 f. It is useful in the detection and quantification of ischemic heart 1974 disease(IHD). it is more easily heard with the Bowle’s Bell stethoscopic chest piece. tuberculosis. specially inquiry 1979 will be made in doubtful cases as to the use of alcohol. 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. on the other hand. syphilis. 2021 2022 b. or exercise 1973 electrocardiography. 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. chronic focal infections. louder in the recumbent position and on expiration and largely or entirely 1988abolished by deep inspiration. responding normally to exercise. a slight to moderate 1987pulmonary systolic murmur. 1978 n. 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 . 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.1971 m. gonorrhea. A faint 1991systolic murmur localized at the aortic area without thrill and followed by a normal second sound may be 1992considered normal.

Coronary heart / artery disease. including angina pectoris. EGD. 2089 2090 p. 2075 2076 j. Disease of any artery. Arterial hypotension. complete right or left bundle branch block. a persistent diastolic 2064 blood pressure of 90 mm Hg or more if less than 25 years of age. When necessary to confirm findings. and P. All valvular disease of the heart. myocarditis. Orthostatic / arterial hypotension or tachycardia. or evidence of repeated thrombophlebitis in the past. 2092 2093 q. Aneurysms. or myocardial insufficiency cardiomyopathy.2045 2046CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 2047 2048 a. Arrythmia. 2049 2050 b. 2086 2087 o. cardiac 2072 tumor or other myocardial diseases. 2079 2080 l. Electrocardiographic evidence of paroxysmal tachycardia. 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. Evidence of vasomotor instability or neurocirculatory asthenia if persistent on examination of 2085 not less than three (3) days. Inadequate arterial blood supply to any limb. except sinus arrythmias and occasional extra systole. 2083 2084 n. CT Scan. 2081 2082 m. Cardiac enlargement as noted earlier. 2065 2066 f. 2070 2071 h. endocarditis. 2060 2061 e. History of rheumatic fever or chorea. when systolic blood pressure is persistently less than 100 mm Hg in the 2067 sitting and standing positions. (A. and a persistent systolic blood pressure of 140 mm Hg or more. 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). or an electrocardiogram shows the 2058 presence of AV-block. 2106 2107 2108 SECTION XVII 2109 2110 2111 ABDOMINAL ORGANS AND WALLS 2112 2113 2114GENERAL CONSIDERATIONS: 2115 2116 a. and recent or old coronary occlusion. Intermittent claudication if confirmed by peripheral vascular tests. Congenital heart disease or deformity of the heart or great vessels. 2051 2052 c. 2068 2069 g. M. examination for three (3) days are considered adequate for such 2054 determination). 2077 2078 k. Ultrasound and other more specialized 2118 studies. examining physicians may avail themselves of 2117 fluoroscopy and roentogenology. 2094 2095 r. physical examination. Phlebitis and thrombophlebitis. 2073 2074 i. etc). 2056 2057 d. auricular 2088 flutter. M. or if with positive or abnormal stress test or other evidence of the heart 2059 disease. 2098 2099 t. 2096 2097 s. 32 32 . 2100 varicosities of any extremity unless mild in degree. Pericarditis. if marked and persistent or if symptomatic 2091 and taken in sitting and standing positions. A heart rate below 6f the history. A heart rate of 100 or over when persistent after repeated examinations in the recumbent 2053 position. Arteriosclerosis disproportionate to age. auricular fibrillation. Further studies may be due to arrive at a definite cause of tachycardia (thyroid 2055 studies.

and ulcerative colitis. Individual who are found to have parasites or eggs in their stools will have this condition 2128 indicated on the report of examination. Physical Profile Classification “3”: Hernia. Cirrhosis of the liver. In cases of suspected gastric or duodenal ulcer. they will within their discretion. sufficient in size to produce symptoms. Ulcer of the stomach or duodenum. Splenectomy for any cause. Megacolon. if large 2186 or accompanied with hemorrhage or protruding intermittently or constantly. 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). External hemorrhoids. 2167 2168 b. or 2183 other disqualifying disease. 2150 2151 (4) Small. every effort will be made to obtain a 2134 trustworthy history including authentic medical records and if necessary. 2173 2174 e. series and or 2135 EGD (Esophago – gastric duodenoscopy) will be done. inguinal which has descended into scrotum. 2155 2156 (6) Hernia. Internal hemorrhoids. 2181 2182 i. which has not descended into scrotum. 2146 2147 (3) Mild splenic enlargement without evidence of other disqualifying disease (P2) as 2148 verified by peripheral blood morphology. 2123 2124 c. 2166 umbilical. 33 33 . Symptomatic situs invertus. G. malarial smear for 2149 three consecutive determinations. 2157 2158 (7) History of cholecystectomy. 2175 2176 f. if moderate or large in size. 2189 2190 l. Authenticated history of surgical operations for gastric or duodenal ulcer. Examining physicians will make use of digital rectal examination of defects referable to the 2125 region and when necessary.I. ventral. 2161 hernia. small umbilical (patent umbilical ring) (P2). 2177 2178 g. asymptomatic situs invertus. 2184 2185 j. femoral. Authenticated history of true intestinal obstruction of any kind. Hodgkins disease splenic anemia. 2162 2163CONDITIONS WHICH ARE CAUSES FOR REJECTIONS (P4): 2164 2165 a. femoral. 2169 2170 c. recurrent. proctoscopy will also be used. 2171 2172 d. Hernia. 2136 2137ACCEPTABLE: 2138 2139 a. 2159 2160 b. ileitis. benign asymptomatic tumor of the abdominal wall if not more than 1 cm 2152 diameter (P1). 2126 2127 d. or at the site of a 2131 scar is not necessarily indicative of hernia.2119 2120 b. moderate or great enlargement of the spleen of any cause. 2143 2144 (2) Scar pain when found not associated with any disturbance in function of abdominal 2145 wall or contained viscera. Proctitis or stricture or prolapse of the rectum. 2179 2180 h. use test meals and chemical and 2122 microscopic examination of the stomach contents and stools. 2153 2154 (5) Internal and external hemorrhoids if mild in degree and without pain or bleeding (P2). 2132 2133 f. Acute or chronic cholecystitis with or without cholelithiasis. or umbilical ring. Sinuses of the abdominal wall. provided there are no residual disqualifying sequelae (P2). bone marrow studies. 2129 2130 e. post-operative. Moderate impulse produced by cough at inguinal. inguinal. 2191 2192 m. 2187 2188 k. diverticulitis. When examining physicians are able to command hospital facilities and the necessary 2121 diagnostic apparatus. Enlargement of the spleen associated with leukemia.

Wounds. 2243 2244 x. gastric resection of peptic ulcer. Jaundice or history of recurrent jaundice with positive Hepatitis B surface antigen test and elevated liver function test [ SGOT. Gastritis. only a self limiting infectious liver disease 2. 2239 2240 v. (Hepatitis B. 2241 2242 w. 2261 2262 e.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. p. partial resection of the intestines or operation for relief of intestinal adhesions. 2258 2259 d. 2255 2256 c. 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. Enlargement of the liver. liver failure and hepatocarcinoma. sever. 2233 2234 d. chronic. 2245 2246 2247THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE (Disability 2248Separation): 2249 2250 a. chronic hypertrophic gastritis with repeated symptomatology and 2263 hospitalization and confimed by gastroscopic examination. 2264 2265 f. secondary to substance abuse (ethanol). Cirrhosis of the liver – Recurrent jaundice. Viscerotosis other than mild. 2231 2232 c. q.HCV 2225 2226 It is important to note that Hepatitis B and Hepatitis C: 2227 2228 a. and there is objective evidence of impairment of liver function. 2229 2230 b. 34 34 . 2235 2236 e. marijuana. Lead to cirrhosis. SGPT. pancreas or spleen. Hepatitis C – Anti. Drug test for the most commonly abused drugs / substance (shabu. History of gastroenterostomy. or inability to maintain weight. injuries. Blood in the feces unless otherwise shown to be due to unimportant cause. 2252 2253 b. GIT malignancies.HBc 2222 Anti-HBs Ag 2223 2224 3. o. cicatrices or weakness of muscles of the abdominal walls sufficient to interfere with function. Chronic disease of the liver. Lead to fulminant hepatitis (survival rate is < 10%). Have an expensive treatment modality. ascites or demonstrable esophageal varices or 2260 history of bleeding therefrom. Hepatitis A – if positive HAV. Hepatitis C) when after a reasonable time (6 months). r. Achalasia (Cardiospasm) . Hepatitis B – HBs Ag 2219 Hbe Ag 2220 Anti – HBC 2221 Anti. Tests used for Liver diseases: 1. gallbladder. t.Dysphagia not controlled by dilation with continuous 2251 discomfort. 2237 2238 u. total bilirubin. B1 and B2 ]. 2266 symptoms persist. Have carrier states (normal looking individuals but are infectious). Alkaline Phosphatase. Positive AIDS (HIV) test. May cause possible contamination of PNP blood supply. Fissure of the anus or proctitis ani. ethanol). s. Hepatitis.

Regional – Confirmed diagnosis thereof. or if more than mild symptoms of digestive disturbance and requiring insulin. and who can select their diet from the normal diet may be recommended for continuance of active duty (P3). j. difficult bowel movements requiring the regular use of laxative or enema. k. have a good understanding of the disease. an individual on active duty who is able to maintain weight. Ulcerative colitis – Confirmed diagnosis thereof. painful defecation. pain on defecation. duodenal and gastric – Frequent recurrence of symptoms (pain. vomiting and intractable constipation requiring frequent admission to the hospital. have no signs of anemia. u. p. and / or repeated surgical procedures. Peritoneal adhesion – Recurrent episodes of intestinal obstruction characterized by abdominal colicky pain. may be recommended for continuance of active duty (P3). average no more than three (3) bowel movements per day. i. (2) If operative repair is contraindicated for medical reasons or when not amenable to surgical repair. individuals on active duty who have no complications. n. Chronic – Moderate to severe symptoms of bleeding. Proctitis. 2328 2329 2330 2331 2332 2333 2334 2335 2336 2337 2338 2339 2340 w. Colostomy. permanent. Ileostomy. SECTION XVIII 35 35 . x. permanent. Gastrectomy – Per se. t. 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).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. or recurrent bleeding in spite of prescribed treatment. q. o. Chronic – Frequent abdominal pain of severe nature. However. Gastrostomy. partial – When more than mild symptoms of diarrhea remain or if complicated by colostomy. m. vomiting and bleeding) in spite of good medical and surgical enlargement and supported by laboratory. Ulcer: peptic. if permanent. and who do not require frequent medical attention may be recommended for continuance of active duty (P3). if permanent. Pancreaticojejunostomy – If for cancer in the pancreas. proctoplasty. Hernia: (1) Hiatal hernia: If after operation symptoms are not relieved by simple dietary or medical means. Pancreaticoduodenostomy and Pancreaticogastrostomy – If for malignancy. or requiring repeated hospitalization or surgical treatment. Gastroduodenostomy – Per se. However. Xray evidence and EGD. Ileitis. h. Rectum. stricture with sever symptoms of obstruction characterized by intractable constipation. Proctopexy. without symptoms of ibdigestion. nausea and vomiting. Enterostomy. and diarrhea with repeated admission to the hospital. tenesmus. or if with more than mild symptoms of digestive disturbance or requiring insulin. or weight loss. r. Colectomy. average no more than three (3) bowel movements per day. Pancreatectomy. steatorrhea or disturbance of glucose metabolism requiring insulin. However. a individuals on active duty who are able to maintain weight. has no significant abdominal pain has no signs of anemia. l. y. s. has good understanding of the disease. have no significant abdominal pain. proctorrhaphy and proctotomy – If fecal incontinence remains after an appropriate treatment period. v. Pancreatitis.

Urethral stricture or urinary fistula. elevated blood pressure. as shown by the 2363 origin cannot be determined. renal calculi. A glucose 2370 tolerance test will be made when indicated.010. 2401 2402 e. 2394 2395 b. Urinalysis including test for albumin. 2381 2382 c. 2371 2372 e. pyelitis. infantile genital organs. Epispadias or hypospadias. unless the presence of the albumin and casts is associated with the enlargement of 2359 the left heart. When albumin is constantly or 2361 intermittently present. 2396 2397 c. 36 36 . Vesical calculi. 2403 2404 f. 2374 2375ACCEPTABLE CONDITIONS: 2376 2377 a. 2364 2365 c. or other evidence of cardiovascular-renal disease of 2360 such a degree that the diagnosis maybe made immediately. tumor of the kidney. Hypertrophy or absence of the prostate glands. the result will be correlated with a fasting blood sugar determination. further observation of the candidate and repeated complete 2367 examinations are indicated. Mild albuminuria without casts which is proven by observation and repeated examinations to 2378 be temporary in character or orthostatic in type (P2). if possible. incontinence or retention of urine. The urine will be voided in the 2351 presence of one of the examiners. 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. if large or painful or if found in the cord. absence of one 2398 kidney. X-ray and other laboratory examinations 2352 will be conducted. Acute and chronic cystitis. enuresis. Hermaphroditism. and 2350 a microscopic examination of the sediment will be made. diabetes mellitus or insipidus or renal glycosuria. The glans penis and corona will 2348 be exposed and the penis will be examined. be determined 2362 and stated as the cause for rejection. Procedure when specific gravity is abnormally low: When the specific gravity of the specimen 2366 first examined is below 1. 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. Floating kidney. tumors of the bladder. Both sides of the scrotum will be palpated as well 2349 as the inguinal lymph nodes. 2368 d.2341 GENITO-URINARY SYSTEM INCLUDING 2342 SEXUALLY TRANSMITTED DISEASES (STD) 2343 2344 2345METHODS OF EXAMINATION: 2346 2347 a. Examination for the detection of STD will include inspection of the skin and genitalia for 2373 lesions. Further search will be made to exclude late complications of syphilis. Amputation of the penis. 2399 2400 d. contracted kidney. Acute or chronic nephritis. pyonephrosis. Varicocele or hydrocele. History of unilateral renal calculus with freedom from symptoms. Search will be made fro evidence of STD and malformation. pus or albumin in the urine. 2390 2391CONDITIONS WHICH ARE CAUSES FOR REJECTION (P4): 2392 2393 a. Phimosis (P1). When albumin or casts are found in the urine. 2383 2384 d. When indicated. Hydrocele of the tunica vaginalis testis of moderate size (P3). hydronephrosis. Procedures when albumin or casts are found. Significant amount of blood. 2385 2386 e. Varicocele of moderate size (P2). specific gravity. 2388 2389 f. if persistent. but if albumin is persistently present. the underlying pathological condition will. 2353 2354 b. and if X-ray is negative for 2387 calculi (P2). 2379 2380 b. 2413 2414 k. 2409 2410 i. 2405 2406 g. sugar. 2411 2412 j. Absence or removal of one or both testicles from any cause. Procedure when glycosuria is detected: If glucose is found in the urine at the first 2369 examination. 2407 2408 h.

Genito-urinary systems: 2454 2455 (1) Cystitis: Per se. Hypoplasia of the Kidney: Symptomatic and associated with elevated blood 2481 pressure or frequent infection and not controlled by surgery. 2419 2420 n. Preirenal abscess. Gonorrhea. 2485 2486 g. Cystic kidney (polycystic kidney). Hydronephrosis: More than mild. uncomplicated. 2449 2450THE CAUSES FOR PHYSICAL UNFITNESS FOR FURTHER POLICE SERVICE Disability 2451Separation): 2452 2453 a. 2466 2467 (5) Kidney: 2468 2469 a. of such a degree which interferes with 2487 performance of duty. 2442 2443 d. 2433 2434NON-ACCEPTABLE (P4): 2435 2436 a. except cardiovascular. unless removed on account of malignant 2421 disease or tuberculosis (P2) or STD. Undesecended testicle. 2429 2430 b.2415 2416 2417 l. and 2441 epididymitis. (See Section XIX – NEUROLOGICAL AND PSYCHIATRIC 2462 DISORDERS). Gonorrheal arthritis. 2431 2432 c. does not render the individual physically unfit. residual. 2476 2477 d. Chronic orchitis or epididymitis. 2446 2447 f. 2482 2483 f. Obstructive uropathy resulting from frequent or recurrent infections or 2473 congenital anomally not responsive to treatment. Freedom from active or chronic STD is required for entrance into the police force. Syphilis. including acute urethritis. However. the 2456 residual symptoms or complications may in themselves render the individual 2457 physically unfit. Pronounced atrophy of or absence of both testicles. Calculus in kidney = Bilateral. symptomatic and not responsive to 2470 treatment. and not responsive to treatment. 2458 2459 (2) Endometriosis. Absence of one testicle. 2418 m. Stricture of the urethra. Cardiovascular. cerebro-spinal or visceral (P3). 2471 2472 b. 2439 2440 c. 2437 2438 b. more than mild which has not responded 2484 to medical or surgical treatment. acute or chronic (P3). 2474 2475 c. Sexually transmitted diseases (STD). Lymphogranuloma venereum (active). 2479 2480 e. 2424 2425 2426ACCEPTABLE STD CONDITIONS: 2427 2428 a. Other complications of gonorrhea. 2460 2461 (3) Enuresis. seminal vesiculitis. 2444 2445 e. Pyelonephritis or pyelitis: Chronic. moderate or severe. Confirmed positive serological reaction for syphilis who have had positive serology or other 2448 evidence of syphilis. 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 and visceral syphilis. 2422 2423 o. 2488 37 37 . bilateral and causing continuance of or 2478 frequency of symptoms.

He or she is then told to stand up straight in the position except that the toes are brought 2553together. chronic. taking not of its size and shape. Chronic glomerulonephritis. the hemiplegic gat of post CVD. 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. 2496 2497 (6) Menopausal syndrome. gait. Look for he normal associated 2551movements. deviation to one side or the other. looking straight ahead and turning about briskly as required. education and occupational attainments should be obtained. 2501 2502 (8) Urethritis. 2499 2500 (7) Strictures of the urethra or ureter: Severe and not amenable to treatment. is likely to break down under the stress of police life and 2534become an encumbrance to the PNP with its additional expenses. head 2538injuries. Swaying to and fro to slight degree is normally noted especially when eyes are 2555closed in this position. either physiologic or artificial with more than mild mental 2498 and constitutional symptoms. Diseases of this type may and frequently do exist in persons who are 2532strong. 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. Chronic nephritis. abnormalities of gait. convulsive disorders in between seizures or psychosis (manic 2531depressive) during lucid intervals. 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. mannerism and behavior as soon as he comes 2543into examining area. Pyonephrosis. disturbances of consciousness. non-gonorrheal. The examinee is 2557next made to perform the finger to finger. 2508 2509 (2) Cystoplasty: Reconstruction is unsatisfactory if residual urine or infection persists. but if it involves movements of the feet to maintain balance. A confrontation test is next performed for a rough 2559estimate of the fields of vision. active and apparently healthy and who volunteer no complaints. Genito-urinary and Gynecological Surgery: 2506 2507 (1) Cystectomy. deltoid. The examinee is directed to walk in a 2550straight line. The hand grips are tested and compared.. The examinee is next told to get to the examining table and to lie face up. 2492 2493 j. the ataxic or tabetic gait. 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.2489 h. efficiency and economy of the police service it is essential that individuals with 2528neurological and psychiatric disorders be excluded. Asymmetries are looked for especially in the palpebral and oral fissures of the face. A history related to 2537convulsions.g. heel to shin bone tests and the rapid pronation2558supination of the upper extremity for motor coordination. 2490 2491 i. The minutest study may be 2530required to establish a diagnosis e. This test is done with eyes opened and 2552eyes closed. 2554buttocks and extremities. The pupils are tested for light and accommodation. The 2547examinee is asked pertinent questions that may arise during the examination to clarify certain points noted 2548at the time. A person who has difficulty in 2533making satisfactory adjustment to stresses in life. not responsive to treatment and necessitating 2503 frequent absences from duty. finger to nose. Not unfrequently. fainting spells. Nephrosis. an individual suffering from a 2529neuropsychiatric disorder may appear “normal” even to a close observer. the palsies of the face and ocular 2545muscles in the brain tumors. 38 38 . 2539 2540EXAMINATION FOR NEUROLOGICAL DISORDERS: 2541 2542 The examinee is observed as to his movements. 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.g. e. 2494 2495 k. Certain conditions are immediately identified even without talking to or touching an 2544examinee. then it is considered 2556pathologically significant (Romberg’s positive). 2504 2505 b. routine use of drugs and narcotics.

2568Shoulders are lifted voluntarily towards the ears. petit 2616 mal. tongue protruded to determine 2565deviation. 2595 2596NEUROLOGICAL CONDITIONS WHICH ARE GROUNDS FOR REJECTION OR SEPARATION 2597FROM THE POLICE SERVICE (S4). Sydenham’s chorea. speech or 2634 defect in test phases and in all slurring and distortion of words in conversation. Disabling residual infections: meningitis and brain abscess. 2602 Huntington’s chorea. 2604 2605 c. cerebral 2603 arteriosclerosis. do not call attention to the condition nor have prevented the individual from 2589 successfully following a useful vocation in life (S2 or S3). including 2621 spina bifida if associated with neurological manifestations and meningocele even if 2622 uncomplicated. Neurosyphilis of any form: general paresis. After testing for the cranial nerves. 2585 2586 b. irregular or 2633 sluggishly reacting pupils. Gordon’s and Chaddock’s for the pathological 2573reflexes. Miscellaneous disorders: recurrent spasmodic torticolis. knee jerk and ankle clonus 2572for the deep tendon reflexes.2563The examinee is asked to bite hard for the motor component of the trigeminal. and psychomotor attacks. facial tremor. Residuals of trauma that are incapacitating: residuals of severe cerebral trauma. cataplexy not controlled by medication. congenital malformation. Gag reflex is tested for by touching the 2567oropharynx with an applicator with cotton. The indicated laboratory tests and X-ray examinations 2577should be made. 2574 2575 The life history of the examinee is reviewed with his and abnormal findings noted during the 2576examinations are correlated for proper evaluation. vibratory sense. peripheral and autonomic nervous system (S1). 2579 2580ACCEPTABLE FOR OLICE SERVICE: 2581 2582 a. Babinski’s. post 2606 encephalitic syndrome. tabes dorsalis. 2590 2591 2592 c. 2635 wring defects consisting of omission and distortions of letters. 2600 2601 b. inability to perform quickly 39 39 . muscular atrophies and dystrophies of any type. Look for unequal. 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. Hoffman’s. and taste and sensory capabilities. paralysis agitans. Syphilis of the Central Nervous System: 2631 2632 (1) General paresis of meningoencephalitic syphilis. 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). the sensibilities for 2569pain. 2611 2612 e. Disability Separation): 2598 2599 a. the triceps. Any form of paralysis or paresis which limits locomotion or ability to perform 2625 adequately as expected in general police service. 2620 operated and unoperated cerebrovascular diseases. Had 2617 been admitted at the neurology ward three times (3x). athetoses. discrepancies in relating to facts of life. 2607 2608 d. weaknesses of movement if any. tremors. (using a tuning fork C-256 preferably) and two2570points discrimination are next noted. defective 2636 memory. cerebellar and Freidreich’s ataxia. 2614 2615 f. The mouth is next opened. and. 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. 2626 2627 2628DIAGNOSTIC EXAMINATIONS FOR NEUROLOGICAL DISORDERS: 2629 2630 a. etc. meningo-vascular syphilis. brain and spinal cord tumors. narcolepsy. Movement 2566of the uvula is noted by having the examinee say “AH” loudly. touch. Degenerative disorders: multiple sclerosis. 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. post2613 traumatic cerebral syndrome. The head is next moved rapidly from side to side and forward. temperature. biceps. position sense. Paroxysmal convulsive disorders and disturbances of consciousness: grand mal. multiple neuritis. or Argyll-Robertson’s pupils. The reflexes come next and the following are deemed adequate: 2571normal cremasteric and corneal for the superficial reflexes. the to expose his teeth 2564without moving the jaws for facial nerve palsy. Meniere’s disease. neurofibromatosis that is 2610 disfiguring. atrophy. 2623 2624 h. Peripheral nerve disorders: chronic or recurrent neuritis or neuralgia of any intensity 2609 which is periodically incapacitating. 2618 2619 g.

Since no physical signs are pathognomonic. Neuritis. he may attempt to conceal severe defects in order to gain entrance into the police service. varying deep and superficial reflexes. g. Meningovascular or cerebro-spinal syphilis. Evidence of previous treatment and the injection of procaine into the nerve presumably affected are important diagnostic aids. tenderness of the muscles. if practicable. definite nystagmus. simulation is possible in doubtful cases. Paroxysmal Convulsive Disorders: look for deep scars on tongue. suggest this diagnosis. infection or intoxication. even though mild. or ataxia and euphoria are common manifestations. particularly in doubtful cases. dizziness. In pseudo-hypertrophic forms. When an examinee is rejected for epilepsy. a Babinski’s or similar signs. knee jerk. In Myasthenia Gravis. d. The mental state is normal. or of multiple attacks of loss of consciousness. overactive or underactive. numbness. or irrational conduct or fugue. 2675 2676 2677 2678 2679 2680 2681 2682 2683 2684 2685 2686 2687 2688 2689 2690 2691 2692 f. 2693 2694 2695 2696 2697 i. corneal hyposthesia. decrease or loss of muscle power. The mood may be of schizophrenic or neuroasthenic type. of being dazed. or of uncontrolled outbursts of rage. 2698 2699 2700 2701 2702 2703 2704 2705 2706 2707 2708 2709 j. “dizziness” or fainting. Dystonia. slight nystagmus. The electroencephalograph is of great assistance in the diagnosis. or change of personality is suggestive. face and head. but independent confirmation of such alterations should be thought possible. Such history will be verified. and also hysteria. hypertrophy in others. papillary changes. stooped posture. 40 40 . 2641 2642 2643 2644 2645 2646 2647 2648 2649 2650 2651 2652 2653 (2) Tabes dorsalis (locomotor ataxia). Neuralgias of other nerves are extremely rare. Look for unequal sluggishly reacting pupils or Argyll-Robertson pupils. constant or recurrent pain confined to the area of distribution of a single nerve or segment. dull or apathetic. The symptoms depend upon the cause or duration. usual and irregular series of short identical attacks of pain coming at intervals.2637 2638 2639 2640 and accurately simple problems of addition and subtraction in mental arithmetic. absence or irregularity of abnormal reflexes. and malingering must be considered in the differential diagnosis. Paralysis Agitans: Paralysis is recognized by masked frozen-like facies. ocular palsies and facial paresis. positive Romberg’s ataxic gait especially when the eyes are closed. unwinking eyes. a statement will be made by the examining board stating the basis for the diagnosis. If the syndrome is definite even though mild. Muscular Dystrophies: There is atrophy of the muscles in some forms. intermittent. Motor weakness may occur on one side of the body or in one extremity. c. and anesthetic areas of the skin. tremors. They consist of pain. scotomata or bladder disturbances should arouse a suspicion of multiple sclerosis. involuntary movements. h. The prominent diagnostic signs and symptoms are headaches. history of mood changes or convulsions. transient diplopia. and in general. Less common are suboocipital. some muscles are atrophied. e. sensory diminution or loss. in the absence of stigmata. loss or diminution of reflexes. vasomotor changes. ptosis. and the diagnosis will be made in extreme caution. fine tremors. or a verified history. Chorea: These names are given to various types of irregular. monotonous speech and typical gait. convulsions. Clearly confined entities are sciatica and trigeminal neuralgias. Athetoses. the individual should be rejected. it is necessary to discover if the individual has had spells of unconsciousness. Even mild manifestations disqualify. The history is usually of slow progression. “lapses”. “spells”. others are hypertrophied. Even mild manifestations disqualify. various causes of diminution or loss of motor power marked in distal parts of the extremities. sluggishness of movements. but will not be used routinely. The presence of signs indicating a focal lesion. Chronic Neuralgias: A history of severe. loss of initiative. sphincter disturbances and pains in the legs or back. exaggerated deep reflexes. Torticollis. may show failing sexual power. bursitis. Multiple sclerosis: A history of transitory weakness. The presence of optic atrophy. arthritis. often associated with evidence of spastic paralysis. (3) 2654 2655 2656 2657 2658 2659 2660 2661 2662 2663 2664 2665 2666 2667 2668 2669 2670 2671 2672 2673 2674 b. rigidity of the muscles. brachial and glossopharyngeal neuralgias. by a confirmatory medical record from a trustworthy source. affecting various parts of the body. sinusitis. knee jerk may be normal. The individual will be disqualified based on a brief history of such spells. scotomata. or unsuccessful treatment with anti-convulsive drugs. Multiple Neuritis: This may be associated with dietary deficiencies. abnormal sweatings are confirmatory evidence. When the diagnosis is based wholly on the examinee’s statement. there is rapid fatigue of muscle power appearing first in the facial and extrinsic eye muscles and later becomes generalized. ataxia of one or more extremities. A dull apathetic expression. Post-traumatic Cerebral Syndrome: A history of head injury followed by headache. is cause for rejection. Previous medical records should be sought. without objective changes.

other corroborative informants. the neuro-psychiatrist will carefully avoid unscientific methods which give inadequate or inaccurate data. The probable presence of some types of psychiatric disorders. Almost any focal disturbance may result. in bad taste and or not customarily used in comparable civilian examinations and practices will be avoided. Despite the handicap of time limitations. or vasomotor symptoms are not disqualifying. or “Do you have headache or stomach trouble?”. following up questions for clarification. The routine or habitual use of questions that are emotionally charged. slight tremor. The accomplished NP Screening Form will be reviewed with the examinee and points of interest or items suggestive of certain disturbance will be clarified. 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. 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. he generally answers it without reservation and problem areas are brought to focus. The NP Screening Form is a time saver for the interviewer as well as for the examinee.2710 2711 k. Interview will begin with something that is obviously relevant to the immediate situation. Attention will be given not only to unfavorable or negative data in the history. The psychiatric examination is done by clinical interviews. b. the onset is acute. 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. 41 41 . Cerebro-vascular Accidents: Characteristically. Information is elicited as to whether the individual suffers any symptoms of psychiatric nature. Positive answers to such questions are not themselves justifiable causes for rejection. may c. a. A good therapeutic relationship between physician and patient must be established. in particular major psychoses and marked degree of feeblemindedness. “Are you nervous?”. his physician. The number of MSE conducted depends on the individual being evaluated. The diagnosis disqualifies. A single MSE may be sufficient in some cases. referred to as Mental Status Examinations (MSE) which is a reliable diagnostic tool used to determine psychiatric disorders. The latter may be gathered together from various sources. the man himself. The examiner pays close attention to everything said and ask. Isolated signs such as nail biting. Evidence of peripheral disease 2713 may be inconspicuous. and as to whether he has been ill or poorly adjusted in the past and at present. with or without 2712 unconsciousness. If it is his first contact with it. hospital and court records and other social service welfare agencies. 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. psychologically shocking. Thus a neuropsychiatric examination consisting of a few leading and suggestive questions such as “Do you worry?”. Mental and personality difficulties are most clearly revealed in the subject’s behavior towards those to whom he feels relatively at ease. The evaluation of such factors in a policeman is accomplished by psychiatric examination and knowledge of his past history. 2714 2715 2716EXAMINATIONS FOR PSYCHIATRIC DISORDERS: 2717 2718 a.

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. suicidal or 2784 homicidal ideations. As good 2777 Anamnesis should be prepared by the clinician. 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. presence of 2783 perceptual disturbances. 2796 2797THE FOLLOWING TESTS SHALL BE ADMINISTERED AS INDICATED: 2798 2799 Criteria for qualifications as per interview and psychological tests: 2800 2801 a. mood. At certain times. speech. Ex. memory recall. ideas of references. Though a psychological test may confirm the diagnosis. Information Sheet with Auto-analysis 2804 2. 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. In 2775 other cases. For Recruitment: 2802 2803 1. 2781 attitude. intellectual and emotional insight. a diagnosis may be made based only on the 2795 history and mental status examination. place and person. behavior. volition and 2785 judgment. IQ Tests 2825 (a) SRA FORM B 2826 (b) ACER Test of Reasoning Ability 2827 2828 3. 2793 these tests may be incorporated in the report to supplement the psychiatric 2794 findings. Intelligence test (Note: IQ will not be reported as IQ points but in 2805 terms of range. orientation to time. delusions. 2782 level of intelligence. For Lateral Entry: 2822 2823 1. 2778 2779 The examiner by this procedure can easily determine the person’s 2780 mental status by noting his general appearance. 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 . affect. These could be glimpsed during the interview with or without 2786 asking direct questions.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. thought content and preoccupation. Information Sheet with Auto-analysis 2824 2. one would not be able to suspect the presence of any morbid 2776 condition without some knowledge of the individual’s history. All findings during the MSE must be summarized 2787 in paragraph form and included in the Neuro-Psychiatric Evaluation 2788 Report.

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.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.Survey of Interpersonal Values (b) LOQ (Leadership Opinion Questionnaire (c) Human relations Inventory 2. Clinical Case/Patient: 1. 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. PNCO: (a) CFT (Culture Fair Test) (b) PIS (Personal Information Sheet) with Auto-analysis (c) SCT Sentence Completion Test 43 43 . d. Reinstatement: 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. For Schooling: 1. 2. 3. 2. Promotions: For PNCO 1. 3. IQ Tests: (a) ACER (b) SRA FORM A or B Personality Tests: (a) SIV .

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. 2937 3. Initial Interview – to be conducted by a psychologist 2934 b. 2939 Endorsement for retake of NP issued by PTD must be 2940 presented prior to accommodation for NP exam. Multi-axial diagnosis (axis I-V) is 2951used in writing the diagnosis. For Bond: 2929 (a) Same as criteria for schooling. 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. 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. Final Interview – to be conducted by a psychiatrist/NP 2935 Screener 2936 2. 2930 2931 Addendum: 2932 1. reaction or 2947behavior to future stressors or problems. Among others. 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. 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. 2952 2953 2954 2955 2956DIAGNOSTIC CRITERIA: 2957 2958ACCPETABLE FOR POLICE SERVICE: 44 44 . the classification of 2950psychiatric disorders as carried in “DSM IV is used. Employment: (PNP and other Government Agencies – Second Priority. For reinstatement purposes. Applicants undergo two (2) interviews: 2933 a. 2948 2949 For purposes of recording and proper communications. he/she should also assess the subject’s foresight. 2918 secure request from office and subject for approval by Dir.

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. 2992 2993CONDITIONS FOR SEPARATION FROM THE POLICE SERVICE EITHER 2994THROUGH MEDICAL CHANNELS (DISABILITY SEPARATION) OR THROUGH 2995ADMINISTRATIVE OR NON-MEDICAL CHANNELS: 2996 2997 a. 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). if there is lack of improvement of symptoms after six 45 45 .2959 2960 The objective of NP Screening which is a combination of psychiatric interview 2961and psychological test is to select individuals who. aside from having no neurologic or 2962psychiatric disorders. 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. 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. 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. There are personality factors considered very important in Police 2966 Psychology. 3020 or. 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. 2964 2965 A. possess personality type appropriate and desirable for police 2963service (S1).

unreadiness or inability to learn. 3058 c. Lewd lascivious acts. a child. with 3038 minimal subjective anxiety and little or no sense of distress. 3073 3074 (7) Apathy (lack of appropriate interest). 3046 3047 Under this category. want of 3072 readiness or skill. 3078 3079BASIC MAJOR PARAMETERS USED IN SCREENING FOR QUALIFICATIONS 3080ARE THE FOLLOWING: 3081 3082 1) Effective intelligence 46 46 . stroke.3021 (6) months of continuous hospitalization and/or 3022 treatment. 3057 b. or a very protected environment. the disorder is manifested by a lifelong pattern of action or 3040 behavior (acting out) rather than by mental or emotional symptoms. Indecent acts with. 3028 3029 (5) Adjustment disorders do not render an individual in the 3030 police service as unfit for further police service. epilepsy. 3042 head injuries. 3054 3055 (2) Sexual perversions including but not limited to: 3056 a. due to the possibilities of 3032 recurrence of similar difficulties under stressful 3033 situations. 3034 3035 b. He may 3031 be classified under S3. 3064 3065 (4) An established pattern for shirking from and avoiding 3066 police duties. 3059 d. etc. 3067 3068 (5) An established pattern showing failure to pay just debts. organic diseases of the brain (chronic epidemic encephalitis. Indecent exposure.) will produce pictures resembling 3043 character or behavior disorders. 3023 3024 (4) Somatoform disorders manifested by persistent signs and 3025 symptoms after maximum benefits of hospitalization or 3026 which require repeated hospitalization. etc. 3041 Occasionally. Separation through administrative or non-medical channels (Summary 3036 Dismissal Proceedings). 3061 3062 (3) Drug addiction or the characterized use of inhibition of 3063 habit-forming narcotic drugs or marijuana. or assault upon. sick in quarters 3027 status. Other indecent acts or offenses. 3069 3070 (6) Ineptitude: Applicable to those persons best described as 3071 inept due to lack of general adaptability. 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. Latent or overt homosexuality. 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. 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. Personality disorders are characterized by 3037 developmental or pathological trends in the personality structure. 3060 e.

self-evoked cooperation. sense of commitment. late 3122 nightshifts. References to be used 3097are “The American Handbook of Psychiatry” by Arriete: “Practical Clinical Psychiatry:” 3098by Noyes. hard work. For Lateral Applicants: 47 47 . acceptable voice 3141 quality and speech. steadiness and 3114 endurance under pressure. caution. arbitrary commands. can start work 3139 without being told. frustration. goodwill. dedication and loyalty. 3117 (5) Tolerance for stress: 3118 3119 a. insufficient diet. environmental 3121 conditions. genuine interest in police assignments and real 3112 interest in rendering police service. 3140 (10) Manner of appearance: Pleasing general appearance. Neglect.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. 3128 3129 (6) Social relation: ability to get along well with others. pressure of time. depreciation. 3110 (2) No psychiatric disorder. Strain. 3138 (9) Energy and initiative: high activity level. disappointments and failures. bombings and other physical threats. 3132 (7) Security: Ability to keep secrets. good comprehension and adequate 3109 verbal & written communication skills. no unfavorable or 3142 distracting mannerisms. freedom from neurotic tendencies. gunfire. team-play . 3123 c. acceptance of responsibilities. 3126 e. 3120 b. Authority. has the capacity to do tasks usually required. effort. 3113 (4) Emotional stability. absence of physical disabilities. confusion. reprimand 3127 punishment. 3125 d. 3124 difficulty. freedom from disturbing prejudices. good work 3137 attitudes and values. 3130 tact. 3134 (8) Leadership qualities: Possess good moral/spiritual values and strong sense 3135 of integrity. organizing 3136 and administering ability. Synopsis Textbook of Psychiatry by Kaplan and DSM-IV 3100 3101THE CRITERIA FOR QUALIFICATIONS AS PER INTERVIEW AND 3102PSYCHOLOGICALS: 3103 3104 a. reference to standard textbooks of Clinical 3096Psychiatry shall be availed of at all times for diagnostic purposes. work overload. 3143 3144 b. poor living/sleeping quarters. weather. discretion. ability to 3107 follow orders. reasonably aggressive. imposed tasks. and freedom from annoying 3131 traits. Ability to keep 3133 confidential matters to self. criticism. and good 3115 impulse control. does not need 3108 more than usual supervision or support. “Comprehensive Textbook of Psychiatry” by Kaplan and Freedom (3 3099volumes). slow promotion. ability to govern disturbing emotions. Physical danger. Physical discomfort: unfavorable climate. 3111 (3) Motivation for assignment. The ability not to be easily provoked to anger should be 3116 present. zest. For Reinstatement and Recruitment Applicants: 3105 3106 (1) Effective average intelligence (IQ Range of 90 and above).

things and ideas. Social relations: ability to get along well with others. Absence of vices like gambling. Manner of appearance: pleasing general appearance. good work attitudes and values. self-evoked cooperation. History of good emotional adjustment. Energy and initiative: high activity level. Energy and initiative: Has sustained high activity level. Has maintained good social relations. originality. (1) 48 48 . should have ability to supervise and manage personnel and be a good role model. caution. acceptable voice quality and speech.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). steadiness and endurance under pressure. no unfavorable or distracting mannerisms. For Supply Accountable and Bonded Officers: Qualifications for Lateral Entry Officers. Absence of personality disorders and psychiatric disorders. freedom from disturbing prejudices. and use of prohibited drugs. with no serious disturbance of life adjustment. tact. (1) (2) (3) (4) e. Leadership capacity: Possess good moral/spiritual values and stress sense of integrity. team-play. zest. c. resourcefulness. High degree of integrity. and good judgment in dealing with people. honesty and trustworthiness. freedom from annoying traits. For Possession of Firearms/Carrying of Firearms: At least average intelligence (IQ 90 and above). Tolerance for stress (same as criteria as for reinstatement and recruitment applicants). and mistresses. few or transient neurotic symptoms. goodwill. capacity of making sound decisions. No symptoms of disability. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) d. Security: Ability to keep secrets. Character development. Has maintained adequate intellectual capacity required by present position and function. Possess self-confidence. No psychiatric disorder. dedication and loyalty. High morale/motivation for assignment and in continued rendering of police service. ability to select strategic goals and the most efficient means of attaining them. Emotional stability: Ability to govern disturbing emotions. acceptance of responsibilities. In life and work performance. reasonably aggressive. zest and effort. quick practical thought. effort. Shows progressive emotional maturity and character development. Motivation for assignment: genuine interest in police work and in rendering police service. can start work without being told. discretion. Has sustained or improved security-consciousness. absence of physical disabilities. freedom from neurotic tendencies. organizing and administering ability. Has maintained and developed more leadership qualities in addition to those cited above. Ability to keep confidential matters to self. good analytical and reasoning ability. sense of commitment. drinking. Absence of symptoms of instability (emotional or psychological) under pressure. In addition. For Annual Physical Examination (APE) and Promotion: No psychiatric disorder. able to sustain good ability and effectiveness. satisfactory physical qualifications.

3211 (5) Good moral character. 3232 (5) Good social relations. 3229 (2) No neuro-psychiatric disorder . 3222 (4) Good interpersonal relationship: must act as an ambassador of goodwill. 3212 (6) Good sense of responsibility and sound judgment. 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. 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. 3223 (5) Shows genuine interest to learn and the ability and willingness to reecho 3224 what was learned from schooling. 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. However. 3210 (4) Absence of personality disorder.3207 (2) No psychiatric disorder. 3234 3235 h. 3225 3226 g. namely: 3268 49 49 . 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. 3208 (3) No neurologic disorders especially seizure disorders and movement 3209 disorders. 3221 (3) Emotional stability. 3263 3264DIFFERENTIATION: 3265 3266 a. It is likewise encountered among those 3253 policemen about to retire. 3220 (2) For Non-Officer rank: at least low average intelligence (IQ 90 and above). 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). For retirement: No neurotic nor psychotic ideations. 3214 (8) Good social relations. 3231 (4) Good moral character. For Civilian Employment: 3227 3228 (1) Effective intelligence relative to the position applied for. 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. 3215 3216 f. 3233 (6) Good work ethics. it must fulfill three (3) 3267 conditions. Malingering is encountered in a 3251 number of situation but more frequently during the preliminary examination and 3252 early training periods of police service. 3213 (7) Emotional stability and good impulse control. 3230 (3) No personality disorder. For disorder to be classed as true malingering. flexibility and adaptability especially under stress. 3236 3237 i.

The ranks of psychopathic personalities contain many persons having an irresistible tendency to alcoholism. (2) The individual is consciously aware of what he is doing and of the motive responsible for his attitude. 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. (5) Malingering or reactions considered to be malingering may appear in those who are basically psychoneurotic. the psychopathic may be retarded. 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). sexual perversion. This includes an enlargement on minor physical ailments or on relatively insignificant diseases. frequently confused with pure malingering. (4) The psychoneurotic suffering from hysteria who believes in the reality of a disability. One feigns his symptoms as a bluff and hopes to get away with it. or superior. (3) Malingering as a manifestation of psychopathic or sociopathic behavior. which on the surface appears to be a definite simulation. This is seen in individuals suffering from Factitious Disorder. but he is incapable of adjustment under ordinary life conditions. (2) Malingering to the extent of exaggerating or capitalizing on conditions of symptoms that are present for the purpose of avoiding service. It is believed that a firm. the individual is dependent on some degree upon group pressure for support and his actions are largely determined by group standards of acceptable behavior. including a number of cranks. This includes hypochondriacs and individuals suffering from conversion disorders or neuro-circulatory asthenia (NCA). of average endowment. The loss of this important support obtained 50 50 . extremists. may become worse during investigation or attempted correction. (3) He is fixed in carrying out a purpose towards a preconceived result. drug addiction. hoboes and queer social misfits. They are dependent upon the support afforded them by those people in their immediate environment and particularly by such authoritarian figures as their leaders. etc. 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. just and positive leadership is the most effective aid in the prevention of psychiatric disabilities. emphasizing mild personality problems or neuroses. These reactions. requires special investigation. and. 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. how much is true in part and more or less unconscious. criminality. In intelligence. In all social units including the PNP. and over emphasis on symptoms of fatigue. b. 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. If deviations from acceptable standards of behavior are allowed to go unchallenged by those in leadership roles. 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.

Digitalis and strephantus 3361 may be taken to cause abnormal heart findings. Some of the 3351 cardiac cases at first regarded as malingerers may later be found to have 3352 mitral stenosis or bacterial endocarditis. Canned milk may be utilized to simulate urethral discharge. coloring matter may be added to the stools. Similarly. 3356 3357 b. the typical members are readily 3338 distinguished but intermediate and doubtful cases make the 3339 differentiation difficult. Note behavior when the registrant 3388 believes himself unobserved. Anesthesia = complaint of anesthesia itself creates a suspicion of 3390 malingering as most patients with anesthesia are ignorant of it. 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. Tachycardia and thyrotoxicosis may be temporarily induced by ingestion 3358 of drugs such as thyroid extracts. 3389 c. Those who can vomit voluntarily what 3366 they swallow use the same means to create the appearance of 3367 hematemesis. 3344 3345FEIGNED MEDICAL DISEASE: 3346 3347 a. Pain and hyperesthesia = The most common of all complaints. Artificial jaundice may be recognize by demonstration 3371 of picric acid in the urine. An appearance of hemoptysis may be 3364 produced by adding blood. 3365 Sometimes. 3336 3337 c. may be added 3359 to urine. 3384 b. Cathartics may be taken to bring about purging or 3363 to simulate chronic diarrhea. proper tests may show 3353 the existence of peptic ulcer in those suspected of feigning digestive 3354 abnormalities. ordinary indications of suffering is absent. albumin or sugar. Mental deficiency is frequently feigned specially by 3383 illiterates. hospital observation is necessary with verification 3382 of the past records. The estimation of the reality of rheumatic pain is always a 3355 different matter. Eggs. it is conceivable that the added 3334 conflictual. Jaundice may be simulated by 3370 taking picric acid. foolish 3381 type. psychological burden placed upon any personality under stress 3335 may precipitate a psychoneurotic response. History of 3385 inconsistent. merely water is added. Psychosis = rarely feigned by individuals and usually by a silly. Among these five (5) groups. There is a special need for 3350 the physical examination to be thorough in this group. Similarly. Absence of 3387 objective or evidence of localized pain. 3368 Mechanical and chemical irritants may be used to cause inflammation on 3369 about practically all the body surfaces. Epilepsy = Men who have sustained head injuries may claim fits. In cases of doubt.3331 from authority may further increase the individual’s conflict between his 3332 wishes (to escape unfavorable stress) and his misbehavior. 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. When this 3333 situation is not dealt with promptly. 3360 Cantharides may be taken to cause albuminuria. to the sputum. 3391 d. Petit mal 51 51 . These 3392 complaints may be in reference to grand mal or petit mal. The skin may be irritated 3362 by various substances. either human or animal. discrepancies and contradictions. Absence of other 3386 symptoms usually accompanied by pains complained of. 3372 3373 3374 3375 3376 3377 3378FEIGNED NERVOUS OR MENTAL ILLNESS: 3379 3380 a.

A type of personality is recognized as “accident prone” as 3416 attested by long experience in industrial plants. Retention of urine may 3409 be simulated. Included under these are old scars and injuries of the bones. The question to be decided is whether the individual is too 3398 seriously affected with neurosis to work as a policeman. 3402 3403FEIGNED SURGICAL CONDITIONS: 3404 3405 a. Hysteria = Not feigned in itself. he will definitely not be accepted. 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. strappings. either by incomplete or 3423 successful suicides. 3414 b. 3396 e. there is loss 3394 of pupil response to light. 3448 3449 “S” NEUROPSYCHIATRIC No neuropsychiatric disorder P1 No Neurologic nor Psychiatric disorder. to disqualify themselves for service. All men suspected of malingering will be subjected 3438 immediately to a thorough psychiatric survey. both 3418 mutilation and suicide. Whenever it appears to an examining physician that an 3446 individual is endeavoring to escape service by malingering. In all cases therefore. which will include a careful 3439 history of their previous behavior and adjustment record and a complete 3440 physical. but its existence creates confusion as in 3397 malingering. Stiff Backs -= Stiff back is a frequent symptom of hysteria immobilization 3400 among affected men. neurological and laboratory evaluation. 52 52 . Crutches. In grand mal attacks. braces. 3444 3445 b. 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. Substance may be injected under the skin to 3413 create abscesses. or trusses may be used to give 3410 the appearance of disability. In cases of this kind. if otherwise 3447 mentally and physically fit. where 90% of all accidents 3417 occur in 16% of the workers. Observations in the 3441 hospital may be required. Some may 3408 cut their hands albeit with care for this purpose. Others would cut off their fingers and toes. The motivation in self-inflicted wounds is a complicated psychological 3415 phenomenon. organic diseases of the 3401 vertebrae can and will be excluded if necessary by X-ray. 3407 usually on the right side. knee jerks are lost and the Babinski reflexes 3395 may be present. Wounds are rarely self-inflicted when 3411 witnesses are present. Individuals with psychoneurosis of 3422 certain types are known to attempt self destruction. 3434 3435GENERAL CONSIDERATIONS: 3436 3437 a.3393 attacks are spoken of as fainting attacks. consequently it is almost impossible to be certain of 3412 malingering in some cases. 3399 f. fracture and 3406 orthopaedic conditions. Most self-destructive attempts. are symptoms of grossly abnormal mental status 3419 and many of these mental conditions are not classified as psychotics 3420 (insanity). Such accidents are recognized to occur in mentally associated 3421 stated such as amnesia or fugues. 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.

severity and duration of the psychiatric symptoms or disorders existing at the time the profile is determined. The ducts and nipples should be 3477compressed. Palpation of the lateral portion 3476of the breast is then performed with the patient’s arms at her side. Adjustment Disorder Psychosomatic disorders. Psychoneurotic disorders. 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.P2 P3 No intermediate grade Transient situational reaction. retraction or inversion of one or both nipples. 3475The medial portion is initially examined first with the patient’s arms raised. 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. TABLE 3). Identify presence Precipitating stressors of external P4 Predisposition as determined by the basic personality make-up or pre-morbid personality Intelligence Performance. History of previous psychiatric disorders and impairment of the functional capacity. – marked deterioration of intellectual or mental faculties severe memory impairment. Table I and Section IV. 3467 3468 3469 3470THOROUGH BREAST EXAMINATION: 3471 3472 Inspection of the breast should be done first with patient sitting erect with her arms raised. 3474Masses in the breast are best determined by palpation with the flat surface rather than the tips of the fingers. 3464 3465 3466HEIGHT AND WEIGHT STANDARDS (See Section IV. EXAMINATION 3463WILL BE CONDUCTED IN THE PRESENCE OF A FEMALE ATTENDANT. 3462FEMALE PATIENTS WILL WEAR A SURGICAL GOWN AFTER DISROBING. The 3473supraclavicular areas and the axillae are then palpated with the patient sitting erect and in supine positions. Attention should be directed to symmetry of form and mass. 3479 53 53 . moderate or severe Major Mood Disorders (Unipolar or Bipolar) Chronic psychoneurosis. whether there is any retraction or 3478dimpling of the skin.

The size. 3548 3549 h. 3510rectal examination is done to assess the female reproductive organs. the simplest method is to place the 2 vaginal fingers under the cervix and elevate it and the 3516uterine corpus toward the abdominal wall. 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). and varying degrees of 3489ulceration. Females are not expected to have same strength and stamina as men. who shall satisfy P1 Profile. 3519mobility. such as syphilis. History of previous major operations. Hernia. 3490careful examination should be performed for detection of inguinal and femoral areas. this will 3485delineate hernia or diastasis recti. The adnexal areas are also palpated. or papillomatus growths. Enlargement of superficial inguinal nodes may be associated 3488with STD. 3500 3501 Observe the distribution of the pubic hair as well as its color and texture. If the hymen is not intact or admits one 3511finger with ease. 3527 3528 b. 3506furuncles. Dysmenorrhea which interfere with active PNP service. congenital 3540 abnormalities in number. femoral or umbilical. may be revealed. Amenorrhea not due to physiological cause. and umbilical eversion. 3544 3545 f. 3486 3487 Both groins are inspected and palpated. 3484dilated veins. Information as to the size. The buttocks should be just beyong end 3497of the table. cervicitis and vaginitis (recurrent). vaginal speculum is inserted without lubrication and a small amount of vaginal discharge 3512is obtained for gram staining. The internal 3513examination is done where abnormalities of the vagina is noted and consistency of the cervix is determined. 3529 3530 3531NON-ACCEPTABLE: (P4) 3532 3533 a. In familial hirsutism. discoloration. Growths and masses in the breast. masses. absence of one or both mammary glands. chest. 3508 3509 The condition of the hymen is assessed. Vaginitis: cervicitis that is not recurrent or remediable be medications. noting the presence of scars. and other body surfaces. 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. 3538 3539 d. They should however at 3525 least satisfy the required exercise standard without weights for service support candidates (P3) 3526 except female PNPA candidates. consistency. 3534 3535 b. If the hymen is intact or admits one finger with difficulty. 3543 uterine tumors. To palpate 3515the uterus. 3520 3521 3522ACCEPTABLE: 3523 3524 a. Extensive distribution of hair under the abdomen. The external hand is gently placed on the abdomen with the 3517fingers flat and is moved about from below the umbilicus to the symphysis. shape. 3536 3537 c. lymphopathia venereum. 3518shape and consistency is determined. granuloma. 3498 3499 The patient is instructed to urinate prior to examination. Absence of the portion of the reproductive organs. shape and position. Labia majora and minora are inspected for ulcerations. striae. It is darker and coarser than 3502the remainder of the body hair. The patient should be asked to raise her head and cough. distortion. Metorrhagia. in any part of the female reproductive organs. Hermaphrodism. Good light is essential. Note for pruritus vulvae suggestive of monilial or trichomonas 3507vaginitis. 3550 3551CONDITIONS FOR DISABILITY SEPARATION: 3552 54 54 . ovarian new growth. suggests the possibility of disturbed 3505ovarian or adrenal function or both. congenital or acquired such as inguinal. 3514Normal position of the uterus is anteversion with some anteflexion of the corpus on the cervix. so called buboes. if associated 3504with abdominal hair on the face. position and tenderness are noted. The patient is then asked to raise her head and cough. chancroid. Cervis is inspected for erosions or masses or polyps. 3541 3542 e. 3546 3547 g.

3568 3569 g. 3560 3561 d. there remain more than 3567 mild mental or constitutional symptoms. Menopausal syndrome. However. relationship and address of next kin. the residual 3554 symptoms or complications may in themselves render the individual physically unfit. 3608 3609 e. however. does not render the individual physically unfit. RECORDS AND RESCISSION 3587 3588 3589FORMS USED: 3590 3591 3592 a. 3562 3563 e. Item 11 Date and place of birth. Sexually transmitted diseases: 3570 3571 (1) Aneurysm of the aorta due to syphilis. Item 1 Last name. 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. Cystectomy or enucleation. 3612 3613 f. etc. Item 5 Purpose of examination. Item 7 Sex 3616 3617 h. Item 9 Years of PNP service 3620 3621 j. 3572 3573 (2) Atrophy of the optic nerve 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. 3574 3575 (3) Symptomatic neurosyphilis in any form. 3565 3566 f. Item 3 Badge/ID number. Item 12 Name. first name. Hysterectomy. either physiologic or artificial with more than mild mental and 3559 constitutional symptoms. 3626 55 55 . 3624 3625 l. Oophorectomy when following treatment and convalescent period. 3555 3556 b. Item 2 Rank. discharge.3553 a. disability separation. 3606 3607 d. middle name (complete). retirement. Item 8 Age 3618 3619 i. 3614 3615 g. 3611 report of pregnancy. 3557 3558 c. 3604 3605 c. Endometriosis. lateral entry. per se. per se. 3594 3595 b. 3610 annual PE. 3602 3603 b. does not make an individual physically unfit. 3597 3598 3599GENERAL INSTRUCTIONS FOR FILLING UP RME FORM: 3600 3601 a. promotion. Item 10 Assignment 3622 3623 k. residual 3564 symptoms or complications may render the individual physically unfit. Item 6 Date of exam. 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. Cystitis. Auto-Immune Disease System (AIDS) 3581 3582 3583 3584 SECTION XXII 3585 3586 REPORTS. Item 4 Home address. 3579 3580 h. State whether for recruitment.

Upper Extremities Lower Extremities Spine and musculo-skeletal system Skin and Lymphatics. ii. GU System. 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. Height (Bare Feet) in cm or meters. dd. oo. aa. ee. rr. gg. w. For males. Near) Color Vision Heart. p. Neck. y. qq. cc. Vascular System BP Dental Classification. kk. jj. pp. ss. ll. bb. Include previous subtotal thyroidectomy and other operations with dates. Build Color of Hair Color of Eyes Head. ff. Item 40 Item 41 Item 42 Item 43 Item 44 Item 45 Item 46-49 - 56 56 . For females. hh. Weight (Stripped) in kilograms. Item 39 nn. Pelvic. s. Vascular System Lungs and Chest Abdomen / Viscera Anus and Rectum Endocrine system. ex: PNPGH. v. t. Face. mm. q. Should attach an NP Examination Report properly signed by a PNP Psychiatrist/NP Screener. r. o. Requesting office. Should be completely filled up as required by regulations and the official dental form. should include statement of examination of prostate. Include statement on cardiac configuration. u. z. Should enter final readings of medical specialists in the areas concerned. and Scalp Nose Sinuses Mouth and Throat Ears Whispered Voice Test Eyes Vision (Distant. Neurologic Pschiatric. x.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. n. should include character of menses and parity. Identifying body marks especially moles and pigmented areas. tt.

All Reports Of Medical Examinations (RME) should be signed by the Chairman. enter in the NOTES space 3707 provided for at the right side of the form. 3725 3726 b. the Chief of 3724 PE Section and the Dental Officer of the respective HS unit. 3730 annual PE. Health Service is the reviewing officer of the Reports of Medical Examinations. 3705 3706 ww. Specify kind of tests done. Item 55 Overall Physical Evaluation. U. 3750 3751 3752 3753 3754 3755 3756 OSCAR C CALDERON 3757 POLICE DIRECTOR GENERAL 3758 Chief. Philippine National Police 3759 3760 3761 RESTRICTED 3762 3763 3764 3765 3766 3767 3768 3769 3770 3771 3772 3773 3774 57 57 . Item 50 Drug Test. 3713 3714 yy. One copy is 3739retained in his office for personnel health records file. local schooling. Item 52 History/summary of defects noted. Item 51 Other tests. State whether FIT or UNFIT for police 3718 service. NHQ PNP reviews RME forms for purposes of lateral entry. retirement. 3732 3733 3734ACTION OF THE DIRECTOR. schooling abroad. Item 53 Recommendation. he writes the new 3738classification and recommendation diagonally across the front of the forms and signs it. 3710 3711 xx. Fill the corresponding spaces for 3715 the P.3701 3702 uu. discharge. Enter pertinent item number before each comment. he affixes his signature to the final PE form. 3728 3729 c. inconsistent with this Circular are hereby rescinded. PNCO promotions. L. State whether the PE fulfills the purpose for which 3712 undertaken. 3745 3746 SECTION XXIV 3747 EFFECTIVITY 3748 3749 This Circular shall take effect immediately after publication. The Medical-Dental Board of the HS unit reviews RME forms for purposes of recruitment. The Medical-Dental Board. If not. If he 3737concurs with the reports. E. and employment of 3731 civilians. HEALTH SERVICE: 3735 3736 The Director. Describe every abnormality in 3708 detail. If any. special training/course and Disability Separation. Item 54 Physical Profile Serial classification. 3727 officers’ promotions. 3703 3704 vv. H. and S. 3719 3720 3721REPORTS OF MEDICAL – DENTAL BOARDS: 3722 3723 a. 3716 3717 zz. 3740 3741 SECTION XX111 3742 RESCISSION 3743 3744 All memo circulars and directives. Use back 3709 page if necessary.

3775 3776 3777 3778 3779 3780 3781 3782 3783 3784 3785 3786 58 58 .

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